In-School versus Outpatient Speech Therapy

Speech therapy can occur in different settings, including in-school and outpatient or clinic settings. In-school services and outpatient services are available, however they will need to qualify. There is a different process to qualify for in-school speech services and outpatient services. In some cases, children may qualify for both in-school and outpatient services. Here are some key differences between these two types of services and when each may be appropriate.

In-School Speech Therapy

In-school speech therapy is typically provided to children identified as needing these services through a school-based evaluation. This means going through an evaluation process the school has in place.  A team including teachers, parents and evaluators determine if the student qualifies to receive services. They will require an IEP (Individualized Education Program). There is no out-of-pocket cost for in-school therapy. This type of therapy is usually provided during school hours and is often integrated into the child's regular classroom activities. However, not all children will qualify for in-school services. For example, suppose a child's speech or language difficulties are not impacting their ability to learn or participate in the classroom. In that case, they may not meet the eligibility criteria for in-school services.

Outpatient Speech Therapy

In contrast, outpatient or clinic speech therapy is provided outside the school setting, often through private practices or hospitals. This type of therapy may be recommended for children who have more severe speech or language difficulties or who need more intensive one-on-one treatment than can be provided in a school setting. In this case, they may qualify for both in-school therapy services and outpatient therapy services. On the other hand, a child may need speech therapy but does not qualify for in-school services because their articulation or language difficulties do not affect their ability to learn in the classroom. In this case, a child may benefit from outpatient speech therapy. One of the most significant differences between in-school and outpatient speech therapy is that cost is covered by insurance or paid out-of-pocket.

Does my child need both school and clinic speech therapy?

In some cases, children may benefit from both in-school and outpatient services. For example, a child may receive in-school services to address basic speech or language needs but also outpatient services to work on more complex issues or receive more individualized attention. However, it is essential to note that there may be additional costs associated with outpatient services, as they are typically not covered by school districts.

In conclusion…

The decision to pursue in-school or outpatient speech therapy will depend on a child's needs and circumstances. While in-school services are often the first line of support, outpatient services may be necessary for some children to address their speech or language difficulties fully.