Académique Documents
Professionnel Documents
Culture Documents
HUID 10861268
A132
Prof. Fernando Reimer
EXECUTIVE SUMMARY
Healing Through Music is a nonprofit organization that aims to improve social and
emotional wellbeing of child survivors of conflicts and disasters through music therapy.
It will operate its first two years in the West Bank with goals of scaling up in other
countries to serve more child survivors of conflicts and disasters in five years.
Healing Through Music will provide music therapy sessions by local music therapists to
children of age 6-12. The children will be selected from Palestinian communities, where
Disorder (PTSD). In addition to having the natural benefits of music such as stimulating
brain and cultivating positive thoughts, the music intervention will provide children an
Healing Through Music will deliver a culturally appropriate program for Palestinians by
hiring local staff and understanding the Palestinian culture and social norms before
designing the program. With two permanent administrative staff, three local music
therapists, and student volunteers from universities, Healing Through Music will ensure a
high-quality music therapy program while keeping the cost low. While the need of
psychosocial program in the West Bank is great, there are only a few organizations
providing the psychosocial services. Healing Through Musics music therapy program
will serve children whom local NGOs, nonprofit organizations and other international aid
organizations cannot reach on their own. The music therapy sessions will be held in
various locations of partner organizations, and the mobility and network that Healing
Through Music has will help reaching out to more children in need.
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By having regular self-assessment and annual impact evaluations, Healing Through
Music will focus on its performance of helping child survivors of conflicts and violence
so that the children can live with improved social and emotional wellbeing.
GENERAL DESCRIPTION
Healing Through Music is a nonprofit organization that strives to help child survivors of
international conflicts and disasters overcome their traumatic experiences through music.
We envision a world where the social and emotional wellbeing of all children is valued.
In order to achieve our vision, we focus on accessibility of music for child survivors of
In natural or man-made disaster and conflict environments, the issues of providing basic
necessities such as food and shelter have been the most important factors for
health, safety and security, they have not focused on alleviating anxiety and stress.
Indeed, psychosocial programs offered to survivors of disasters and conflicts have been
However, the importance of psychosocial support for these survivors, especially for
children, should not be understated. While some children are resilient and cope with
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trauma, others suffer from aftereffects of disasters and violence which lead to
developmental disorders and substantial levels of impairment (Caffo 2006, 422). (See
Appendix B). In addition, Traumatic experiences are stored in the childs body/mind,
and fear, arousal and dissociation associated with the original trauma may continue after
the threat of danger and arousal has subsided (Moroz 2005, 4). Good social, emotional
and psychological health helps protect children from emotional and behavioral problems,
violence and crime, teenage pregnancy and the misuse of drugs and alcohol, as well as
There is a great need for alleviating the anxiety and distress of survivors of mass trauma,
and recently there has been growing interest in providing psychosocial programs.
Although a few organizations try to meet the needs, specializing their mission on direct
intervention for children with music therapy has not occurred yet.
Save the Children is one of a few international aid organizations that have started
psychosocial programs for children. It offers art, music, dance session through its
Healing and Education through the Arts (HEART) program in Haiti, Malawi,
Mozambique, and Nepal. Although the program provides therapeutic benefits to children
through arts sessions, their primary target is not children and youth who survived
violence of conflicts and disasters. Mercy Corps offered psychosocial group sessions and
responses from children and parents (Hendrikse 2010), but did not extend the program
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after its designated period. Al-Mada, a local nonprofit founded in 2009, is the only music
therapy center in West Bank offering various programs for people in all ages and training
Although there are organizations offering psychosocial programs, they do not have
where Healing Through Music can complement the current programs to improve overall
wellbeing of children.
Music has the ability to influence peoples emotional state of mind, and music therapy
can use this to help survivors of conflict and traumatic experiences. Music intervention
can be especially beneficial for children, since it helps them express their emotions
The power of music starts with the fact that humans are naturally responsive to music and
rhythm even before birth, as human fetuses develop an auditory system between
seventeen and nineteen weeks. Experiments with fetuses confirmed that there was
natural music inside womb made by blood circulating through the uterine artery, and that
babies reacted to the sounds that music researchers played (NPR 2011). Music also has
the ability to stimulate more parts of the brain than any other human functions and
resonate in sync with brainwaves, and this slow music brings a calmer state of mind.
(Saarman 2006 ). In addition, studies have showed that music has the potential to help
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people with neurological deficits such as dementia and Parkinsons disease, improving
their disruptive behavior, memory and verbal function (Magee 2011, 6).
