School-Based Therapy "versus" Pediatric Outpatient Therapy

Many parents ask us about the differences between the PT, OT, and SLP services that a child receives a school and the PT, OT, and SLP services that a child receives at the Boston Ability Center. Common questions include:

• If my child gets therapy at school, does he also need to come to the BAC?

• Will my child receive "better" support at the BAC compared to the support offered at her school?

• Can BAC clinicians evaluate my child and recommend that he receives weekly PT, OT, and/or SLP services at school?

When it comes to addressing the developmental and therapeutic needs of children, it's important to recognize that there are different avenues available, each tailored to suit different contexts and requirements. While both school-based therapy and outpatient therapy aim to support children in achieving their goals, there are key differences between the two settings. In this blog post, we'll delve into the similarities and differences between therapy at school and therapy in the clinic, helping parents and caregivers make informed decisions about their child's therapeutic journey.

School-Based Therapy Services: School therapy services are provided within the educational setting, typically as part of an Individualized Education Program (IEP) or a 504 Plan. Here are some key features of school-based therapy services:

1. Accessibility: School therapy services are readily accessible to children who qualify for special education services under federal laws such as the Individuals with Disabilities Education Act (IDEA). These services are provided free of charge to eligible students as part of their educational program.

2. Integration into School Curriculum: School-based therapists collaborate closely with teachers and other educational professionals to integrate therapy goals into the child's academic curriculum. Therapy sessions may take place within the classroom, in a dedicated therapy room, or in naturalistic settings such as the playground or cafeteria.

3. Focus on Functional Skills: School therapy services emphasize the development of functional skills that directly impact the child's ability to participate in the educational environment. Therapy goals are often aligned with academic objectives and focus on improving skills related to classroom participation, social interaction, and academic success.

4. Team Approach: School-based therapy services operate within a multidisciplinary team framework, involving therapists, teachers, and special education staff. Collaboration and communication among team members are essential for ensuring a coordinated approach to addressing the child's needs.

Pediatric Outpatient Therapy Services: Pediatric outpatient therapy services are provided in clinical settings outside of the school environment. These services are often covered by the child's health insurance plan or paid for out of pocket. Here are some key features of pediatric outpatient therapy services:

1. Specialized Intervention: Pediatric outpatient therapy services offer specialized intervention in a clinical setting, focusing on addressing a wide range of developmental, sensory, motor, and communication challenges. Therapists tailor interventions to meet the individual needs of each child, using evidence-based practices and therapeutic modalities.

2. Comprehensive Assessment: Pediatric outpatient therapy often begins with a comprehensive evaluation to assess the child's strengths, weaknesses, and areas of need. Therapists use standardized assessments, clinical observations, and parent/caregiver input to develop personalized treatment plans.

3. Flexible Scheduling: Unlike school therapy services, pediatric outpatient therapy offers flexible scheduling options, including after-school, evening, and weekend appointments. This flexibility accommodates families' schedules and allows for consistent therapy sessions without interrupting the child's school day.

4. Family-Centered Approach: Pediatric outpatient therapy services adopt a family-centered approach, recognizing the importance of involving parents and caregivers in the therapeutic process. Therapists collaborate closely with families to set goals, provide education and training, and support carryover of therapeutic strategies into the home environment.

So...which is better?

Trick question! There is no "us versus them" because there is no battle! Everyone wins!

Both school therapy services and pediatric outpatient therapy services play valuable roles in supporting a child's growth. While school therapy services focus on integrating therapy goals into the educational setting and promoting functional skills for academic success, pediatric outpatient therapy offers specialized intervention in a clinical setting with a focus on comprehensive, family-centered care to help a child succeed across all settings (e.g. at home, in the community).

Whether accessing therapy services through the school system or seeking outpatient therapy - or BOTH! - the ultimate goal remains the same: to empower children to maximize their abilities and thrive in all aspects of life. BAC clinicians are so grateful for the school-based PTs, OTs, and SLPs in our community and we are always eager to collaborate!

Call 781-239-0100 or email frontdesk@bostonabilitycenter.com if you're interested in learning more about pediatric outpatient therapy at the Boston Ability Center.