MUSIC THERAPY CLINICAL INTERNSHIP INFORMATION AND APPLICATION PACKET



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MUSIC THERAPY CLINICAL INTERNSHIP INFORMATION AND APPLICATION PACKET Pioneer Center (Ross County Board of DD) 11268 County Road 550 Chillicothe, OH 45601 Kristyne Ramsey MT-BC Internship Director E-mail: kramsey@rossdd.org

Description of Clinical Setting: Pioneer School is a non graded school certified as K-12 facility by the Ohio Department of Education. School age children are first enrolled in the Ross County School where they live, and then are placed at Pioneer if their Individual Education Plans so direct this placement. The Early Intervention and Infant Programs are housed at the Ross County Ohio University Chillicothe Child Development & Family Service Center. Ross County Ohio University Chillicothe Child Development & Family Service Center 101 University Dr. Chillicothe, OH 45601 (740) 772-7360 ext. 109. Early Intervention and Infant Programs: ages 0-3 identified with a disability or delay. A curriculum is designed toward achieving the outcomes of the child s IFSP. The therapy program provides an evidenced based model where in home service providers collaborate to provide therapeutic services in a natural setting. The music therapy department provides a community based music program for these families. Preschool: Ages 3 to 5. Two classes from Pioneer Preschool consist of 8 children with developmental delays or disabilities and 2 children who are typically developing and two classes from Chillicothe City Preschool which consists of 8 children with developmental delays or disabilities and 4 children who are typically developing. Group and individual music therapies are available along with the opportunity to work with the center-wide Sign Choir. Music therapy, speech therapy, occupational therapy, physical therapy, and behavioral support are available for all programs. Pioneer School 11268 County Road 550 Chillicothe, OH 45601 (740) 773-2165 ext. 119. School Age: Ages 6-21. Pioneer School is a non graded school certified as K-12 facility by the Ohio Department of Education. School age children are first

enrolled in the Ross County School where they live, and then are placed at Pioneer if their Individual Education Plans so direct this placement. One additional Multiple Disability class which is located at Chillicothe Middle School is serviced by Pioneer Center and receives group music therapy weekly. * Ross County Board of DD provides group and individual music therapy services to children with a vast scope of needs, ranging from mild to severe. Our clients range in age from 0-21 with many in early intervention, ages 0-3. Clients served have various diagnoses including Autism Spectrum Disorders, Down Syndrome, Cerebral Palsy, speech delay, traumatic brain injury, developmental delays, visual impairments, hearing impairments, genetic disorders and physical disabilities. Chillicothe, OH is a small rural town 55 miles south of Columbus, OH. Chillicothe was the first and third capital of Ohio and has many historical and educational landmarks. The Early Childhood Center is located beside the Ohio University-Chillicothe which offers access to their library in addition to the Chillicothe and Ross County Public Library. Pioneer School is located 15 minutes northwest of the Early Childhood Center. The preschool and school programs are licensed by the Ohio Department of Education and are accredited by the Ohio Department of Developmental Disabilities. In addition to the Music Therapy Internship Program, Pioneer School also offers training programs in Occupational Therapy, Speech Therapy, and Student Teaching. The facility also offers training in TAPS (Therapeutic Assault Prevention System), MUI (Major Unusual Incident) and CPR and First Aid. Staff and Professionals at Ross County Board of DD: RCBDD is headed by Superintendent Rick Marriott. Internship Director, Kristyne Ramsey, MT-BC has worked with RCBDD since the Fall of 2002 and has been practicing music therapy since 1989, with experience in both behavioral and

