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The Lullaby Project: Scaling an Arts-Based Model for Maternal Health
United States
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The Lullaby Project: Scaling an Arts-Based Model for Maternal Health

Authors: Esteban Álvarez (Costa Rica), Mariol Arias (Mexico), Maria Mathieson (Scotland), Jessica Phillips (USA), Lía Uribe (Colombia)

BACKGROUND

Carnegie Hall’s Weill Music Institute launched the Lullaby Project as a low-cost, arts-based intervention designed to strengthen bonds between caregivers and infants. The project pairs professional teaching artists with expectant and new parents, many of whom face socioeconomic challenges such as poverty, displacement, or limited access to healthcare. Together, they create personalized lullabies that promote parent-child attachment, caregiver confidence, and community connection.

The initiative emerged against a backdrop of sobering statistics. More than 200 million children under five worldwide fail to thrive due to poverty, poor health, and limited nutrition. In vulnerable communities, parents often struggle with postnatal depression and social isolation, factors that undermine attachment and child development. Traditional medical interventions frequently overlook these psychosocial needs. By embedding music and storytelling into the caregiving process, the Lullaby Project introduces a complementary approach to maternal and neonatal health.

Photo Credit: Jennifer Taylor

„Together, they create personalized lullabies that promote parent-child attachment, caregiver confidence, and community connection.”

BUSINESS AND ORGANIZATIONAL MODEL

The Lullaby Project operates through a teaching artist model that is both adaptable and cost-efficient. Musicians trained as facilitators collaborate with parents in hospitals, shelters, prisons, and community centers. The program has expanded globally, supported by Carnegie Hall’s brand credibility and partnerships with local organizations.

Photo Credit: Jennifer Taylor

Research by WolfBrown and others has documented benefits across multiple dimensions: improvements in parental self-esteem, emotional regulation, language development for children, and stronger social bonds. Importantly, the model generates impact for a wide range of stakeholders—caregivers, infants, extended families, teaching artists, healthcare providers, and the host organizations that partner with Carnegie Hall.

Financially, the program requires modest resources relative to traditional healthcare interventions. Costs are concentrated in training teaching artists, managing partnerships, and producing workshops. The challenge lies in sustaining growth, given that the program’s reach depends on external partners and advocacy within health and social service systems that do not yet recognize arts-based models as prescriptive tools.

STRATEGIC CHALLENGE

Despite strong qualitative and quantitative evidence, arts-based interventions remain underutilized in healthcare systems. Medical providers often view them as supplemental rather than essential. Recruitment can be difficult in communities where families perceive songwriting as intimidating or unnecessary. Most importantly, without broader policy support, the Lullaby Project risks being seen as a discretionary program rather than a scalable healthcare innovation.

Photo Credit: Jennifer Taylor

The central question for Carnegie Hall and its partners is how to position the Lullaby Project within the healthcare ecosystem so that it is recognized, adopted, and funded as a legitimate component of maternal and child health.

VALUE-ADDED CONCEPT

To advance systemic integration, the case team proposes a strategic advocacy initiative centered on the “Welcome to the World” workshop. This immersive experience allows healthcare professionals, policymakers, and potential partners to participate in the lullaby-creation process themselves. By experiencing the intervention firsthand, stakeholders gain a deeper appreciation for its impact and are more likely to advocate for its adoption.

The advocacy strategy envisions a phased approach: first, develop and test workshop content with current partners; second, cultivate relationships with medical schools, hospitals, insurers, and civic leaders; and third, train local teaching artists and healthcare staff to deliver workshops independently. In this model, Carnegie Hall leverages its expertise to train trainers, expanding reach while reducing dependency on its central team.

IMPLEMENTATION CONSIDERATIONS

Scaling the Lullaby Project through advocacy requires careful management. Workshop design must adapt to different cultural and healthcare contexts. Training systems must ensure fidelity to core principles while allowing for local variation. Partnerships must be cultivated with organizations capable of influencing policy and resource allocation, from insurance providers to municipal governments.

Risks include overextension of staff, inconsistent delivery across regions, and limited buy-in from healthcare providers skeptical of non-medical interventions. To mitigate these risks, Carnegie Hall could establish clear outcome metrics aligned with healthcare priorities, such as reductions in postnatal depression, improvements in caregiver confidence, and enhanced child development indicators.

„Risks include overextension of staff, inconsistent delivery across regions, and limited buy-in from healthcare providers skeptical of non-medical interventions.”

IMPACT ANALYSIS

The potential benefits of embedding the Lullaby Project in healthcare systems are significant. By reframing arts-based interventions as preventative care, the program could reduce long-term healthcare costs associated with untreated postnatal depression, developmental delays, and family instability. For Carnegie Hall, the project enhances institutional relevance by demonstrating leadership in cross-sector innovation. For teaching artists, it creates professional pathways that merge artistic practice with social impact.

The model’s scalability depends on its ability to transition from grant-funded programming to sustainable integration within healthcare systems. This requires building an evidence base robust enough to influence insurers, legislators, and medical institutions. The advocacy strategy provides a route toward that goal by engaging decision-makers experientially rather than abstractly.

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DECISION POINT

The Lullaby Project has demonstrated powerful outcomes at the intersection of arts and health. The strategic question now facing Carnegie Hall is whether to prioritize scaling through an advocacy-driven approach aimed at healthcare integration, or to remain primarily a programmatic initiative delivered through cultural and community partners. Pursuing healthcare integration could unlock long-term sustainability and systemic change but would require significant investment in advocacy, training, and evaluation. Remaining focused on direct delivery ensures quality and community impact but may limit scale and influence.

„Pursuing healthcare integration could unlock long-term sustainability and systemic change but would require significant investment in advocacy, training, and evaluation.”


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