In-Clinic vs. Home-Based Settings: Behavioural Therapy for Children with ASD and Behaviours

Behavioural therapy is a cornerstone in the treatment of children with ASD, ADHD, and other behavioural issues. Choosing the right setting—whether in-clinic or home-based—can significantly impact the effectiveness of the therapy. Both settings offer unique benefits and challenges. Here’s an in-depth look at each to help you decide which might be the best fit for your child.

In-Clinic Behavioural Therapy


  1. Structured Environment: The Freedom Social Skills Clinic provides a safe and controlled environment designed specifically for therapeutic interventions. This structured setting can be beneficial for children who thrive on routine and predictability. It can also be helpful if the child has the tendency to abscond.
  2. Access to Professional Resources: Clinics are equipped with specialised tools and resources that may not be available at home. These include sensory integration equipment, educational toys, and other various therapeutic materials.
  3. Expert Supervision: Therapists in clinics often work under the supervision of other experienced professionals, ensuring high-quality and consistent therapy. This environment allows for regular training and professional development.
  4. Peer Interaction: In-clinic settings often offer opportunities for children to interact with other children. This social interaction can be beneficial for developing social skills in a controlled and supportive environment.


  1. Less Familiar: The clinic environment might not reflect the child’s everyday surroundings, potentially limiting the generalisation of learned behaviours to home and school settings.
  2. Transportation and Scheduling: Getting to and from the clinic can be time-consuming and challenging for families, especially those living far from the facility or with multiple commitments.

Home-Based Behavioural Therapy


  1. Natural Environment: Therapy in the home takes place in the child’s familiar environment, which can promote the generalisation of skills to daily routines and interactions.
  2. Family Involvement: Home-based therapy allows for greater involvement of family members. Parents and siblings can actively participate in therapy sessions, learning strategies and techniques to support the child’s development.
  3. Convenience: Eliminating the need for travel makes home-based therapy more convenient. Families can schedule sessions around their daily routines, making it easier to integrate therapy into everyday life.


  1. Distractions: The home environment can be full of distractions, which might interfere with the child’s ability to focus during therapy sessions. Especially if siblings interrupt the session.
  2. Limited Resources: Therapists working in home settings might not have access to the same range of specialised tools and materials available in a clinic.
  3. Less Professional Oversight: Home-based therapists often work independently, which might limit opportunities for supervision and professional development.
  4. Space Constraints: Not all homes have the space required for certain therapeutic activities, which can limit the scope of interventions.
  5. Travel Costs: Home based therapy sessions involve a travel fee as therapists must travel from their home/ the clinic to your home. This also means that therapists are less flexible with timing if the sessions are at your home since the therapist must factor in additional travel time.

Making the Right Choice

When deciding between in-clinic and home-based therapy, consider the following factors:

  • Child’s Needs and Preferences: Some children may respond better to the structured environment of a clinic, while others may benefit more from the familiarity and comfort of home.
  • Family Dynamics: Evaluate the level of involvement family members can commit to and their ability to integrate therapeutic strategies into daily life.
  • Logistics: Consider practical aspects like transportation, scheduling flexibility, and financial costs.
  • Therapist’s Recommendations: Consult with your child’s therapist to understand which setting they believe will be most effective based on their professional assessment.

Both in-clinic and home-based settings offer valuable benefits for children with ASD, ADHD, and behavioural issues. The key is to find the environment that best supports your child’s unique needs and your family’s circumstances. Ultimately, the goal is to provide consistent, high-quality therapy that helps your child thrive.

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