Therapeutic Music Services At-A-Glance

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Therapeutic Music Services At-A-Glance
                                        An Overview of Music Therapy and Therapeutic Music

Over time, the number of practitioners using music in therapeutic ways has grown and the ways of offering music have
expanded. This document provides a brief side-by-side summary of key elements of music therapy and therapeutic music.
Common to both of these practices is the use of music by practitioners trained in their field to benefit the clients served.

Therapeutic Music                  Music Therapy                               Therapeutic Musicians                            Music-Thanatology
Profession or
Modality
→

                                                                                                                                          and
                                                                                                                          The Chalice of Repose Project®, Inc.,
                                                                                                                           The Voice of Music-Thanatology™
Information Element
          ↓
Description           Music therapy means the clinical and            Therapeutic music is an art based on the         Music-thanatology is a professional
                      evidence based use of music interventions       science of sound. It is live acoustic music      field within the broader sub-specialty of
                      to accomplish individualized goals within       specifically tailored to the patient’s           palliative care. It is a musical/clinical
                      a therapeutic relationship. Music               immediate needs. A therapeutic musician          modality that unites music and
                      therapists develop an individualized            is a graduate of an accredited training          medicine in end of life care. The music-
                      music therapy treatment plan for the            program who uses the inherent healing            thanatologist utilizes harp and voice at
                      client that identifies the goals, objectives,   elements of live music and sound to              the bedside to serve the physical,
                      and potential strategies of the music           enhance the environment for patients in          emotional and spiritual needs of the
                      therapy services appropriate for the client     healthcare settings in order to facilitate the   dying and their loved ones with
                      using music therapy interventions. These        healing process.                                 prescriptive music. Prescriptive music is
                      interventions may include music                                                                  live music that responds to the
                      improvisation, receptive music listening,       Therapeutic music is music that helps the        physiological needs of the patient
                      song writing, lyric discussion, music and       process of healing and supports movement         moment by moment.
                      imagery, music performance, learning            towards health. The World Health
                      through music, and movement to music.           Organization defines health as: “...a state
                                                                      of complete physical, mental and social
                                                                      well-being, and not merely the absence of
                                                                      disease or infirmity.” Therapeutic music
                                                                      supports health and the process of healing
                                                                      primarily through the principles of
Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
Theoretical Framework   Varied & multiple theoretical frameworks        resonance and entrainment, in which the       Music-thanatology is a contemporary
                        employed (e.g., cognitive, humanistic,          individual is supported by the elements of    field rooted in ancient contemplative
                        behavioral, psychodynamic, etc.)                music: rhythm, harmony, melody and            and spiritual traditions.
                                                                        tonal color.

                                                                        The Therapeutic Musician is also trained in
                                                                        transpersonal modalities that enhance
                                                                        focused presence and intentionality.

Client Assessment        Formalized and Standardized                    Formalized & Non-standardized                Formalized & Non-standardized
Process
 Treatment Planning                                                                         No                                           -
 Documentation                                                                              Yes                                          -
 Reassessment Process                                                                       Yes                      Observational assessment is an ongoing
                                                                        Subjective and objective assessment used.        process: before, during and after
                                                                        Observational assessment is an ongoing             therapeutic music is played.
                                                                        process: before, during and after
                                                                        therapeutic music is played.
Practice Setting(s)     Varied settings including: psychiatric and      Including, but not limited to, hospital       At bedside in homes, hospitals and/or
                        medical hospitals, rehabilitative facilities,   units, home and in-patient hospice, skilled   hospice facilities.
                        outpatient clinics, day care treatment          nursing homes as well as other settings
                        centers, Veterans facilities, agencies          where music can be delivered directly to
                        serving developmentally disabled                individual patients. Other settings might
                        persons, community mental health                include: massage, Reiki, dental and
                        centers, drug and alcohol programs,             chiropractic practices, etc.
                        senior centers, nursing homes, hospice
                        programs, wellness centers, correctional
                        facilities, halfway houses, schools,
                        military bases, and private practice
Population(s) Served    Neonatal (NICU) services, special               Any person, of any age, who might benefit     Any person with a terminal diagnosis or
                        education & early intervention, physical        from therapeutic music. This includes         actively dying.
                        or sensory impairment, mental health &          patients, families and the care-team.
                        psychiatric, developmental disabilities,
                        autism spectrum disorders, well adults &
                        wellness, medical inpatient, dementia &
                        Alzheimer’s, neurologic disorder,
                        rehabilitation & habilitation services,
                        hospice and palliative care.
Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
Professional              American Music Therapy Association               The National Standards Board for              The Music-Thanatology Association
Organization              (AMTA), a 501(c)(3). Website:                    Therapeutic Musicians (NSBTM)                 International (MTAI) stands as an
                          www.musictherapy.org                             www.therapeuticmusician.com                   independent professional organization
                                                                                                                         and certifying body for music-
                                                                                                                         thanatology worldwide.

