Title

Gatekeeping Practices of Music Therapy Academic Programs and Internships: A National Survey

Poster Number

18

Lead Author Affiliation

Music Therapy

Introduction

Gatekeeping safeguards access to the practice of a profession to ensure the quality of clinical services. It involves selective admission, continuous evaluation, and timely and ethical decisions in response to trainees with severe professional competency problems (SPCP). To date, little information is available concerning gatekeeping practices in the field of music therapy.

Purpose

This study investigated the extent and outcomes of gatekeeping practices across academic programs and National Roster internship sites approved by the American Music Therapy Association (AMTA). Specifically, it examined the prevalence of trainees with SPCP, program-wide precautionary measures, common indicators of trainees with SPCP, remedial strategies, and supports and barriers to effective management.

Method

Participants included all AMTA academic program directors and internship directors. Contact was made through an invitation e-mail with a hyperlink to an online survey consisting of check-lists, dichotomy choices, fill-in-the-blank, and open-ended questions. Responses were compiled into aggregate form (frequencies & percentages) for analysis. Chi-square tests with Yates’ correction were applied to compare the differences between academic programs and internships.

Results

Thirty-two academic program directors (response rate = 46.0%) and 77 internship directors (response rate = 48.12%) completed the survey. A significantly higher percentage of academic programs (93.8%) reported having at least one trainee with SPCP over the past 5 years than did internships (66.2%). The most common indicators of competency problems included inadequate music skill development, emotional instability, limited communication skills, deficient interpersonal skills, defensiveness in supervision, and lack of insight. Typical remedial methods included referral to personal therapy, increased supervision, and repetition of practicum or extension of internship.

Significance

Issues regarding trainees with SPCP are frequently addressed by academic and internship program directors. Improving clarity within the professional guidelines, establishing more rigorous and consistent standards across all training programs, and developing standardized protocol for managing trainees with SPCP are recommended.

Location

DeRosa University Center, Stockton campus, University of the Pacific

Format

Poster Presentation

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Gatekeeping Practices of Music Therapy Academic Programs and Internships: A National Survey

DeRosa University Center, Stockton campus, University of the Pacific

Gatekeeping safeguards access to the practice of a profession to ensure the quality of clinical services. It involves selective admission, continuous evaluation, and timely and ethical decisions in response to trainees with severe professional competency problems (SPCP). To date, little information is available concerning gatekeeping practices in the field of music therapy.