On designing and facilitating Reset & Recharge sessions within VA Employee Whole Health programs — and what that work reveals about what staff actually need

Alan Thompson, MA, MT-BC, LCAT
Board Certified Music Therapist · Oreka Sound, Mill Valley CA
Employee wellness programs at healthcare organizations often face a familiar tension: the people most responsible for the wellbeing of others are frequently the last to receive meaningful support for their own. The demands of clinical work — sustained attention, emotional labor, exposure to suffering, and the pace of institutional environments — accumulate in ways that conventional wellness offerings often fail to adequately address. A yoga class or mindfulness handout, offered in good faith, rarely reaches the depth of what healthcare staff are actually carrying.
The U.S. Department of Veterans Affairs has been working to change that through its Employee Whole Health program — an initiative grounded in the recognition that staff wellbeing is inseparable from the quality of care veterans receive. Over several years, I contributed to that work directly as an Employee Whole Health Coordinator at the New York Harbor VA Healthcare System — designing, building, and facilitating in-person group wellness programming for staff from the ground up. That included creating and leading the Reset & Recharge sessions, which I later brought to the San Francisco VA Health Care System as well. What I learned across those years of hands-on programming has shaped how I think about employee wellness at every level.
What Employee Whole Health Actually Means
The VA's Whole Health model is not simply a benefits package or a checklist of wellness activities. It is a framework that centers the whole person — their values, their life goals, their social connections, their relationship to meaning and purpose — and integrates that orientation into both veteran care and staff support. The approach draws on a growing body of evidence that self-care and personal health practices contribute meaningfully to resilience, burnout prevention, and sustained clinical effectiveness.
As Employee Whole Health Coordinator at NY Harbor VA, my role involved building programming specifically for staff from scratch — conceptualizing it, sourcing materials, and facilitating it directly. These were people working in demanding clinical environments who needed something more than information about exercise and nutrition. What they needed was an actual experience of restoration: a space to slow down, shift states, and reconnect with a sense of groundedness that the work environment itself so often erodes.
“Healthcare staff don't just need to know about wellbeing. They need to experience it — in their bodies, in real time, in the middle of their workday.”
The Reset & Recharge Sessions: What They Were and Why They Worked
The Reset & Recharge sessions I created and facilitated at the New York Harbor VA Healthcare System were designed to offer exactly that: a contained, purposeful restorative experience within the workday. Sessions ran 45 to 60 minutes and were offered to staff across departments — clinical teams, administrative staff, and frontline workers alike. They were not music therapy in the clinical sense that I offer to veterans or individual clients. They were restorative experiences informed by music therapy training: structured, evidence-grounded, and facilitator-led, but designed for groups rather than individual treatment.
The format drew on breath-based grounding, guided deep listening, and resonant sound — using acoustic instruments and the natural qualities of sustained sound to support nervous system settling. There was no performance, no instruction, no wellness content to absorb. Participants were simply invited to arrive, slow down, and let the session do what it was designed to do. One design principle I built into every session from the beginning: all supplies were provided. Mats, blankets, eye pillows, instruments — everything was there and ready. The only thing staff had to do was show up. That intentional removal of any burden on participants is not a small logistical detail. For people who spend their days anticipating and meeting the needs of others, being asked to simply arrive — without preparing, bringing, or organizing anything — is itself a restorative act.
- All supplies provided — mats, blankets, eye pillows, instruments — so staff only had to show up
- Brief breath-based grounding at the start — simple, accessible, requiring no prior experience
- Guided deep listening using acoustic instruments: sustained tones, resonant harmonics, intentional silence
- Vocal toning offered as an optional layer for those who wanted it — never required
- A closing reflection period: time to reorient, notice what shifted, and return to the day
- No wellness instruction, no content delivery — just an actual restorative experience
What consistently struck me across these sessions — at both NY Harbor and, later, at the San Francisco VA — was the speed of the shift. Within fifteen minutes, rooms full of people who had arrived carrying the visible weight of demanding clinical work would begin to visibly settle. Shoulders would drop. Breathing would slow. The quality of presence in the room would change. Staff who had been skeptical walking in would linger afterward to share what the experience had brought up for them.
Healthcare Staff as a Special Population
Working within the VA system gave me a particular appreciation for what healthcare staff carry that generic wellness programs often miss. VA employees — nurses, social workers, psychologists, physicians, chaplains, administrative coordinators — are frequently working with veteran populations navigating complex trauma, serious mental health conditions, chronic pain, and end-of-life care. The secondary exposure to that material is real. Compassion fatigue is not a metaphor. It is a physiological and psychological process that accumulates silently, particularly when staff don't have consistent opportunities to discharge what they absorb.
This is also true of healthcare teams more broadly: hospital staff, community health workers, hospice teams, behavioral health providers, school counselors. The common thread is sustained emotional labor in high-stakes environments where there is rarely adequate space for recovery between demands. Sound-based restorative programming, when it's well-designed and well-facilitated, offers something that many wellness modalities don't: it works at the level of the autonomic nervous system, not just the level of cognition or information.
“You cannot think your way out of autonomic dysregulation. You have to give the nervous system something to regulate with — and sound, breath, and resonance can do that in ways that workshops and handouts cannot.”
Why Sound Works for Groups in Particular
One of the things that continues to interest me about sound-based work with staff groups is how it functions differently from individual clinical work — and how those differences make it particularly well-suited to organizational contexts. In a group setting, there is a natural co-regulatory dynamic at work. When a room full of people is breathing together, listening together, and experiencing the same resonant sound field, the group itself becomes part of the regulating environment.