Music intervention can be both instrumental and vocal, depending on resources and
necessity, and uses techniques including improvisation, imagery, and playing instruments.
Research proves music helps people achieve positive emotional state (McCraty et al
1996, 167). Stefan Koelsch et al.s experiment supports the findings (see Appendix A),
and they add that music-evoked emotions can change activity in virtually all core areas
of emotional processing (Koelsch et at al 2010, 307). With the natural benefits of music,
When people make music, they learn to cooperate in order to express themselves better.
Music brings people together, which serves basic human needs to interact, thus bridging
survivors in different contexts. It has been noted again and again that people make music
from conflicts and struggles that they have gone through, dispersing the music to a wider
audience. In Africa, music is celebrated and used as part of spiritual healing in rituals
within communities. In Palestine, music has been played in the hopes of providing
emotional relief and reconciliation for children and youth and diverted them from their
life under occupation (Wong - Conflicts, Occupation, and Music Making in Palestine).
Other countries in conflicts such as Columbia and Rwanda have been using music to
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Music therapy is known to improve symptoms that are associated with Post-Traumatic
Stress Disorder (PTSD) or depression (see Appendix B). According to American Music
Therapy Associations, music therapy can help people affected by crisis or trauma by
providing non-verbal outlets for emotions associated with traumatic experiences, anxiety
(American Music Therapy Association, Inc.) It also provides an opportunity for families
For Children
Children who experienced trauma can have difficulties verbalizing their emotions or
show withdrawal from communication. Music therapy can help them, regardless of their
age, express their emotions in effective and safe ways while music therapists reflect and
interpret non-verbal responses. Music also stimulates all senses, enhancing the
developmental benefits and school performance of children. One study showed that
the socioeconomic level of the school or school district. (Johnston 2006) In addition,
music therapy sessions can be in the form of play, which provides non-threatening
With the benefits of music therapy for survivors of conflict and disaster, especially for
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OPERATIONAL PLAN OF THE PROGRAM
Service Description
Healing Through Music will provide 1-year-long music therapy sessions by music
therapists, musicians and volunteers to 150 Palestinian children of age 6-12 in Palestinian
communities in West Bank, totaling 300 children in the first two years. Following the
standard practice of music therapy, the weekly music therapy sessions will be 1-hour
session for ten to twelve-years-old children, and 30-minute sessions for six to nine-year-
old children. The sessions will consist of playing percussion instruments, singing,
The participant selection would be based on both referrals by social workers and
registration by parents.
Through collaboration with other organizations, the music therapy sessions will be held
in three local community centers and/or other available spaces, offering the program to
serve the childrens needs without making them commute a long distance.
Place Selection
We chose the West Bank as the location for our program because of its great need for
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The West Bank has been in conflict with Israel more than half a century, which has led to
violence at times. As a result, the majority of population has been negatively affected by
violence and disasters, as one study identified that more than 75% of the Palestinian
population was severely depressed (Near East Consulting). Other studies investigating
the mental health of children in Palestine and Israel showed that the emotional wellbeing
of Palestinian children was at stake. In Palestine, PTSD prevalence was 23-70%, mild
PTSD 7-48%, moderate-severe PTSD 39-89%. Prevalence of high anxiety levels was 40-
100%, depression 11.3%, conduct disorder 14%, ADHD 10%, emotional disorder 47%
and one or more disorders 51%. Twenty-eight per cent of Palestinian children feared
leaving the house (Dimitry 2012, 154). Yet, there has not been a systematic approach to
Palestine also has rich music-related resources. There are music schools in Gaza and the
West Bank as a result of having a lot of interest in providing free or low-cost music
thinking. Music therapy training programs are also available in three colleges in Israel
(see Appendix C), making it possible to recruit student volunteers for the music therapy
program.
Team
Healing Through Music would have two permanent administrative staff (one U.S. citizen
and one multilingual Palestinian). The Palestinian staff would have worked in
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psychosocial programs and have done administrative works before. He/she would handle
the schedule of the music therapy sessions, reach out to nonprofit/NGOs for partnerships,
manage social media tasks and financial matters. The American staff, who is also the
Executive Director, will share the tasks mentioned above and also will be responsible for
grant applications. There will be three full-time music therapists. They will be
Volunteers will be recruited from universities with music therapy and/or social work
programs. Based on the Executive Directors music education, along with the Palestinian
staffs expertise on local knowledge, music therapy and psychosocial programs, the staff
will advertise its volunteer program through social media and trips to universities, select
and train students for guided fieldwork with the Healing Through Musics music
therapists.
