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Accrediting Commission. In most professions, there is a single accrediting agency that operates a quality assurance process for the educational institutions of that discipline. These agencies must go through their own "accreditation" process with the US Department of Education to be officially recognized to perform this oversight function. It is the norm, rather than the exception that all training institutions in a given profession must be accredited. However, accreditation is not broadly required for massage therapy schools. Approximately 40% of our schools are accredited, and there are seven different USDE-recognized agencies that are involved. The Commission on Massage Therapy Accreditation (COMTA) is the only agency that was established solely for the massage field. ABHES, ACICS, ACCET, ACCSCT and COE are all broad-spectrum vocational accreditors that also oversee certain massage programs. NACCAS deals primarily with the field of cosmetology, but expanded its scope into massage therapy a few years ago.
Federation of State Licensing Boards. Most mature professions have 50-state licensure with consistent regulations among all jurisdictions. This makes possible what is known as "portability" or professional mobility. An association of state licensing agencies is the structure that coordinates activity and helps establish standards among its member boards. In addition, it commonly provides the entry-level national licensing examination that boards utilize for the mandatory process of licensure. In 2005, the Federation of State Massage Therapy Boards (FSMTB) was established for this purpose. It developed and currently administers the Massage and Bodywork Licensing Examination (MBLEx), that is in use by many of the state boards.
Specialty Certification Boards. The structure found in most professions is one of mandatory licensure at the entry level, and then a set of specialty certification programs at the post-graduate level. These voluntary programs are the means by which practitioners earn "advanced" credentials in recognized areas of practice. In some fields, these programs are maintained by professional membership associations. In others, there are national certification boards organized solely for this purpose. These agencies may be dedicated to just one area of specialized practice, or may choose to operate programs in a range of specialties.
This is one of the areas where the massage field is farthest from the model of mature professions. The National Certification Board for Therapeutic Massage & Bodywork (NCB) has been operating an entry-level certification program since 1992, but our field still lacks recognized specialty certification programs. NCB's National Certification Examinations have been utilized by most states at one time or another in place of a dedicated licensing exam. However, the landscape has changed with the advent of the MBLEx - which properly shifts the administration of entry-level testing to FSMTB. With this first-stage credentialing being handled by FSMTB and its state massage boards, NCB has the opportunity now to shift its operating model to become the provider of a series of specialty certification programs for the massage field. This would certainly bring us further down the road towards becoming a full-fledged profession.
