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Private vs. School-Based Speech Therapy: Understanding the Differences and Why Parents Seek Private Services

Melissa Taberski

When it comes to supporting a child’s communication and language development, parents often find themselves navigating various therapy options. Two common paths are school-based speech therapy and private speech therapy. While both aim to help children overcome speech and language challenges, they differ significantly in their scope, structure, and focus. Understanding these differences can help parents make informed decisions about their child’s needs.


The Basics of School-Based Speech Therapy

School-based speech therapy is provided as part of a student’s Individualized Education Program (IEP) under the Individuals with Disabilities Education Act (IDEA). The primary focus is to address speech and language issues that directly impact a child’s ability to access the curriculum. Services are typically delivered in a group setting and may include goals tailored to academic success, such as improving classroom communication or understanding instructions.


The Basics of Private Speech Therapy

Private speech therapy, on the other hand, is typically conducted in a clinic or home setting and is funded by families or through insurance. The focus is broader and may address speech and language goals that go beyond academic needs, such as improving social communication, enhancing articulation for daily interactions, or addressing feeding difficulties. Sessions are often one-on-one and allow for more personalized attention and flexibility.


5 Reasons Parents May Be Looking for Private Speech Therapy

  1. More Individualized Attention School-based therapists often manage large caseloads, which can limit the amount of one-on-one time a child receives. Parents may seek private therapy to ensure their child gets undivided attention and a customized plan that addresses their unique needs.

  2. Broader Goal Focus While school-based therapy focuses on academic-related communication skills, private therapy can address a wider range of goals. For example, a child struggling with social pragmatics or articulation errors that don’t impact academics may benefit from private therapy to develop these skills.

  3. Scheduling Flexibility School-based therapy sessions are scheduled during school hours, which may not always align with a child’s optimal learning times. Private therapy offers flexible scheduling, allowing parents to choose times when their child is most attentive and engaged.

  4. Faster Progress Parents sometimes feel that school-based therapy’s group settings or limited frequency hinder their child’s progress. Private therapy can provide more frequent and intensive sessions, leading to quicker improvement.

  5. Specialized Expertise Some children require specialized interventions, such as support for Childhood Apraxia of Speech (CAS), augmentative and alternative communication (AAC), or Gestalt Language Processing (GLP). Private therapists often have advanced training in these areas and can provide targeted interventions that may not be available through the school.


Conclusion

Both school-based and private speech therapy play vital roles in supporting children with speech and language challenges. While school-based therapy ensures that children have the communication skills needed to succeed academically, private therapy can complement these efforts by addressing a broader range of needs in a more personalized setting.

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