The staff and volunteers of Healing Through Music will communicate through emails and
in-person meetings (meeting frequency will be determined by its need and urgency).
Program Goals
Healing Through Music will focus on establishing the organizations foundation for the
first two years. It will form partnerships with organizations that would be interested in
applying music therapy programs, whether the organizations are local music schools or
international aid agencies. Healing Through Music can fill gaps and provide music
therapy sessions in their facilities, using their infrastructure while fulfilling the mission.
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At the end of the program duration, the participants would show improvement of their
emotional wellbeing, such as less disruptive behavior at school and sleeping through the
night. Also, they would appreciate making music or listening to music more.
With performance and impact evaluation results, Healing Through Music will look into
scaling up in other countries in conflicts and disaster or countries going through post-
Impact Evaluation
At the beginning and end of each program cycle, there will be surveys and selected
interviews for parents and children, noting the changes in the childrens behaviors. The
save money and time. By looking at the evaluation, Healing Through Music will be able
to identify any areas for improvement and will change its strategies accordingly.
MARKETING PLAN
Political factors
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Currently the West Bank is divided into parts governed by National Palestinian Authority
and other parts, such as maritime, airspace, and Jewish settlement activities by Israeli
military authorities. Since Hamas drove out Fatah from the Gaza Strip in 2007, Hamas-
led Palestinian government has been controlling the Gaza Strip. The Palestinian politics
are closely related with the Israeli government as well as other countries in the Middle
East. The Israeli border demonstrations in 2011 inspired by the Arab Spring was the
latest protest against Israel. The political environment is still volatile and danger of
Economical factors
The West Bank receives one of the highest levels of aid in the world and heavily relies on
international aid. Restriction from Israeli policies and risk of decreased funding
unemployment of 23.5% of the total population (CIA the World Fact Book). Despite
running a joint economic development with Israel and Jordan (Peres 2007), the Valley of
Peace plan has not made any significant increase in income. The Palestinian industry
consists of small manufacturers producing dairy, souvenirs and commodities that do not
guarantee steady income. With decreased foreign aid, Palestinians without proper
training to run business have been using microfinance for estimated $70 million in 2011,
Sociocultural factors
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The majority population in the West Bank is Muslim (75%), then Jewish (17%), and
Christians and other minorities (8%) (CIA the World Fact Book). The Jewish settlers in
the West Bank live in segregated areas governed by the Israel military authorities.
Although close to one-fifth of the population live below the poverty line, there is a high
literacy rate of (99.8%) (CIA the World Fact Book) as well as a high interest in educating
children and youth. The West Bank also has a rich musical culture, which people have
used as emotional relief, reconciliation, and resistance to occupation and on which the
Israeli government put restrictions at times. The freedom in media in the West Bank is
Technological factors
While over 90% have access to mobile phone (CIA the World Fact Book), there has been
a sharp increase of internet users from 4.4% of the population in 2004 to 36.4% in 2010.
In recent years, high-tech business from Israel has been increasingly outsourcing work to
Palestine, and American entities such as Google and Cisco have invested in Palestinian
infrastructure.
Strengths
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Despite the proven benefits of music and music therapy to improve emotional wellbeing,
Healing Through Music would be the first organization specializing in providing music
therapy for children affected by trauma. Also, unlike large international aid organizations
such as Save the Children or Mercy Corps that have multiple programs for different
objectives, Healing Through Music can focus on its mission of providing music therapy
to children.
Weaknesses
Since Healing Through Music is a small nonprofit startup, there would be weak brand
recognition. This would impede finding donors to support Healing Through Music as
Opportunities
There are a great need and growing interests for more psychosocial programs in the
potentially a substantial market. Forming partnerships with large international aid NGOs
Threats
Although music is an integral part of the Palestinian culture, music therapy is a relatively
new concept for most people. They might be more inclined to more traditional method of
counseling. Also, the stability of the program (e.g. having regular weekly sessions) can
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Positioning
Brand recognition
Designing logo: The logo of Healing Through Music would be something that
can be associated with music and children. It should be simple and easily
recognized without giving much locality, as its long term goal includes scaling up
and Arabic for donors and Palestinian public. Using social media, it will disperse
information about the organization and the benefits of music and music therapy.