improvisational music therapy. RCBDD currently employs 1 music therapist, 4 speech pathologists, 2 occupational therapists, 2 physical therapist, 1 behavior support specialist, 3 early intervention specialist and 14 teachers. Description of Music Therapy Services: Kristyne Ramsey MT-BC Bachelors in Music Therapy, Baldwin-Wallace College, Berea, OH 1984-1988 Internship at Fairfield Developmental Center, Cincinnati, OH 1988-1989 Private Practice 1990-2003 contracting music therapy services to Pickaway County Board of MR/DD, Pickaway County Head Start, Logan Elm School Special Needs Preschool, Ross County Easter Seals, Ross County Head Start and Private Music Therapy sessions for children with autism. Full time Music Therapist for Ross County Board of DD 2003-present: developed music therapy services for Infant, Preschool and School Age children attending Pioneer School Programs. Available space and equipment: Both facilities have a music therapy room fully equipped with full size guitar, student guitar,piano, Q-chord, rhythm instruments, some Orff instruments and CD players. The school age facility has a set of tone chimes used in their Bell Choir. * The Philosophy of the Music Therapy Program follows an improvisational approach to Music Therapy based on the work of Paul Nordoff and Clive Robbins. Utilizing this approach, the music therapist creates spontaneous, improvised music to engage a person in his or her own passionate music making to foster meaningful self expression, communication and purposeful growth. Though the individual sessions are based in the improvisational method a behavioral background keeps the sessions structured when needed. Interns enrolled in this program receive extensive training in this approach, including a minimum of 1

hour per week devoted solely to piano/guitar improvisation. Though the emphasis of the program is on improvisation, a strong skill level is not necessary, only the desire to learn. Interns will learn through observation, co-treats and hands on opportunities throughout the internship. The belief that every individual learns differently is very prominent in this internship and visual, auditory and hands on opportunities are available and discussed with each intern to assist them during their training. Music Therapy is viewed as a related service under Federal and State Law which can be effectively utilized to help a student meet established Individualized Education Plan (IEP) goals. Through the therapeutic application of singing, playing instruments, moving to music, listening to music and creating music, a student can progress toward meeting established goals and objectives. Internship Experience: Interns will work with children, ages 0-21 with a wide range of disabilities, in individual and group music therapy settings. The interns work schedule is Monday thru Friday 8am to 3 pm. They will receive extensive training in the improvisational approach to Music therapy based on the work of Paul Nordoff and Clive Robbins. Students will learn a variety of techniques to address goals to improve communication, motor, sensory, behavioral, academic, cognitive and social/emotional skills. Students will be exposed to the use of many forms of communication including picture communication, PECS, sign language, speech and adaptive devices. The intern will be responsible for: collecting data, conducting assessments, developing goals and objectives, treatment planning, implementing individual and group sessions, participating in co-treatment experiences, participating in programmatic music groups and managing documentation for each student on his/her caseload. Three projects are addressed during the internship experience: professional case study/research project and presentation, a presentation to a community group and the writing of a music therapy program proposal. Instruments for intern use include piano, guitar (though you may want your own), omnichord, drums, standing cymbal, Orff instruments, reed horns, and a variety of rhythm band instruments (maracas, cabasas, cymbals, sand blocks, bells, tambourines, rhythm sticks, triangles, egg shakers, etc.)

During the internship students will learn Music Therapy techniques with children to address goals to improve communication, motor, sensory, behavioral, academic, cognitive and social/emotional skills. Students will be exposed to the use of many forms of communication including picture communication, PECS, sign language, speech and adaptive devices. Students will learn methods of making the music therapy experience multisensory and beneficial for each individual. Interns will be given the opportunity to create or adapt songs to address specific needs to individuals. Interns will gain experience in facilitating music therapy sessions with children; communicating music therapy processes with children s families and other professionals; and completing assessments, quarterly reviews and other paperwork. Collaboration with other team members including classroom teachers, OT, PT, and Speech and Language Pathologist will provide a multidisciplinary approach to planning and implementation of educational and therapeutic services. The intern will be responsible for: collecting data, conducting assessments developing goals and objectives, treatment planning, implementing individual and group sessions, participating in co-treatment experiences, participating in programmatic music groups and managing documentation for each student on his/her caseload. The intern will attend team or program meetings and trainings offered by the school as appropriate. Throughout their 9 months, interns design, implement, and document individual and group sessions and have the opportunity to work with individuals from the Early Childhood 0-3, preschool 3-6 and school age 6-22 yrs old. RCBDD offers a one 9 month internship position, 37 hrs weekly, End of August to End of May which totals 1373 hours. The intern is scheduled to work 5 days per week and receives a 2 week Christmas break, 3 day spring break and major holidays and allotted 5 days of sick time. The work day begins at 8am and ends at 3pm Monday thru Friday.

