Creating a "Circle of Song" within Canada's Poorest Postal Code/Créer Un Cercle De Chansons Au Sein Du Code Postal le Plus Pauvre Du Canada

The Circle of SongThe Circle of Song program ran as part of the Vancouver Native Health Society's Positive Oudook Program which is an HIV/AIDS outreach health care and drop-in centre that promotes multidisciplinary case management and therapeutic services that provide treatment, prevention of infection, and educational to all people living with HIV with a special focus on First Nations People. Health Canada's AIDS Community Action Program funded the program.Program Partners & AcknowledgmentsProgram partners included the Dr. Peter Centre, where the music therapist was employed as a casual music therapist and received additional expertise and peer support during the project; Baker Street Studios where the CD was recorded and mixed by Paul Baker; Downland Music, who did the CD layout; Jeff Hatcher, the Circle of Song program evaluator and Dr. Peter Centre music therapist who organized some of the participants for the CD recording; the Residential School Healing Centre for providing expertise and another place to jam; Pamela Fergusson who assisted with proposal writing; Sheway for providing expertise and support to some of the young mothers of our program; Vicki Bright and AIDS Vancouver for maintaining strong connections with many of our program participants in the community; Travis Jones who shared traditional drum songs and other valuable words; Klisala Harrison for interviewing the Circle of Song CD participants and joining in musically; the First United Church for providing a place for the Circle of Song to play music for large audiences at lunch time; Lara Fitzgerald for her support in the recovery of a Circle of Song member; and the Pordand Hotel Society, who provided a jam space for the Circle of Song to connect with the larger Downtown Eastside music community.There is a small amount of research on the clinical use of music therapy with individuals with concurrent diagnoses of HIV and substance misuse issues. Much of the existing literature focuses on clinical case studies (Hatcher, 2007; Lee, 1996). The Dr. Peter Centre in Vancouver and Canfield Health Services in Detroit have utilized music therapy interventions to provide effective relief to debilitating life conditions that accompany concurrent disorders (Desmarais & Brodie, 1998). The purpose of the present article is to outline how The Circle Of Song music therapy program was successfully implemented at an HIV day program for individuals living with concurrent disorders.CultureThe Aboriginal population in Canada is overrepresented in terms of HIV/ AIDS with injection drug users having the highest infection rates (Canadian Aboriginal AIDS Network [CAAN], 2003). The Positive Oudook Program was awarded a two-year time-limited grant by Health Canada to implement a music therapy program that would reach out to some of the most marginalized individuals in North America. This was the first time Health Canada had funded a music therapy project. The project selection committee highlighted the proposed dedication to community development. First Nations issues and consumer involvement, in all aspects of program development, as reasons for awarding the funding.The intended participants of the music therapy program were those who struggled against marginalization on a daily basis, and the primary objective was to provide them with a safe space for creative self expression and self-care. Participants often juggled a multitude of challenges including but not limited to: homelessness, unemployment, excessive drug or alcohol use, drug overdose, psychosis, sexism, homophobia, transphobia, racism, theft, communicable disease and opportunistic infections, hospitalization, physical and/or psychological abuse, death of loved ones, loss of family and friends due to stigma surrounding addiction and/or disease, and incarceration.Music Therapy ApproachAccording to Stige (2002), culture can be identified as being what happens both consciously and unconsciously when people interact, use artifacts and produce artifacts. …

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