Virginia Department of Health Professions June 2019 THE VIRGINIA BOARD OF HEALTH PROFESSIONS STUDY INTO THE NEED TO REGULATE MUSIC THERAPISTS IN THE COMMONWEALTH OF VIRGINIA JUNE 2019 VIRGINIA BOARD OF HEALTH PROFESSIONS 9960 MAYLAND DR, SUITE 300 HENRICO, VA 23233-1463 (804) 367-4403 1 CONTENTS Executive Summary ................................................................................................................................................................................................ 4 Authority ..................................................................................................................................................................................................................... 4 The Criteria and Their Application .................................................................................................................................................................. 5 Criterion One: Risk for Harm to the Consumer ..................................................................................................................................... 5 Criterion Two: Specialized Skills and Training ..................................................................................................................................... 5 Criterion Three: Autonomous Practice .................................................................................................................................................... 5 Criterion Four: Scope of Practice ................................................................................................................................................................ 5 Criterion Five: Economic Impact ................................................................................................................................................................ 5 Criterion Six: Alternatives to Regulation ................................................................................................................................................. 5 Criterion Seven: Least Restrictive Regulation ....................................................................................................................................... 5 Application of the Criteria ............................................................................................................................................................................... 6 Overview ..................................................................................................................................................................................................................... 7 History Of The Profession ............................................................................................................................................................................... 7 Music Therapy Defined .................................................................................................................................................................................... 7 Associations .......................................................................................................................................................................................................... 8 American Music Therapy Association ................................................................................................................................................... 8 Virginia Music Therapy Association ...................................................................................................................................................... 8 Discussion of the Criteria ..................................................................................................................................................................................... 8 Criterion One: Risk of Harm ................................................................................................................................................................................ 9 Criterion Two: Specialized Skills and Training ......................................................................................................................................... 11 Education ............................................................................................................................................................................................................. 11 Master's Degree ............................................................................................................................................................................................ 12 Doctoral Degrees .......................................................................................................................................................................................... 12 Credentialing ...................................................................................................................................................................................................... 12 Criterion Three: Autonomous Practice ........................................................................................................................................................ 13 Criterion Four: Scope of Practice and Overlap .......................................................................................................................................... 14 Criterion Five: Economic Impact .................................................................................................................................................................... 15 Wages & Salaries ............................................................................................................................................................................................... 15 Workforce Adequacy....................................................................................................................................................................................... 15 Reimbursement ................................................................................................................................................................................................. 16 Medicare ........................................................................................................................................................................................................ 16 Medicaid......................................................................................................................................................................................................... 16 2 Private Insurance ..................................................................................................................................................................................... 16 Other Sources ................................................................................................................................................................................................ 16 Impact of Licensure on the Department Of Health Professions ................................................................................................... 17 Criteria Six and Seven: Alternatives to Regulation/ Least Restrictive Regulation ..................................................................... 17 Music Therapy Licensure In Other States .............................................................................................................................................. 18 Connecticut (2016) ..................................................................................................................................................................................... 18 Georgia (2012) .............................................................................................................................................................................................. 18 Nevada (2011) .............................................................................................................................................................................................. 18 North akota (2011) .................................................................................................................................................................................. 19 OklahomaD (2011) ......................................................................................................................................................................................... 19 Oregon (2015)............................................................................................................................................................................................... 19 Rhode sland (2014) ................................................................................................................................................................................... 19 Utah (2014)I .................................................................................................................................................................................................... 19 Wisconsin (2011) ........................................................................................................................................................................................ 19 Sources ......................................................................................................................................................................................................................