Music therapy

Music therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a qualified professional who has completed an approved music therapy program.

In other words, music therapy is the use of music by a trained professional to achieve therapeutic goals. Goal areas may include, but are not limited to, motor skills, social/interpersonal development, cognitive development, self-awareness, and spiritual enhancement.

Music therapists are found in nearly every area of the helping professions. Some commonly found practices include developmental work (communication, motor skills, etc.) with individuals with special needs, songwriting and listening in reminiscence/orientation work with the elderly, processing and relaxation work, and rhythmic entrainment for physical rehabilitation in stroke victims.

The idea of music as a healing modality dates back to the beginnings of history, and some of the earliest notable mentions in Western history are found in the writings of ancient Greek philosophers. Robert Burton wrote in the 16th century in his classic work, The Anatomy of Melancholy, that music and dance were critical in treating mental illness, especially melancholia.

Music Therapy is considered one of the expressive therapies.

Music therapy in the United States
Music therapy in its current/modern form has existed in the United States since around 1944, when the first undergraduate degree program in the world was founded at Michigan State University and the first graduate degree program at The University of Kansas.

The American Music Therapy Association (AMTA) was founded in 1998 as a merger between the National Association for Music Therapy (NAMT, founded in 1950) and the American Association for Music Therapy (AAMT, founded in 1971). Numerous other national and international organizations exist, such as the Nordoff-Robbins Center For Music Therapy and The Bonny Institute. In the United States, a music therapist is most commonly designated by MT-BC (Music Therapist, Board-Certified). A music therapist with only this designation has a bachelor's in music therapy and is trained in the specific use of music therapy techniques as an adjunctive/augmentative therapy, complementing the work of other practitioners from different disciplines such as social work, speech/language, physical therapy, medicine, nursing, education, and so forth. A music therapist may have different credentials or professional licenses and may also have a master's degree in music therapy or in another clinical field (social work, mental health counseling, or the like). Some practicing music therapists have held Ph.D.s in non-music-therapy (but related) areas, but more recently Temple University founded a true music therapy Ph.D. program. A music therapist will typically practice in a manner that incorporates music therapy techniques with broader clinical practices such as assessment, diagnosis, psychotherapy, rehabilitation, and other practices. Music therapy services rendered within the context of a social service, educational, or health care agency are reimbursable by insurance and sources of funding for individuals with certain needs. Music therapy services have been identified as reimbursable under Medicaid, Medicare, Private insurance plans and other services such as state departments and government programs.

A U.S. music therapist may also hold the designation of CMT, ACMT, or RMT--initials which were previously conferred by the now-defunct AAMT and NAMT. More current music therapists hold the designation, MT-BC, music therapist-board certified. In Canada, the designation is MTA (Music Therapist Accredited/Musicotherapie Accreditee).

A degree in music therapy requires proficiency in guitar, piano, voice, music theory, music history, reading music, improvisation, as well as varying levels of skill in assessment, documentation, and other counseling and health care skills depending on the focus of the particular university's program. To become board-certified in the United States, a music therapist must complete 1200 hours of clinical training in addition to required coursework, research, and passing a nationally accredited certification exam. They also need to be able to deal with children and adults with disabilities

Music therapy in the United Kingdom
Live music was used in hospitals after both of the World Wars, as part of the regime for some recovering soldiers. Clinical Music therapy in Britain as it is understood today was pioneered in the 60s and 70s by French cellist Juliette Alvin, whose influence on the current generation of British music therapy lecturers remains strong. The Nordoff-Robbins approach to music therapy developed from the work of Paul Nordoff and Clive Robbins in the 1950/60s. It is grounded in the belief that everyone can respond to music,no matter how ill or disabled. The unique qualities of music as therapy can enhance communication, support change, and enable people to live more resourcefully and creatively. Nordoff-Robbins now run music therapy sessions throughout the UK, US, South Africa, Australia and Germany. Its head quarters are in London where it also provides training and further education programmes, including the only PHD course in music therapy available in the UK. Music therapists, many of whom work with an improvisatory model (see clinical improvisation), are active particularly in the fields of child and adult learning disability, but also in psychiatry and forensic psychiatry, geriatrics, palliative care and other areas. The practitioner is an SRAsT(M) (State Registered Arts Therapist (Music)), and must hold a post-graduate diploma in music therapy, though increasingly the move is towards therapists holding masters degrees. There are courses in music therapy in Bristol, Cambridge, Cardiff, Edinburgh and London, and there are therapists throughout the United Kingdom.

In 2002 the World Congress of Music Therapy was held in Oxford, on the theme of Dialogue and Debate.

In November 2006, Dr. Michael J. Crawford and his colleagues again found that music therapy helped the outcomes of Schizophrenic patients.

Important Music Therapists and writers on Music Therapy
Juliette Alvin

Kenneth Bruscia

Leslie Bunt

Rajasree Mukherjee - see Rajasree

Paul Nordoff - see Nordoff-Robbins

Mercedes Pavlicevic

Mary Priestley

Clive Robbins - see Nordoff-Robbins

Celine Dewy

E. Thayer Gaston

Michael H. Thaut