1. Learning to Harmonize:
Opportunities for Music Therapists and Therapeutic Musicians to Collaborate and Cooperate

2. AMTA 2015 Annual Conference
Dee Sweeney, CCM
National Standards Board for Therapeutic Musicians
Judy Simpson, MT-BC
AMTA Director of Government Relations
Kansas City, MO
November 14, 2015

3. Therapeutic Music Services At-A-Glance
The number of practitioners using music in therapeutic ways has grown and the ways of offering music in healthcare have expanded.

4. “Big Picture” Common to all of these practices is the use of music
by practitioners
trained in their field
to benefit the clients served.

5. Therapeutic Musicians
Therapeutic musicians offer music at the bedside that is tailored to the needs of the patient moment by moment.
Music offered often provides relaxation, relieves stress, helps relieve pain and may help stabilize body rhythms.

6. Therapeutic Musicians
A therapeutic musician uses the inherent healing elements of live music to support the healing environment, softening an otherwise noisy and harsh environment.

7. Therapeutic Musicians
A therapeutic musician is present to offer music, not to engage in a therapy relationship with the patient, entertain or perform.
Therapeutic musicians use a variety of acoustic instruments and voice, including harp, guitar and flute.

8. Therapeutic Musician Training
How to determine what music to offer, how to determine if it’s having the desired effect and changes to make if needed.
Various styles of therapeutic music to match the patient’s needs, including pulse tempo, rhythmic, non-rhythmic, melodic, non-melodic and improvisational.

9. Therapeutic Musician Training
45 hours of music at the bedside in hospice and hospital environments in at least 100 patient session. This normally requires in excess of 100 elapsed hours.
Healthcare protocols including infection control and charting.

10. Therapeutic Musician Training
Scope of Practice including the
difference between Music Therapists
and Therapeutic Musicians and the
importance of always using
proper identification.

11. The National Standards Board for Therapeutic Musicians (NSBTM) and Training Programs

12. The NSBTM established training standards, a scope of practice for programs and practitioners, a Code of Ethics, an accreditation process, and supports the growth and well-being of the field.

13. NSBTM The programs accredited by the NSBTM include:
Clinical Musician Certification Program;
International Harp Therapy Program; and
Music for Healing and Transition.
Each program titles its graduates differently, but all meet the same basic training standards (CCM, CMP and CTHP).

14. Why Collaborate and Cooperate?
5686 Hospitals in the United States
914,513 staffed beds
15,700 Nursing Homes
1.7 million licensed beds
5800 Hospice Programs
Over 1.5 million individuals receive hospice care each year

15. Challenges
Lack of awareness WITHIN the professions about the training involved for each type of provider.
Employers, facilities, media, and general public not understanding the difference between the professions.
Communication difficulties and tense interactions among providers.

16. Finding a Balance
Titles, roles, and professional identity are important and necessary in the healthcare industry. We need to acknowledge, however, what each provider offers that is meaningful for our clients and help facilities understand the best way to use our services.

17. Ideal Case Example
Music Therapists and Therapeutic Musicians educate each other about their work, perceived roles, share any concerns and agree to regular communication.
Work collaboratively to provide joint education and guidance to healthcare staff about how best to utilize services.

18. Food for Thought
"It's an odd thing about this universe that, though we all disagree with each other, we are all of us always in the right." Logan Pearsall Smith

19. Conflict Resolution Ideas
Respect the right of our patients and healthcare facilities to seek and offer a continuum of music services.
Seek first to understand, listen, be curious.
Be candid and respect each other.

20. Conflict Resolution Ideas
Be willing to learn about what the other person does - don’t assume you know.
Set up a time to shadow the other provider and learn what services are offered.
Working together could increase overall client access to music.

21. Resources Therapeutic Music Services At-A-Glance
Scope of Music Therapy Practice
Board Certification Domains
Therapeutic Musician Scope of Practice

22. Resources AMTA Foundational Documents NSBTM Foundational Documents
Standards for Education and Clinical Training
Standards of Clinical Practice
Professional and Advanced Competencies
Code of Ethics
NSBTM Foundational Documents
Accreditation Standards

23. Benefits
Employers and facilities see a united and cooperative relationship.
Clients are able to receive the music therapy and music services most suitable for them, as a documented part of a treatment plan or as a passive listener.

24. Moving Forward National Communication State Recognition Grassroots
Exemption Language
Grassroots
Community
Facilities

25. “Playing” in the Same Sandbox

26. Perfect World "Respect your fellow human being, treat them fairly,
disagree with them honestly,
enjoy their friendship,
explore your thoughts about one another candidly, work together for a common goal and
help one another achieve it."
Bill Bradley

27. For More Information www.nsbtm.org www.musictherapy.org www.cbmt.org