Unprofessionalism could also be inappropriate behavior or negligence. Inappropriate behavior can be anything from offering massage at a sport event, trade show or the like without first obtaining written permission from the owner or manager of the event, to massaging while in a drugged out stupor. Both are illegal as well.

It is doubtful that there many jurisdictions that would legally allow anyone to work in any licensed establishment while drunk, on drugs or other illegal chemicals. Certainly the NCBTMB forbids it in Standard of Practice V (h).

Being under the influence while working is administering treatment in a negligent manner, creating grounds for discipline that could impact the therapist’s license.

The board not only makes it illegal to do so but upon probable cause has the authority to compel a therapist to submit to mental and physical examination. Refusing to do so, unless it was due to circumstances beyond their control, constitutes an admission of the allegations against them.

Gross or repeated malpractice or the failure to practice massage with that level or care, skill, and treatment which is recognized by a reasonably prudent massage therapist as being acceptable under similar conditions and circumstances is illegal.

The NCBTMB Code of Ethics I says “Have a sincere commitment to provide the highest quality of care to those who seek their professional services.”

It is an unlikely scenario that this Standard is being met in the case of a therapist being under the influence. Pity the poor client who endures the odd behavior in hopes the session will miraculously improve and their money and time will not have been wasted. NCBTMB Standard V (h) says “refrain from practicing under the influence of alcohol, drugs, or any illegal substances (with the exception of prescribed dosage of prescription medication which does not significantly impair the certificant.)”