Partnerships with other organizations:
o International organizations - In the West Bank, there are humanitarian
aid organizations such as Save the Children and Mercy Corps interested in
Schropshire Music Foundation, that are not present in the West Bank but
Through Music can help them by forming partnerships with them and
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and orchestra sessions to children and youth. Al-Mada is the first and only
workshops for social workers and psychosocial support for people in all
ages. Using the mobility and flexibility of Healing Through Music, it can
Music can offer music therapy sessions in Al Kamandjatis facility for its
students with PTSD while reaching out to other locations that Al-Mada
cannot due to its capacity. Also, universities with music therapy and social
the Palestinian culture and its social norms before designing specific
volunteers would greatly enhance the quality of service. The local music
studying music therapy and/or social work in both Israel and Palestine,
BUDGET
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Healing Through Music will require $303,208 for the first two years of operation (see
Appendix H). Individual donors and grants (see Appendix G) will be the primary source
for funding.
References
American Music Therapy Association, Inc., Music Therapy in Response to Crisis and
Trauma, Retrieved from http://www.musictherapy.org/research/factsheets/.
Caffo, Ernesto, Barbara Forresi and Luisa Strik Lievers. (2006). Impact, psychological
sequelae and management of trauma affecting children and adolescents. Current Opinion
in Psychiatry, 18, 422-428.
17
CIA: The World Fact Book. West Bank. Retrieved from
https://www.cia.gov/library/publications/the-world-factbook/geos/we.html.
Dimitry, Lydia. (2012). A Systematic Review on the Mental Health of Children and
Adolescents in Areas of Armed Conflict in the Middle East. Child: Care, Health and
Development, 38(2), 153-161.
Google Public Data. Internet Users as Percentage of Population in West Bank and Gaza.
Data from World Bank. Retrieved from http://www.google.com/publicdata/explore?
ds=d5bncppjof8f9_&met_y=it_net_user_p2&idim=country:WBG&dl=en&hl=en&q=inte
rnet+users+west+bank.
Koelsch, Stefan, Kristin Offermanns, and Peter Franzke. (2010). Music in the treatment
of affective disorders: An exploratory investigation of a new method for music-
therapeutic research. Music Perception, 27(4), 307-316.
Hendrikse, Mirjam. (2010, February 1). Mercy Corps Psychosocial Project: Results One
Year on. Retrieved from http://www.mercycorps.org/countries/westbankgaza/20754.
Magee, Wendy L. (2011). Music Therapy Methods with Children, Adolescents, and
Adults with Severe Neurobehavioral Disorders Due to Brain Injury. Music Therapy
Perspectives, 23, 6.
McCraty, Rollin, Mike Atkinson, Glen Rein, and Alan D. Watikins. (1996). Music
Enhances the Effect of Positive Emotional States on Salivary IgA. Stress Medicine, 12,
167-175.
National Institute of Health and Clinical Excellence. (2008). Promoting Childrens Social
and Emotional Wellbeing in Primary Education. NICE Public Health Guidence 12.
NPR. (2011). The Power of Music to Affect the Brain. Retrieved from
http://www.npr.org/2011/06/01/136859090/the-power-of-music-to-affect-the-brain.
OpenNet Initiative. (2009). Gaza and the West Bank. Retrieved from
http://opennet.net/research/profiles/gazawestbank.
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Reliefweb. (2012). Occupied Palestinian Territory: Microloan Demand Grows, Despite
Risks. Integrated Regional Information Networks. Retrieved from
http://reliefweb.int/sites/reliefweb.int/files/reliefweb_pdf/briefingkit-
8d63ff9c389060f34c43734adffc5950.pdf.
APPENDIX A
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(7.12) (8.50) (6.54) (6.79) *
Irritability 2.26 1.95 3.12 8.10 2682.00 1282.00** 26.77***
(3.82) (3.52) (5.23) (7.55) *
Note: The four left columns show means (with SD in parentheses) of pre and post session
measurements for the Music and Control groups. The fifth and sixth columns show
Mann-Whitney U values to test group differences separately for pre and post measures (n
= 81 for the experimental group; n = 73 for the control group). Significant p values are
indicated by asterisks (***p < .0001, **p < .001). The final column shows the chi-square
values of Kruskal-Wallis non-parametric ANOVAs testing the interaction between
pre/post measures and group (df = 1).
