Private vs. School-Based Speech Therapy: What’s the Difference and Which Is Right for Your Child?

If your child is receiving (or may need) speech therapy, you might be wondering: What’s the difference between school-based and private speech therapy?

Both can make a big difference in your child’s communication skills, but they work in different ways, have different goals, and offer different types of support.

Let’s dive in…

School-Based Speech Therapy

Where it happens:

Speech therapy provided through your child’s public school (or sometimes private school) as part of special education services.

Who qualifies:

A child must meet specific eligibility criteria under their state’s Department of Education guidelines. This means their speech or language needs must impact their ability to access the curriculum or participate in school activities.

What it looks like:

• Therapy sessions are usually during the school day.
• Services may be individual or in small groups.
• Goals are education-focused: helping your child communicate successfully in the classroom, with peers, and with teachers.
• The speech-language pathologist (SLP) works closely with your child’s teacher and and other members of the IEP team.

Examples of school-based goals:

• Answering comprehension questions about classroom stories
• Using complete sentences to share ideas during class discussions
• Learning curriculum vocabulary

Pros:

• Free for families
• Embedded in your child’s school day
• Collaboration with teachers

Things to keep in mind:

• Sessions are often short (30 minutes) and may be shared with several students who may or may not be working on the same language skills
• Focus is on educational access, not all areas of speech and language

Private Speech Therapy

Where it happens:

Private clinics, teletherapy sessions, or home visits AND outside of school hours.

Who qualifies:

Any child who can benefit from speech and language support. No formal diagnosis or school eligibility required.

What it looks like:

• One-on-one sessions tailored to your child’s individual needs and pace
• Goals can target any area of communication, not just those affecting school performance
• Parents often play a big role and receive strategies to use at home

Examples of private therapy goals:

• Expanding vocabulary and sentence length
• Improving pronunciation of specific sounds
• Strengthening social communication skills

Pros:

• Individualized and flexible
• Family involvement and carryover strategies
• Can target broader communication skills

Things to keep in mind:

• Typically private-pay (some insurance may cover)
• Scheduling depends on family and therapist availability

Can a Child Receive Both?

Yes…and many do!

Some children receive school-based therapy to support academic success and private therapy for more intensive or specialized work.

The two approaches can complement each other beautifully, especially when communication between the SLPs and family is strong.

Which Option Is Right for Your Child?

If your child:

• Struggles to participate or communicate in class, school-based therapy is the place to start.
• Needs extra help outside of school or you want a more individualized plan, private therapy might be the best fit.
• You’re not sure, consider a private evaluation to get a full picture of your child’s strengths and needs even if they already receive school services.

Final Thoughts

Both school-based and private speech therapy share the same goal: helping your child become a more confident and effective communicator. The right fit depends on your child’s needs, your family’s goals, and the type of support you’re looking for.