Summer Highlights 2023

Impact offers this newsletter as a way to share the incredible work its partners are engaged in and to demonstrate how Impact might support your organization in reaching its goals.

Spotlight: Note-Able Music Therapy Services

Note-Able Music Therapy Services (NMTS) is a non-profit agency located in Washoe County, Nevada. Their mission and vision statement is:


...to create lasting change in the lives of people of all abilities through music. Our vision is to create a community where every person can access, experience, and connect through music. 


They provide music therapy in a variety of settings and locations to individuals who possess a wide range of abilities and interests. Their work impacts individual clients, families/caregivers, and the overall community. Watching the power of music therapy in person was truly awe inspiring (see more about "observations" in the Nerd Corner section below). You can learn more about NMTS' incredible work from their website and through their newsletter.


NMTS and Impact built upon previous evaluation work completed by Public Health Consulting to create an evaluation plan that would allow them to explore the impact they are having through their in-house services, medical site-based services, and non-medical site-based services. They were also interested in identifying any aspects of their processes that might be improved. A secondary goal for NMTS' evaluation efforts is to show potential funders and partner agencies the value of music therapy in general and NMTS in particular.


This required NMTS and Impact to work together to really analyze what "positive outcomes" look like and to assign specific words to general feelings. This is surprisingly arduous work and NMTS stuck with the process admirably.


The new evaluation instruments and protocols are being piloted as of this writing. NMTS and Impact are looking forward to launching the surveys in real time and identifying areas for program and process improvement.


On a side note, if you ever find yourself looking for a band, check out The Note-Ables!

Photo Credit: Note-Able Music Therapy Serivces

"Working with Margo has been a fabulous experience. From our first meeting Margo was inquisitive, engaged, and most of all she listens. We are excited to put the results of our evaluation to work.


Manal Toppozada, Founder and Executive Director

Note-Able Music Therapy Services

Nerd Corner: Fieldwork

Impact strives to emphasize the SCIENCE in the social sciences. This section is devoted to a brief overview of methods and theories Impact utilizes from the fields of Anthropology and Evaluation to support its partners.

With the advent of video conferencing and emailing, it is important to remember the importance of physically being in a space; of observing, listening, and feeling what is happening in a situation. This was paramount in understanding the work that Note-Able Music Therapy Services is doing.


In order to learn about music therapy in general, Impact reviewed relevant literature, Note-Able Music Therapy Services' internal documents and webpage, and interviewed the director and staff. This provided a general idea of what impacts music therapy is intended to have.


However, as has been addressed in previous Impact newsletters, the perspective of our work is "Studying Up" (Laura Nader). We can't know the success or failure of a project if we don't understand how it is impacting the unit of study. In this case, the unit of study was individuals who are receiving music therapy. It was therefore imperative that we observe music therapy sessions in real time. This allowed us to better understand the nuances of the interactions between participants with peers and interactions between participants and therapists. We were able to observe expressions of frustration or joy, self-directed action or control, etc.


Margo, Impact's principal, is an Applied Cultural Anthropologist. Anthropologists employ several methods of fieldwork, some of which include:


Participant Observation involves the anthropologist imbedding themselves in the event taking place as though they were just like any other participant. In the case of Note-Ables Music Therapy, this would involve singing, dancing or playing an instrument just like all of the other participants. This provides an etic, or insider's, perspective.


Non-Participant Observation involves entering the event or social situation but acting more as a "fly on the wall" rather than as an active participant. This provides an emic, or outsider's, perspective.


Ethnography is the gold standard in anthropological research and involves full immersion in a culture for a sustained period of time (usually a year or longer). Unfortunately, due to time and financial constraints, a full ethnography is not typically a viable method outside of academic settings.


As with all research methods, there are benefits and drawbacks to each of these. And this is not an exhaustive list.


Impact utilized a hybrid of participant and non-participant observation for their work with Note-Able Music Therapy. This was primarily non-participation observation, but when participants were asked to describe how they felt that day using one word, Margo contributed her own relatively neutral word. She did not dance or sing or play an instrument. In this way the participants felt more comfortable and less "observed" but the trajectory of the therapy session was not noticeably altered by Margo's presence.


"The final goal...is, briefly, to grasp the native's point of view, his relation to life, to realize his vision of his world."


Bronislaw Malinowski (1884-1942)

Founder of Social Anthropology


If you are interested in finding out how Impact can help your organization meet its goals, contact Margo at margo.impactevaluation@gmail.com or

call (775) 397-0785.

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