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Introduction: A resource-oriented music therapy (ROMT) group program was provided for adolescents in a specialist eating disorders day program to build working alliance and reduce post-meal distress. A positive working alliance can improve treatment retention and outcomes for people with eating disorders. However, comorbid psychiatric diagnoses and challenging family dynamics can affect outcomes, and some therapists experience adolescents as challenging to engage. Consequently, interventions which strengthen working alliance are essential. Process: Three to five adolescents attended weekly, post-meal music therapy sessions for one term. Content for groups was collaboratively determined with group members and focused on music games. As part of routine service evaluation, consumer feedback about the music therapy group was collected via the Group Session Rating Scale (GSRS), a measure of working alliance, and a facilitated feedback session. Outcomes: Group members provided consistently high ratings on the GSRS, and gave feedback that music therapy was a good distraction after meals, they would like longer, more frequent sessions, and they would like to access music during meals and for "chill time". Ratings and feedback indicate positive perceptions of working alliance and the ROMT approach. Conclusion: This evaluation demonstrates that music therapy groups which are collaborative and resource-oriented may contribute to rapport-building and reducing post-meal distress. Previous quantitative research suggests that music therapy interventions can be beneficial in reducing post-meal distress for adults with eating disorders. Responses to ROMT groups indicate that therapeutic outcomes for adults may be achievable for adolescents with eating disorders in day programs. [ABSTRACT FROM AUTHOR]