COVID-19 Safety Measures

In situations of prolonged client isolation or precautions necessitated by a public health crisis such as during the COVID-19 pandemic social distancing efforts, Living Melodies reserves the right to adapt the way services are provided in order to meet emerging and continued needs of clients while protecting the health and safety of clients and their families as well as Living Melodies staff members. Living Melodies is currently adapting service delivery by offering telehealth sessions combined with monthly instrument and equipment drop-off and pick-up in addition to limited face-to-face sessions. Clients will be notified via email or mail of any changes made to this policy that affect the services they are currently receiving.

Temporary Safety Protocols by Service Type

Telehealth Sessions with Equipment Drop-Off and Pick-Up


Effective Date: April 20, 2021


This service is offered in conjunction with telehealth sessions to provide instruments, equipment, and props to be used during these sessions with supervision by a responsible adult, parent, or guardian if applicable. The following protocols outline infection control steps to be taken to minimize the risk of exposure of communicable diseases to clients, their families, and Living Melodies staff members.


Definitions:

"Clean" = items disinfected before/after placement in client home or use by client

"Used" = items that have not yet been disinfected after placement in client home or use by client


​Instrument Box Drop-Off Protocols:

  1. Weather resistant box containing items for sessions will be left at mutually agreed upon location outside of the household to avoid encounter between household and music therapist. Once dropped off, music therapist will send email notice of the delivery and list of items in the box. If household is unable to retrieve the box within 8 hours, an email reply should be sent to alert the music therapist to pick up the box and re-schedule delivery.

  2. Clean box will be placed at designated drop-off location by music therapist wearing clean gloves or with sanitized hands to prevent contaminating box during delivery.

  3. Music therapist will sanitize hands before re-entering vehicle after removing gloves and disposing in designated receptacle, if applicable.

  4. Instruments, props, and equipment in the box as well as box interior will have been properly disinfected according to EPA-approved product label. Household may use items as instructed during telehealth sessions for that month. Household does not need to clean or disinfect items prior to pick-up at the end of the month's use.

  5. Boxes containing used items will not be transported in vehicle at the same time as boxes containing clean items. Instrument box drop-offs and pick-ups will be made during two separate trips.


Instrument Box Pick-Up Protocols:

  1. A pick-up day and window of time for box drop-off will be arranged during the last session of the month. A reminder email will be sent the day before a scheduled pick-up with a list of items that should be returned with the box.

  2. Box should be closed securely and placed in designated location outside of the household (preferably the same as the drop-off location) before the anticipated pick-up window of time.

  3. Wearing clean gloves, music therapist will transfer box from household pick-up location to designated space that creates an effective barrier from the rest of the staff vehicle and that can be disinfected before next drop-off.

  4. At Living Melodies location, used items as well as interior and exterior of box will be disinfected with EPA-approved product. Working surfaces will also be disinfected before and after disinfecting box and items inside.

  5. Barriers placed in car to separate instrument boxes from car interior will be removed and disinfected before placing back in car for next delivery of clean boxes.

  6. Music therapist will wash hands before disinfection of any items; wear gloves, eye protection, mask, and gown during disinfection process; and wash hands again after disinfection is complete and gloves have been properly removed and discarded.

  7. Clean items will be packed into clean box with clean hands or gloves and placed in vehicle for delivery.




Outdoor Sessions at Client Location


Effective Date: July 20, 2020

Updated: April 20, 2021

Outdoor sessions to resume mid-May of 2021 and continue as requested by clients or until seasonal weather no longer permits. Outdoor sessions will be implemented with the following precautions:

  1. One-to-one or group services will be available outdoors at residential location per client request.

  2. Living Melodies staff are required to wear a face mask during sessions outside, but clients will not be asked to do so. Client mask usage is entirely voluntary.

  3. Living Melodies staff will maintain either (A) a minimum distance of six (6) feet from client(s), family, and caregiver(s) or (B) provide physical separation using a clear partition or barrier if closer than (6) feet apart at all times during sessions.

  4. Living Melodies staff will complete an online health screening survey at the beginning of every work day in which face-to-face services are scheduled. The survey will monitor for possible signs of COVID-19 infection and other high-risk factors including physical symptoms, travel and contact history, and prior COVID-19 testing results. Staff will consult with his/her primary healthcare provider for approval to return to work if survey reveals symptoms or positive test results. In the event that staff member is deemed at risk for infection due to confirmed contact with COVID-19, he/she will consult with a qualified healthcare provider and NOT meet with clients in person until cleared by aforementioned healthcare provider.

  5. Instrument exchange service will be provided to recipients of one-to-one services, as detailed above, if applicable.

  6. Instruments, props, equipment, and paper items will not be exchanged directly between Living Melodies staff and client or other visitors during sessions. This includes sheet music and payment for sessions. Clients will be expected to come to sessions prepared with sheet music; new music will be emailed to be printed off ahead of time. Treatment notes and invoices will not be provided at appointments, as they will have been mailed or emailed beforehand. Likewise, completed forms or payments will not be accepted directly at the time of an appointment. They may be mailed or completed online. Contact your music therapist directly if you have questions or need additional copies of paper materials.

