Welcome to Milestone Music Therapy! It is an honor and privilege to provide music therapy services to empower clients in achieving developmental and neurological goals. Thank you for visiting our site!

Milestone Music Therapy


Lillieth Grand, MS, MT-BC, Executive Director

Milestone Music Therapy      503-214-0510

“Music Therapy is the specialized use of music by a credentialed professional who develops individualized treatment and supportive interventions with people of all ages and ability levels to address their social, communication, emotional, physical,  cognitive, sensory and spiritual needs.”   ~ The Certification Board for Music Therapy

Music Therapy is an established health profession, supported by research, in which music is used within a therapeutic relationship to address myriad needs of clients.

After assessing the strengths and needs of each client, the board certified music therapist provides the indicated treatment including creating, singing, moving to, and/or listening to music. Through musical involvement in the therapeutic context, client’s abilities are strengthened and transferred to other areas of their lives.

Music therapists use music interventions designed to facilitate changes that are non-musical in nature. Functioning as members of an interdisciplinary team, music therapists implement services with individuals and/or groups.

Anyone who wants to make progress in one or more targeted goal areas can benefit from music therapy including those with:

♪ Traumatic Brain Injury
♪ Neurological Impairment
♪ Autism
♪ Developmental Disabilities
♪ Pain
♪ Learning Disabilities
♪ Emotional Difficulties
♪ Life Limiting Medical Conditions
♪ Limited Intellectual Functioning
♪ Auditory Processing Disorders
♪ And more! For more information including research backing music therapy with many of these populations, go to www.musictherapy.org and look up “fact sheets”.

Goal Areas

♪ Cognitive

Including: learning new information, re-learning, executive functioning, memory, processing information, thought processes, and comprehension

♪ Physical

Including: gross motor, fine motor, range of motion, proprioception, and balance

♪ Sensory

Including: auditory processing, auditory skills, tactile defensiveness, auditory defensiveness, vestibular & proprioceptive senses

♪ Communication

Including: expressive language, receptive language, prosody, articulation, letter sounds, self expression, volume, tone, breath support, and other vocal skills

♪ Emotional

Including: emotional expression and processing

♪ Behavioral

Including: attention span, impulse control, task analysis, and behavioral planing

♪ Social

Including: eye contact, body language, reciprocity, taking turns, social gestures, appreciation of others, and sharing

♪ Spiritual

Including: connection with higher power, singing of prayers, and spiritual expression

Treatment Process


All clients will be assessed to determine strengths and needs and how music can be utilized best. Assessment includes at least one experiential music therapy session, review of other assessments and medical/educational records, interviews, and review of the assessment form. The assessment form can be filled out by primary caregivers, parents, teachers, and other professionals who work with the client.

Treatment Planning

Based on the assessment results, a treatment plan is developed for each client that will include: individualized goals and frequency/duration of treatment. Treatment planning is best done as a team including not just the music therapist, but also other key players in the treatment of the client (i.e. parent, teachers, school district, other therapists, caregivers, etc.). It is at this point where a contract is established for the client to receive ongoing music therapy services should they be determined in assessment to be appropriate.

Ongoing Treatment

Music therapy sessions are provided according to the treatment plan. Clients participate in music therapy interventions targeted toward individualized goal achievement.


The music therapist is constantly evaluating the appropriateness of their interventions and client progress toward their goals. Periodic formalized evaluation will occur as well, the timing of which will depend on the contract. The formalized evaluation can also function as a new assessment for those clients who will continue receiving music therapy services after the evaluation.


Lillieth Grand was a guest on Janice Lindstrom’s PodCast “The Music Therapy Show” – April 12, 2012
talking about Neurological Impairment.  Lillieth’s introduction starts at the 10 min, 10 second point. Lillieth starts at the 18 min point.

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