Gatekeeping practices of music therapy academic programs and internships: a national survey

BACKGROUND

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.

OBJECTIVE

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. 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.

METHODS

Thirty-two academic program directors and 77 internship directors completed an online survey. 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

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.

CONCLUSIONS

Issues regarding trainees with SPCP are frequently addressed by academic and internship program directors. Improving clarity within professional guidelines and establishing more rigorous and consistent standards across training programs are recommended.

The Need for a Counseling Psychology Model Training Values Statement Addressing Diversity

The authors articulate the need for a Counseling Psychology Model Training Values Statement Addressing Diversity (henceforth “Values Statement”). They discuss the historic unwillingness of the field to address values in a sophisticated or complex way and highlight the increasingly common training scenario in which trainees state that certain professional requirements are in conflict with their personal values. The authors explain that the Values Statement grew out of trainers' expressed need for guidance in dealing with these complex and often emotionally charged value clashes in training. They explain how the Values Statement can assist training programs to (a) clearly articulate the profession's diversity-related values, (b) connect individual and professional values to societal value structures that either reinforce or challenge systems of oppression, and (c) help students to develop the philosophical sophistication to reconcile their personal values and the profession's values. Overall, the authors explicate that the Values Statement is needed to assists trainees to comprehend and perform required diversity-related professional behaviors.