Three projects are addressed during the internship experience: professional case study/research project and presentation, a presentation to a community group and the writing of a music therapy program proposal. Interns will need to have basic guitar and piano skills and be able to use singing voice effectively. The intern will also have the opportunity to work with bell choir, sign choir, music programs throughout the school year, and sing along groups that travel to area nursing homes throughout the county. General Information: Interns are required to have a copy of their driver s license for a background check and fingerprinting required and provided by the school. Housing: Housing may be available through host families from local churches. Please check this option on your application if interested. Transportation: Interns are required to have their own reliable transportation. Meals: Meals not provided. Stipend: Stipend of $600 per month for 9 months not to exceed $5400. Liability Insurance: Liability insurance is provided by our agency.

Outline of Clinical Training Program: Total: 1373 hours: Provisions Hours 1. Orientation 200 2. Obs./co-lead/lead 548 3. Records/progress notes 130 4. Staff/In-service 35 5. Self Awareness/growth 30 6. Intern obs./feedback 200 7. Supervision 50 8. Admin. Skills 60 9. Special Projects 120 Provisions for Orientation: 200 hours Introduction to staff and facility tour Familiarization with music therapy resources and equipment Observation of music therapy program Orientation to music therapy department Student intern work schedule established Supervisory meeting schedule established Observation of other disciplines (OT,PT, Speech, Adaptive PE, Nursing) Observation of classrooms New Employee Training/Required In-services Read employee handbook, policies/procedures Read related literature to field Orientation to patient charts Review AMTA Standards of Clinical Practice, Code of Ethics, National Roster Internship Guidelines, AMTA Professional Competencies, and CBMT Code of Professional Practice Orientation to policies/procedures

Fulfilling requirements needed before working with clients (ID badges, fingerprinting, competencies, etc.) Computer training Plan and schedule own music therapy caseload (within the 5 th week) Provisions for Music Therapy Experience: 548 hours Observation : 50 hours The intern will have the opportunity to observe the Internship Director through week 16. While observing, the intern will be required to take notes which will be used for discussion purposes following the session. Co-Leading: 50 hours The intern and Internship Director will decide which session will be co-lead and what part of each session the intern will be responsible for. By week 4, the intern will begin co-leading sessions with Internship Director. The intern will begin co-leading gradually by leading one or two activities and increasing to several activities and finally the majority of the session. The intern should be prepared to: Perform specific repertoire appropriate for individual patients Rehearse music leadership and therapeutic skills during sessions as demonstrated by Internship Initiate his or her own materials (songs, visual aids, etc) and direct Internship Director as to what to do both generally and from moment to moment as necessary and as co-leading progresses. Uses music and leadership skills in a way that facilitates a therapeutic process from moment to moment, without breaks in continuity. The intern will observe and assist Internship Director in evaluating the events that occurred within the session to aid in writing clinical notes. Leading: 448 hours

The intern will begin leading sessions by week 6. The intern will begin gradually by leading 8 hours in week 6, increase to 12 hours in week 8, 16 hours by week 10, 20 hours by week 13 and work up to 24 hours by week 16 up until the end of the internship. Provisions for Records and Progress Notes: 130 hours The intern s progress notes become part of the child s chart The intern will be expected to complete assessments and progress notes according to the requirements of Pioneer School. Provisions for Staff and In-service Meetings: 35 hours The intern is required to attend all staff meetings and agency based in-services throughout the internship. In-Service Training: 15 hours The intern will write a brief summary reflecting on how the information provided applies to the delivery of music therapy services. Team Meetings: 15 hours The intern will write a brief summary reflecting on his or her involvement in team meetings. Staff Meetings: 5 hours The intern will write a brief summary of applications of information to his or her overall professional responsibilities. Provisions for Intern Self-Awareness and Professional Growth: 30 hours Self-Awareness: 15 hours The intern will keep a journal, documenting weekly interactions, questions, reflections, personal thoughts/feelings, ideas and concerns. Professional Growth: 10 hours

