Unfortunately in spite of over half a century of positive outcomes for patients who attend music therapy, the profession has not yet been fully or routinely integrated into health care. Part of the challenge is the lack of evidence based research and measurement, and difficulty measuring and precisely documenting the benefits of music intervention. In hospitals clinics and senior centers musical outreach is often considered as entertainment or recreation, and not as a clinical therapeutic intervention. A growing interest in music and its role in health have created an explosion of research in the last decade however the design of effective evaluation and research protocols remains a challenge. The Musical Connections program is committed to introducing greater rigor into the evaluation and documentation process, which will hopefully support the important role and importance of music therapy within Health Care therapies in the future. Music is also a relatively low cost intervention compared to the costs of traditional therapies. In an article on world hospitals and health services, Owen (1999) wrote “evidence suggests that the health care settings that support and reflect the perspectives offered by Music lead to health gain and are in the long term cost effective”.