This draws on what Stephen Porges' Polyvagal Theory describes as the social engagement system — the neurological pathway through which safety is communicated and received in the presence of others. When that system is online, the conditions for genuine rest and restoration are far more accessible than when a person is alone with their stress. A well-facilitated group sound experience can activate this pathway efficiently, creating conditions for nervous system settling that most people find difficult to achieve in solitary practice.
There is also something to be said for the relational dimension of showing up together. When a team participates in a restorative experience as a group, there is a shared reference point afterward — a collective acknowledgment that this kind of rest is valued, that there is institutional permission to slow down, and that colleagues have seen each other in a more vulnerable and open state. That shared experience can subtly shift team culture in ways that go beyond the session itself.
What the VA's Whole Health Model Gets Right
What impressed me most about the VA's Whole Health framework — particularly as it applied to employee programming — was its willingness to take seriously the idea that meaning, values, and restorative experience are not soft add-ons to a wellness program. They are central to it. The model resists the tendency to reduce wellbeing to a set of metrics or a checklist of healthy behaviors, and instead invites staff to reflect on what actually sustains them — what gives their work meaning, what helps them recover, what connects them to a sense of purpose beyond the day-to-day demands.
Sound-based restorative work fits naturally within that framework because it operates at a level of experience that mirrors the model's orientation. It doesn't tell people what wellbeing looks like. It creates conditions in which people can feel, however briefly, what it actually is.
From VA Programming to Broader Organizational Contexts
The approach I developed within the VA system has direct relevance beyond federal healthcare. The conditions that make sound-based restorative programming effective for VA staff — high workload, emotional complexity, limited recovery time, a mission-driven culture that can paradoxically deprioritize self-care — are present in many organizational environments. Healthcare systems, nonprofit organizations, educational institutions, community mental health agencies, and corporate wellness programs are all grappling with versions of the same challenge: how to offer employees something that actually addresses the physiological reality of their stress.
Through Oreka Sound, I now bring that same approach to organizations outside the VA system. The Reset & Recharge format I created and tested at NY Harbor and San Francisco VA translates well to other settings, and can be adapted for different team sizes, time constraints, organizational cultures, and wellness goals. And the same principle that made it work inside the VA holds everywhere: all materials and supplies are provided. Participants never need to bring or prepare anything — just arrive. That design choice lowers the barrier to showing up in a way that matters, especially for busy professionals who have little cognitive bandwidth to spare. A single introductory session, a short series, or an immersive retreat experience — each offers something different, and each is built to actually work rather than simply to appear on a wellness calendar.
A Note on Evidence and Expectations
I want to be honest about what this kind of work is and isn't. A 45-minute restorative session will not resolve systemic burnout, address staffing shortages, or fix the structural conditions that make healthcare work so demanding. Those problems require systemic solutions that go well beyond what any wellness program can offer. What restorative sound sessions can do — consistently, and across a wide range of contexts — is give staff a real experience of nervous system settling, a genuine pause from activation, and a felt sense of what regulated presence feels like. That is not a small thing. And for many people, it is more than they have received from any previous wellness offering.
The evidence base for music therapy in healthcare settings is substantial and growing. The specific application of restorative sound-based programming for staff wellbeing is a less developed corner of that literature, but the physiological mechanisms are well understood: the relationship between sound, the autonomic nervous system, and the vagus nerve is not speculative. What is offered in these sessions is grounded in that science, filtered through more than twenty years of clinical experience, and shaped by the specific learning that comes from actually doing this work inside healthcare systems at scale.
Interested in bringing restorative sound sessions to your team or organization? Learn more about the employee wellness offerings at Oreka Sound — including the Reset & Recharge format and the Restorative Series.
Explore Employee Wellness OfferingsWhat Organizations Can Do Now
If you are an HR professional, wellness coordinator, department head, or organizational leader thinking about how to better support your staff, here are a few things worth considering. First, the best employee wellness offerings are experiential, not informational. Staff don't need more knowledge about stress — they need actual experiences that help them regulate it. Second, one-time events have limited impact. A single session can open a door and demonstrate what's possible, but sustained programming — even a short series of three or four sessions — is far more likely to produce lasting shifts in individual regulation and team culture. Third, the facilitator matters enormously. Sound-based work that is well-facilitated by a clinically trained practitioner is a qualitatively different experience from a generic sound bath or wellness class. The training, the attunement, and the clinical judgment that shape each session are not incidental — they are what make it work.
The VA's Employee Whole Health program is one of the more thoughtful institutional responses to staff wellbeing I have encountered. Its willingness to invest in actual experience — not just information — is something other organizations can learn from. And the evidence from that work, including the Reset & Recharge sessions at NY Harbor and San Francisco, suggests that when healthcare staff are given real space to restore, they take it. They arrive skeptical and leave quieter. They come back.

Alan Thompson, MA, MT-BC, LCAT
Founder, Oreka Sound · Mill Valley, CA
Alan Thompson is a Board Certified Music Therapist and Licensed Creative Arts Therapist with over 20 years of clinical experience across healthcare systems, community organizations, and private practice. He is the founder of Oreka Sound, offering music therapy, psychotherapy, and sound-based nervous system regulation in Mill Valley, Marin County, and throughout the Bay Area.
Learn more about AlanEmployee Wellness · Oreka Sound
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