                                                                                                                         The American Academy of Music-
                                                                                                                         Thanatology Professionals maintain
                                                                                                                         recognition of Chalice of Repose
                                                                                                                         Project® trained music-thanatologists.

Year Founded              Originally founded in 1950, AMTA                 The profession of therapeutic music began     MTAI incorporated in 2003.
                          represents the union of the National             in 1994 when two training programs were       Music-thanatology, as a profession in
                          Association for Music Therapy and the            founded. The NSBTM was established in         the U.S., was founded by Therese
                          American Association for Music Therapy.          2004.                                         Schroeder-Sheker in 1973 along with
                                                                                                                         her Chalice of Repose Project®, a
                                                                                                                         501(c)(3) nonprofit.
Professional Journal(s)   Journal of Music Therapy                         The Harp Therapy Journal, The Music           Journal of the MTAI launched in 2009.
                          Music Therapy Perspectives                       Practitioner and other program releases       Articles typically appear in journals
                          Peer reviewed journals published in                                                            such as the American Journal of Hospice &
                          partnership with Oxford University Press                                                       Palliative Medicine and
                                                                                                                         Spirituality and Health International
Who is qualified to       Persons who complete a bachelor's degree         A person who has completed and been           Certification is granted by MTAI based
practice?                 or higher in music therapy, or its               certified by an NSBTM-accredited              on demonstration of the professional
                          equivalent, from a program approved by           certification program. The NSBTM sets         standards for competency. Training
                          the American Music Therapy Association           Standards for the profession, and accredits   programs are at Lane Community
                          within an accredited college or university       training programs that meet the               College, Portland, OR and through the
                          including a minimum of 1,200 hours of            professional standards.                       Chalice of Repose Project®.
                          clinical training, are eligible to sit for the
                          national board certification examination
                          offered by the Certification Board for
                          Music Therapists.
Requirements for          Meet college admission requirements plus         Normally 18 years or older; however           Demonstration of proficiency on an
program admission         audition on primary instrument                   programs may accept younger students on       instrument, preferably harp. Basic
                                                                           a provisionary basis in preparation for       understanding of music theory,
                                                                           beginning their internship at 18.             including reading and notating music.
                                                                           Appropriate references required.              Program application and interview
                                                                                                                         process.
Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
Undergraduate degree     Min. Credit Hrs. Requirement: 120 credit        Not applicable.                               Not applicable.
awarded                  Typical Credit Hrs: 130                         Trainees entering an NSBTM accredited         However, trainees may come with
                          *Liberal Studies: 36                           certification program may come with           experience and education in many
                          *Core Courses: 89                              degree(s), experience and other related       possible disciplines.
                          *Behavioral/NatScience: 18                     skills and training.
                          *Oral Skills & Electives

                         ~72 entry-level degree programs in U.S.
                         Note: Equivalency programs available for
                         persons with other related degree(s)

                         Graduate degrees in Music Therapy also
                         available as options.

Non-degree training      Examples of Advanced                            Each accredited training program uses a       The two training programs vary
program and              Specializations/Certificates:                   different certification:                      slightly but generally include a
certification            *NICU MT – Neonatal Intensive Care              *CCM - Certified Clinical Musician for the    two year non-degree program. Online
                         Music Therapist                                 Clinical Musician Certification Program,      and onsite training components used.
                         *NMT – Neurologic Music Therapist, and          *CMP - Certified Music Practitioner for the   Degree or equivalent prerequisite for
                         Fellowship Awarded                              Music for Healing and Transition              some training programs.
                         *FAMI – Fellow of the Association for           Program,                                      *CMP - Contemplative Musicianship
                         Music and Imagery                               *CTHP - Certified Harp Therapy                Program
                         HPMT – Hospice & Palliative Care Music          Practitioner the International Harp           *MTH –Music-Thanatologist
                         Therapist                                       Therapy Program                               *CM-TH – Certified Music-
                         NRMT - Nordoff-Robbins Music                    *CHM - Certified Healing Musician for the     Thanatologist
                         Therapist                                       International Healing Musician’s Program
                                                                         (accredited in 2008 and closed in 2011).