(Conference Attendance: 8 hours) The intern will attend at least one conference, workshop or seminar totaling 8 hours. The intern will write a summary of his or her experience. Resume Writing: 5 hours The intern will complete a professional resume by the end of his or her internship and this resume is to be shared with an administrator for feedback. Provisions for Observation of Intern and Constructive Feedback: 200 hours While co-leading sessions, the intern will be observed by the Internship Director. While leading sessions, the intern will be observed intermittently on average of 5 hours per week. A tape recording or video of the session may be used for observation purposes. Formal observation will be documented on a form to include the rating of music skills, implementation of methods and techniques, and relationships, and will be used for the purpose of feedback to the intern. The intern will have the opportunity to engage in feedback following sessions. Provisions for Supervision: 50 hours The intern will receive a minimum of 1 hour personal consultation per week. Any questions, problems, and ideas will be discussed as well as plans for the following week. Reading or other assignments may be assigned to facilitate the following meeting and to further the intern s understanding. Review CBMT handbook and prepare for CBMT exam.

Provisions for Administrative Skills: 60 hours The intern will assist the Internship Director with any administrative tasks including budgeting, proposals, marketing presentations, and organization structure. Strategic Plan: The intern will create a plan to increase and further the awareness of music therapy in special education which will include basic information about music therapy, techniques, and goals (Some examples could be a brochure or pamphlet). Proposal: The intern will construct a proposal to establish a music therapy program in an early childhood or special education setting. It should include clinical, marketing, and business sections and explain how the proposal will be implemented. In-Service: The intern will lead a 30-45 minute in-service on music therapy with early childhood and/or special education which should be presented in the community. Provisions for Special Requirements: 120 hours Research Project: The intern is required to do a research project detailing the work with one specific student. It should include goals, data, and the noted progress from the start to finish. A presentation of this research project and results will be given to staff near the end of their internship. Evaluations: Intern Evaluation/Intern Self-Evaluation: is used for mid-term and final evaluations and is completed by the intern as a self-evaluation and by the Internship Director as an intern evaluation. This form resembles the AMTA Professional Competencies document. The Internship Director will meet

with the intern to discuss their reports and copies of these reports will be sent to the intern s academic institution. Mid-term Evaluation of Internship Training: is completed at mid-term and the Internship Site Evaluation is completed at the final stage by the intern. Copies of all reports are submitted to the student s academic site. A copy of the Internship Site Evaluation is submitted to the Great Lakes Regional Representative to the AMTA Internship Approval Committee, per AMTA guidelines. Procedure for Music Therapy Internship Application: Please furnish the following information: 1. Completed application. 2. A copy of all your transcripts. 3. A letter of eligibility from academic director. 4. Three letters of reference. Included in all letters of reference should be information about the following: (a) What are the student s major assets and liabilities? (b) Describe the student s learning style, i.e. how does he/she incorporate or integrate new information or skills? 5. A description of your philosophy and practice of Music Therapy. Please make this at least a one-page document to effectively articulate your thoughts. 6. Prepare to play 2 piano and voice of different styles, 2 guitar and voice of different styles and one instrumental. 7. Upon receipt of the application and additional materials you will be contacted for a personal interview at Pioneer. Contact Information: Kristyne Ramsey, MT-BC can be reached via e-mail at kramsey@rossdd.org or phone at 740-773-2165 ext. 119. Applications may be e- mailed or mailed to the address listed above. For more information, please visit www.rossdd.org.