APPENDIX B
Short Term
Acute Stress Disorder development of severe anxiety, dissociative, and other
symptoms that occurs within one month after exposure to an extreme traumatic
stressor
Long Term
Post-Traumatic Stress Disorder -
o Difficulty sleeping, eating, digesting, eliminating, breathing or focusing
o A heightened startle response and hyper alertness
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o Agitation and over-arousal or under-arousal, withdrawal or dissociation
o Avoidance of eye contact and /or physical contact
o Terrified responses to sights, sounds or other sensory input that remind the
child or the traumatic experience(s)
o Preoccupation with or re-enactment of the traumatic experience (for
example a childs play may take on an urgent, rigid quality and be
dominated by people shooting each other with police cars and ambulances
arriving at the scene).
Depression feeling sad and depressed for weeks or months on end, accompanied
by feelings of hopelessness, lack of energy, and taking little or no pleasure in
things that gave joy in the past
APPENDIX C
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o International Rescue Committee
o SOS Childrens Villages
Other relevant organizations
o War Child International
o The Israeli association of Creative & Expressive Therapies (I.C.E.T.)
APPENDIX D
Operating Model
Influential Factors
Political instability
Target children and youth in
West Bank Organizational & Parent/community
Vision:
Social and emotional
Offer them weekly music
wellbeing of all children is valued
support
Program Performance Indicators
therapy program where they Local music therapists and Support from
partnership
administrative staffs performance
can express their feelings
Marketing effectiveness organizations
through singing, dancing, and
Financial performance Assumptions
using percussion instruments
Measurement system for Children and youth will
Social Impact Strategies
monitoring and evaluation be able to participate
Partnership with local music
communities and international Social Impact Indicators in the program
Improved mood, self-esteem, regularly
organizations interested in
children and music Music therapy will
confidence, behavior, functioning
according to age and improve the emotional
Provide culturally- and age-
developmental stage, cognitive wellbeing of the
appropriate psychosocial aspects (cognitive capacity andparticipants
programs 22 future outlook, hopefulness)
Community Needs/Assets Social Problem Definition
Children and youth survivors of disasters and conflicts often
More than of the Palestinian population is depressed,
do not receive adequate care for their emotional wellbeing,
affecting their physical and emotional wellbeing.
Palestine has a rich musical culture which can affect both their physical wellbeing and learning
abilities at school
APPENDIX E
Macro (PEST) Analysis Framework of West Bank
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and Jordan initiated in 2006
APPENDIX F
Micro (SWOT) Analysis
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Internal
STRENGTH WEAKNESSES
Negative
Innovative psychosocial program for Palestinian children
Positive
OPPORTUNITIES THREATS
ew competitors doing music-based Lack
psychosocial
of public program
knowledge about benefits of music th
Forming partnerships with internationalPossibility
and local of
NGOs
losing stability with political change
External
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APPENDIX G
NAMM Foundation (The NAMM Foundation supports programs for people of all
ages that utilize music making materials, are replicable as regional, national or
international models, and include outcomes and impact measures)
Americas Got funding for Businesses (https://www.americasgotfunding.com/BIZ-
GRANTS/)
American Music Therapy Association
Music Empowers Foundation (http://musicempowersfoundation.com/index.html)
Children and War Foundation (http://www.childrenandwar.org)
The Global Fund for Chilren (www.globalfundforchildren.org)
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APPENDIX H
BUDGET
YEAR 1
Equipment
Car (for having sessions in 3
locations) 1 $20,000.00
Car maintenance $4,800.00
Percussion instrument glockenspiel for kids 2 $24.00 $48.00
crow sounder with
mallet 2 $8.00 $16.00
bongo 2 $30.00 $60.00
wood block 2 $5.00 $10.00
egg shaker (4 pieces) 2 $8.00 $16.00
finger cymbals (4
pieces) 2 $9.00 $18.00
hand bells 2 $33.00 $66.00
Kids hand drum with
mallet 2 $11.00 $22.00
Lollipop drum 2 $16.00 $32.00
Program
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Salary for music therapists 3 $25,000.00 $75,000.00
$164,708.0
0
YEAR 2
Administrative Name Unit Price Subtotal
Office supply $300.00 $300.00
Rent for office $12,000.00 $12,000.00
Utilities & internet access $1,200.00 $1,200.00
Salary for administrative staff 2 $25,000.00 $50,000.00
Program
Salary for music therapists 3 $25,000.00 $75,000.00
$138,500.0
0
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