       (Classroom                     5,850 – 5,940 hrs                  80 hours or equivalent                        600 hrs
       training hrs:

       Clinical          Music therapy candidates must                   Minimum 100 to 125 hours in hospital and      300 hrs
       Practicum,        successfully complete a minimum of 1,200        hospice environments. This includes a         Includes 50 supervised vigils.
       Fieldwork, and    hours of clinical training, with at least 180   minimum of 45 hours of direct individual
       Internship hrs:   hours in pre-internship experiences and at      bedside musical delivery and a minimum
                         least 900 hours in internship experiences,      of 100 patient sessions. Qualifying music
                         provided that the internship is approved        time excludes patient, staff & family
                         by an academic institution, the American        consultation or meetings, documentation,
                         Music Therapy Association, or both.             or between-patient time in the facility.
Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
Graduate degree
programs?                                                                                 -                                      -
  Master’s                                                                                -                              Planned/Proposed
  Doctoral                                                                                -                                      -
Code of Ethics?                                                                                                                 
Standards of Practice?                                                                                                          
Credentialing and        Music Therapist, Board Certified (MT-BC)                             -                                     -
Designation              The Certification Board for Music             NSBTM accredits training programs that   Training programs award certifications
                         Therapists (CBMT), an independent, non-       certify practitioners upon successful    endorsed by MTAI, noted above in
                         profit certifying agency, is the only         completion.                              program certifications.
                         organization to certify music therapists to
                         practice music therapy in the U.S.
                         Since 1986 it has been fully accredited by
                         the National Commission for Certifying
                         Agencies (NCCA). CBMT administers
                         credentialing and the Board examination.
                         Website: www.cbmt.org
Continuing                                                                                                                        -
Professional Education   100 hours of continuing music therapy         40 hours every four years                 Planned as part of American Academy
                         education, including a minimum of 3                                                    of Music-Thanatology Professionals and
                         hours of Ethics Training every five years,                                                 The Chalice of Repose Project®
                         or certificants must retake and pass the
                         CBMT examination during the fourth year
                         of their five-year recertification cycle.
Quality Assurance        Music therapists participate in quality       Accreditation review conducted by                           -
                         assurance reviews of clinical programs        NSBTM
                         within their facilities. In addition, AMTA
                         provides several mechanisms for
                         monitoring the quality of music therapy
                         programs which include: Standards of
                         Clinical Practice, a Code of Ethics, a
                         system for Peer Review, a Judicial Review
                         Board, and an Ethics Board. Board
                         certified music therapists must also abide
                         by the Code of Professional Practice and
                         work within the CBMT Scope of Practice
                         established by the Certification Board for
                         Music Therapists

Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
Designations            *ACMT, CMT or RMT are listed on the                          See above                                   See above
                        National Music Therapy Registry (NMTR)
                        and indicate international and
                        former/older training designations. The
                        MT-BC is officially recognized by AMTA
                        and the NMTR designations expire in
                        2020.
Licensure               Licensure in NV, ND, GA.                     No state licensure                           No state licensure
                        MT-BC recognized as authoritative
                        credential for the practice of music
                        therapy in many states’ regulations.
Service reimbursement                                               No insurance or Medicaid/Medicare            No insurance or Medicaid/Medicare
                        Variable by type of third party payer.       reimbursement. Funded privately, by          reimbursement. Funded privately, by
                        Includes some state Medicaid Waivers;        grants and hospital or hospice               grants and hospital or hospice
                        select Medicare Prospective Payment          foundations, etc. Also may be salaried and   foundations, etc. Also may be salaried
                        Systems; private insurance and Worker’s      incorporated into a related position.        and incorporated into a related position.
                        Compensation coverage on case-by-case
                        basis; special education; state and county
                        healthcare programs, grants; and facility
                        per diem funding.
For more information    Contact the American Music Therapy           www.therapeuticmusician.com                  www.chaliceofrepose.org
                        Association at 301-589-3300                                                               www.mtai.org
                        www.musictherapy.org                                                                      http://lanecc.edu/ce/music/index.htm
                        8455 Colesville Rd., Ste 1000
                        Silver Spring, MD 20910

Information contained in this document was prepared by the AMTA and the NSBTM. Ver.14.1 Feb_2014
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