  7. Proper hand hygiene and equipment usage/disinfection will be implemented according to the Living Melodies Safety Policies and Procedures for Communicable Disease Exposure.




Indoor Sessions at Client Location


Effective Date: April 1, 2021

Updated: April 20, 2021


In-person services provided at indoor client locations are currently provided on a limited basis, with priority given to clients who are without transportation resources or otherwise homebound.

Limits on the number of clients a music therapist will see in person and within a single county each day will be enforced until further notice. This decision was made with the consideration that under normal daily circumstances, a Living Melodies staff member would travel to up to 7 different treatment locations and interact with dozens of individuals. The risk of spreading COVID-19 unintentionally during typical service provision would be very high due to many unknowns regarding potential contact history of each individual with which a Living Melodies staff member encounters and the at-risk health conditions of many clients and their families. Risk assessment revealed a less-than-optimal balance between client and staff safety versus potential exposure even with current COVID-19 vaccine distribution and implementing additional barrier usage, more stringent disinfection practices, and travel and client reductions.

Living Melodies will continue to operate from the guidance of the Wisconsin Department of Health Services (DHS) and the Centers for Disease Control and Prevention (CDC) regarding social distancing and safe business practices to ensure the health and safety of clients and their families as well as Living Melodies staff members. In addition, Living Melodies will monitor recommendations from the World Health Organization (WHO).


Based on current information and recommendations from these organizations, in-home sessions will continue on a limited basis as long as ALL of the following criteria are met:

  1. No city, county, state, or federal laws prohibit "non-essential" services, gatherings of the intended number of participants (for group sessions), travel outside of local jurisdictions, social interactions outside of individual households, or any other mandates that apply to music therapy service provision.

  2. Both the therapist’s and the client's county of residence maintains a 5% or lower COVID-19 positive test rate percentage during the previous seven (7) consecutive days (# of positive tests divided by the total # of tests).

  3. Music therapist has adequate access to appropriate Personal Protective Equipment (PPE), hand sanitizer, and equipment disinfection supplies.

  4. Client/guardian signs an agreement waiving the right to bring suit against Living Melodies in connection with exposure, infection, and/or spread of COVID-19 during music therapy services.

To ensure the safest music therapy treatment environment and infection control practices possible, the following procedures will be implemented to reduce risk of exposure of COVID-19 during residential services:

  1. Client or guardian will notify music therapist if any member of client's residence has a fever, cough, runny nose, shortness of breath, or otherwise feels unwell. Session will be rescheduled or conducted via telehealth if possible. Client may be denied in-person services if therapist observes signs of illness upon arrival.

  2. Sessions will be conducted in a space large enough to maintain six (6) feet of distance between client and therapist at all times and/or allow for maneuverability of clear partition between therapist and client under six feet apart.

  3. The maximum allowed number of attendees in any group setting will be determined by the ability to maintain six (6) feet of distance between all clients and music therapist in the provided treatment space, per the aforementioned stipulation.

  4. All session attendees will wear a mask while in the same room unless contraindicated by an active medical condition. The music therapist will don mask prior to entering the residence and remove only upon exiting.

  5. During sessions, Living Melodies staff will either (A) maintain a minimum distance of six (6) feet from session attendee(s) at all times or (B) utilize a clear partition to create a physical barrier from any attendee(s) closer than (6) feet away. No direct contact.

  6. Living Melodies staff will complete an online health screening survey at the beginning of every work day in which face-to-face services are scheduled. The survey will monitor for possible signs of infection and other high-risk factors including physical symptoms, travel and contact history, and prior COVID-19 testing results. Staff will consult with his/her primary healthcare provider for approval to return to work if survey reveals symptoms or positive test results. In the event that a staff member is deemed at risk for infection due to confirmed contact with COVID-19, he/she will consult with a qualified healthcare provider and NOT meet with clients in person until cleared by aforementioned healthcare provider.

  7. Client or guardian will notify music therapist if client or another individual in the same household tests positive for COVID-19 during the 14-day period following any music therapy session.

  8. Forms, treatment notes, invoices, payments, and paper other items will not be exchanged directly between Living Melodies staff and client or guardian. They will either be mailed or sent online/digitally.

  9. No equipment will be brought into a residence that cannot be properly disinfected. Hand hygiene and equipment usage/disinfection will be implemented according to the Living Melodies Safety Policies and Procedures for Communicable Disease Exposure. Living Melodies staff will NOT reuse equipment from sessions without completing thorough disinfection protocol.

Face-to-face sessions may be discontinued at any time in the event that any of the aforementioned criteria can no longer be met, therapist or client is unable to abide by safety protocol, or another unforeseen condition presents itself that would jeopardize the health and safety of either staff or clients of Living Melodies.