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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