The top 5 reasons pediatric therapists switch from a clinical setting to a school-based setting.

    May 26, 2025

    As a pediatric therapist, you can choose to work in several environments, including clinical and school settings. At Kelly Pediatric Therapy, we place service providers into our partnering school districts across the country.

    Many of the therapists who engage with us began in a clinical setting but ultimately found their fit in a school environment. Why do so many pediatric therapists make this switch? Find out below.

    1. Dynamic schedule and work environment.

    In a clinical setting, therapists typically conduct sessions at set times throughout the week. In a school environment, though, therapists regularly adjust their schedules, including changing the dates, times, and locations of their sessions to accommodate school meetings and events. Many providers feel energized by this dynamic schedule.

    School-based therapists also tend to work within typical school hours and have the option to work over the summer during the Extended School Year (ESY) or take those months off. This can help therapists achieve the work-life balance that suits them best.

    2. Access to support when needed.

    School-based therapists have the autonomy to choose how they conduct their sessions while working both independently and in teams. When engaging with PTS, therapists also have access to a library of clinician-developed resources and support from Clinical Directors whenever they need it—the best of both worlds between independence and support.

    Clinical-based therapists generally work alone without access to these additional resources and support structures.

    3. Collaborating with a cross-disciplinary team every day.

    In a school setting, therapists collaborate and coordinate with a cross-disciplinary team, including:

    • School administrators
    • Teachers, aides, and paraprofessionals
    • Service providers from various disciplines

    This team-based approach gives therapists the opportunity to learn from professionals in other disciplines to better ensure each student can access their education. In comparison, in a clinical setting, therapists are typically more siloed in their field with limited collaboration with doctors, clinicians, and insurance providers.

    4. Greater variety.

    School-based therapists often work with multiple age groups across several schools. This offers a lot of day-to-day variety. In addition to providing 1-on-1 therapy sessions, they may also lead or teach others to facilitate small group and classroom-wide interventions that address common concerns, such as pencil grip.

    In a school setting, therapists have additional responsibilities, too, like writing Individualized Education Plans (IEPs) and serving on IEP teams. Along with that, school-based therapists conduct student assessments to determine who is eligible for therapy, including completing documentation and adhering to special education compliance.

    In contrast, clinical-based therapists do not have as wide a variety of tasks throughout the day.

    5. Helping students succeed scholastically is rewarding.

    School-based therapists are focused on helping ensure that students can fully access their education, so they can succeed scholastically, socially, and beyond. Watching students achieve meaningful milestones and advance in their development is incredibly rewarding and one of the top reasons therapists love working in schools.

    Since school-based therapists provide sessions in the school environment, they see these achievements in an environment that students navigate every day. Clinically-based therapists, on the other hand, conduct therapy sessions in a space removed from the child’s daily life.

    Start transitioning from clinical to school-based pediatric therapy today.

    If you're looking to move forward in your professional career in a way that supports growth, balance, and impact—consider working with us as a school-based therapist.

    When you work with Kelly Pediatric Therapy, you’ll enjoy real work-life balance and make a difference in the lives of students. You can expect:

    • Weekly, competitive pay   
    • Compensation for documentation  
    • Work-free nights, weekends, and holidays 
    • Variable work options, caseload possibilities, and clinical ladders  
    • Access to mentorship   
    • Free professional development  
    • Collaboration with our national provider network   

    Learn more about joining our team.

     

    The top 5 reasons pediatric therapists switch from a clinical setting to a school-based setting | myKelly
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