How much for a 1:1 and for therapy?

[Anonymous]

Hello all,

Our 6 yo DC has a diagnosis of ADHD with oppositional features. DC is in a mainstream, private school. The school feels that DC needs a 1:1, and also psychotherapy outside of the school.

Any ideas on how much a full-time 1:1 might charge per hour/per day?

Also, how much can we expect to pay for psychotherapy per hour?

Thank you

[Anonymous]

I think it would be difficult to find someone for less than $15/hour

[Anonymous]

A good 1:1 is not just someone to intervene after your child becomes oppositional. This is an opportunity to teach your child how to manage their emotions. The 1:1 should be documenting triggers, working with you, the therapist, and the teachers.

Your new therapist should teach your child coping skills which the 1:1 should help implement.

All this is to say that a 1:1 should be more than just an extra set of hands to handle your child in the moment. An effective, trained 1:1 is going to cost a significant amount---more than $15/hr. $15/hr gets you someone to supervise your kid when they need to take a walk around the building.

My sons ADHD therapist charges $180/hr. We're in MoCo. If you can, find one that takes your insurance.

Once you factor in the cost of a 1:1 and therapy, it's important to ask yourself if the private tuition is really worth it. I found that public with an IEP freed up a lot of money for therapy. Just something to think about.

[Anonymous]

Anonymous wrote:A good 1:1 is not just someone to intervene after your child becomes oppositional. This is an opportunity to teach your child how to manage their emotions. The 1:1 should be documenting triggers, working with you, the therapist, and the teachers.

Your new therapist should teach your child coping skills which the 1:1 should help implement.

All this is to say that a 1:1 should be more than just an extra set of hands to handle your child in the moment. An effective, trained 1:1 is going to cost a significant amount---more than $15/hr. $15/hr gets you someone to supervise your kid when they need to take a walk around the building.

My sons ADHD therapist charges $180/hr. We're in MoCo. If you can, find one that takes your insurance.

Once you factor in the cost of a 1:1 and therapy, it's important to ask yourself if the private tuition is really worth it. I found that public with an IEP freed up a lot of money for therapy. Just something to think about.

Did you get a 1:1 in the public setting?

[Anonymous]

Anonymous wrote:

Anonymous wrote:A good 1:1 is not just someone to intervene after your child becomes oppositional. This is an opportunity to teach your child how to manage their emotions. The 1:1 should be documenting triggers, working with you, the therapist, and the teachers.

Your new therapist should teach your child coping skills which the 1:1 should help implement.

All this is to say that a 1:1 should be more than just an extra set of hands to handle your child in the moment. An effective, trained 1:1 is going to cost a significant amount---more than $15/hr. $15/hr gets you someone to supervise your kid when they need to take a walk around the building.

My sons ADHD therapist charges $180/hr. We're in MoCo. If you can, find one that takes your insurance.

Once you factor in the cost of a 1:1 and therapy, it's important to ask yourself if the private tuition is really worth it. I found that public with an IEP freed up a lot of money for therapy. Just something to think about.

Did you get a 1:1 in the public setting?

My son has ADHD/DMDD/Anxiety/ASD. We were placed in the MoCo Asperger's program. There are 8 kids in his classroom, 2 teachers, and 2 paras. He doesn't need a 1:1 in that setting. When he has an incident, I receive an extremely detailed report that I sent over to our therapist. The teachers and therapist work together to support him. I honestly could not ask for a better program. He was in private and the public setting is so much better.

[Anonymous]

You're not going to like the answer. I know a few famililes that had 1:1 aides in private and it was $50 an hour. Does your child need a 1:1 for the whole day?

[Anonymous]

I would consider medication.

[Anonymous]

If ABA is covered by your insurance, then you can use the therapists to go to school as 1:1 and it's supervised by a BCBA clinician. The therapist will take data/notes and have regular meetings with the supervisor, your family (and sometimes, school staff). That's what I did with my DC when he's younger (1:1 ABA therapist in a small private). It's very difficult to find a therapist who's a good fit for the child and school though. A lot of turnovers and the 1:1 should be the extension of the teacher to help DC, not a crutch for DC.

[Anonymous]

Is this really the best school fit for your child if they need a 1-1 aide? It would probably be $15-25 an for someone not trained in less you can get ABA covered like PP suggested. Most mainstreams are not equipped to deal with behavioral issues. Some can work well for mild SN where a child is fine in the classroom and just needs a bit extra attention but most privates/behavioral issues handle it by kicking the kid out.

[Anonymous]

For therapy, we have paid between $140 - 225/hour, depending on the practice.

[Anonymous]

Public schools don't provide 1/1 aides for behavioral issues. Children have to have a physical need for a 1/1 -- motoric disability.

[Anonymous]

It depends on why the child needs 1:1. For us, DC didn't have any aggression (maybe some tantrums, which was still typical for kindergarteners). So, for DC, the 1:1 aide in small private was useful to help with coping strategies and facilitate social interaction.

[Anonymous]

Anonymous wrote:I would consider medication.

This. Also if the kid needs a 1:1 past preschool, they are at the wrong school.

[Anonymous]

"The school feels" sometimes means they are cutting and pasting the same boilerplate response to most of the SN kids.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I would consider medication.

This. Also if the kid needs a 1:1 past preschool, they are at the wrong school.

I don't think that's true. I know a child in 1st who is way above grade level academically, has friends and gets along well with other peers but who has such extreme anxiety that elopement is an issue. There is no reason why this child needs to be in a more restrictive setting.