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Music Therapy Conversations

Apr 8, 2020

Irene Lo Coco and Elizabeth Nightingale from Chiltern Music Therapy talked to Luke about remote working in music therapy, including technical and online resources, as well as issues that may arise through these ways of working may bring up.

After qualifying as a music therapist, Elizabeth gained clinical experience with adults with neurological disorders and worked with children with a range of needs including developmental delay, behavioural difficulties, and trauma. She later trained as a Neurologic Music Therapist and MATADOC assessor and continues to acquire specialist experience in brain injury and neurodisability through providing NMT and MATADOC assessments for medico-legal cases. She has had her work and research published in the Brain & Spinal Injury Handbook, Journal of Dementia Care, and the British Journal of Music Therapy. She holds the role of Neuro Music Therapy Services Manager for Chiltern.

Irene qualified as a Music Therapist in 2007 and has specialized in Neurologic Music Therapy. Her clinical experience includes brain injury neuro-rehabilitation as well as working with children, adolescents and adults with learning disabilities, ASD, behavioural difficulties and complex medical needs. She has also worked in maternity care and adult mental health, among a variety of settings in the UK and abroad. Irene has a passion for evidence-based research and a background and personal interest in neuropsychology and psychodynamic approaches. Her practice, therefore, has a broad vision and the resources to adapt to clients' needs. Irene holds the role of Neurologic Music Therapist and Music Technology Lead at Chiltern Music Therapy. 




Support and guidance documentation for COVID-19 (regularly updated)


Includes info on standards of ethics for remote working and remote consultations as well as safeguards for patients



Technical support: getting started on Zoom

Adjusting audio or video settings in Zoom

Using ‘original sound’ (ie. ‘Music Mode’) in Zoom and other handy hints

Security guidelines collated by Ray Travasso from Suffolk Music Therapy:

Further info on Zoom and also (courtesy of Martin Lawes)


Technical support: getting started on Skype

Advice and considerations as shared by BAMT (courtesy of Chroma)

Download the ‘PDF Skype - info from the Association for Counselling and Therapy Online (ACTO)(BAMT shared)’ from

Google Hangouts

Tutorial Guide pdf


Confirm your internet speed here (important for identifying suitability for live streaming)

Info on suitable bandwidth for video conferencing:


Google Drive vs DropBox for storing and sharing pre-recorded videos:


Collaborative songwriting: you can create lyrics and add chords with other people remotely, among using other features available on

Demo video here:

MAKING MUSIC have compiled a useful list of links for making music in groups


Also in BAMT guidance document

  • Apps and other online resources (with particular thanks to Irene LoCoco and Liz Coombes)
  • KORG has made the iKaossilator free for a limited time: Website | App Store | Google Play
  • Moog has made the Minimoog Model D Synthesiser free for a limited time: App Store | currently
  • not available on Android
  • BandLab: Website | App Store | Google Play
  • Fingertip Maestro: App Store | currently not available on Android
  • NodeBeat: Website | App Store | Google Play
  • SoundForest: App Store | currently not available on Android
  • Blocs Wave: Website | App Store | Android
  • Bloom (paid): App Store | Google Play


Aaron Jeffrey Lightstone, S. Kathleen Bailey & Peter Voros (2015) Collaborative music therapy via remote video technology to reduce a veteran's symptoms of severe, chronic PTSD, Arts & Health, 7:2, 123-136, DOI: 10.1080/17533015.2015.1019895

Baker, Felicity and Krout, Robert (2009) Songwriting via Skype An online music therapy intervention to enhance social skills in an adolescent diagnosed with Asperger's Syndrome, British Journal of Music Therapy Volume 23, No 2

Fuller, A.M., & McLeod, R.G. (2019) The Connected Music Therapy Teleintervention Approach (CoMTTA) and its application to family-centred programs for young children with hearing loss, Australian Journal of Music Therapy Vol 30

App Name


Client Group

Associated MT Clinical Goals

Useful tips


Fingertip Maestro

Intuitive piano or  guitar, with visual stimuli



It has proven effective with the elderly, clients with dementia or brain injury. The colourful screen and its simplicity encourages quick engagement and good support for musical interaction between therapist and client

Awareness of cause and effect / Sustained attention


You can record the creation and share with client’s family


Each colour square plays a note, play a few together for a chord, or swipe for melodies.

Use the scroll bar for more notes.


Requires iOS 6.1 or later. Compatible with iPhone, iPad, and iPod touch.






(among many  more)



Virtual instruments


Finger dexterity / Social interaction /  Self-expression


Therapist can change the instruments key. In Guitar screen can be rotated for L/R hand use.


Singing Fingers


Fingerpaint with sound. Make a sound while moving your finger to record a sound-drawing. Touch the drawing you just made to play the sound back




Hand-eye coordinatinon / Multisensory stimulation / visual tracking / finger dexterity


To play the sounds back out its better to spread the recording across the screen instead of holding the finger still


Requires iOS 10.0 or later. Compatible with iPhone, iPad and iPod touch.


Sound Forest

Music making app with attractive visuals that allows you to compose animated songs.

Paediatric, Young adults, Brain Injury

This app has proven useful to work on executive functions such as Choice making / organization and planning / attention skills


Requires iOS 7.0 or later. Compatible with iPhone, iPad, and iPod touch


Jam Looper

Featuring smart automatic looping, multiple tracks, volume control and track effects.



Voice awareness, interactive music making, cause and effect


Use headphones to avoid echo during recording. You can add effects to each loop.

Requires iOS 10.0 or later. Compatible with iPhone, iPad, and iPod touch.



Part instrument, part composition and part artwork, Bloom's innovative controls allow anyone to create elaborate patterns and unique melodies by simply tapping the screen.


Paediatric / PMLD / BI


cause and effect / specified localized movement / increase attention / multisensory stimulation / turn taking


Shake screen to clear. Adjust delay to give time for multiple activations from clients


You can choose from LISTEN or CREATE options


You can link to Skoog for joint music making


You can customize mood, mode, timer, delay of touch, among other settings.

Requires iOS 11.0 or later. Compatible with iPhone, iPad and iPod touch



Expression of emotions through music


Mental Health


Relaxation / mood awareness


Interest use is to create a new track each session with client, and then listen to the musical journey after a given time. Or at the beginning and end of session.

Requires iOS 9.0 or later. Compatible with iPhone, iPad and iPod touch.



Sampler, drum-machine & field recorder


Teenagers and adults


cause and effect / sustained attention / organisation and planning / choice making


Import/export feature to icloud/email/itunes


Requires iOS 7.1 or later. Compatible with iPhone, iPad and iPod touch.



Touch turns into music. Draw shapes and listen to your piece of music while viewing sounds bouncing on the screen

BI / Paediatric / Teenagers and Adults / Older Adults


visual tracking / EF



Requires iOS 9.1 or later.



Multiplayer music making app


Collaborative music making




Collaborative real-time song-writing platform


Collaborative music making

Write lyrics, chords, or tabs from any device. Record or upload your audio files and organize your songs into collections