WP151 | The 5 Essentials for Starting a Kids Therapy Practice with Melissa Griffing, MS LPC RPT

Here we go, friends! Today, we’re diving into the real nuts and bolts of launching a thriving kids therapy practice! If you’ve ever dreamed of a playroom that’s actually a treatment room, wondered how to navigate parents, paperwork, and school teams without losing your mind, or you’re ready to add kiddos to your caseload the right way—this episode is your shortcut.

I’m joined by my friend and kid-therapy powerhouse Melissa Griffing, MS, LPC, RPT, founder of Wellnest Counseling in Dallas. She’s walking us through the five essentials you absolutely need: minor-ready forms and ROIs, rock-solid confidentiality with parents in the loop, a space that invites play and professionalism, a schedule that works for families and your life, and a referral web that makes you the hub of real change.

We’re talking scripts you can steal, room setup must-haves, custody curveballs, and practical rhythms for school coordination and parent consults. If you serve families—or want to—this conversation will save you months of guesswork and a few headaches, too.

Hit play, take notes, and let’s build a kids practice that’s ethical, sustainable, and wildly effective!

1) Paperwork Built for Minors (and Their Grown-Ups)

Working with kids means your intake stack must go beyond standard informed consent.

Must-have forms & workflows

  • Minor consent + parent/guardian authorization (follow your state’s age-of-consent rules).

  • Custody documentation: Always obtain and read the current court order before the first session. Look for who can authorize therapy and whether consent is joint or independent.

  • Targeted ROIs: Pediatrician/PCP, psychiatrist/NP, school counselor/teacher, SLP/OT, and any evaluators.

  • 18th-birthday switch: The moment a client turns 18, you need a new consent and ROIs—even to speak with the parent or charge the parent’s card.

Pro tip (from Melissa): Train your admin to flag missing legal docs and to pause scheduling until everything is in. It’s kinder to hold the boundary on the front end than to untangle it later.

2) Confidentiality with Parents in the Loop

Kids are your clients; parents are your partners. That tension is where good child therapy lives.

How I frame it with parents (script)

“If I tell you everything your teen says, they’ll stop talking. I’ll share themes, progress, and specific coaching for home. If there’s a safety concern, you’ll be brought in immediately.”

How I frame it with teens (script)

“You have privacy here. I don’t run to your parents with every detail. If there’s a safety issue or something urgent, we’ll loop them in together.”

Bonus nuances

  • Privileged communication ≠ standard confidentiality. Know your state rules and your duty to report.

  • Divorced/co-parenting cases: Keep communication balanced. Bias creeps in fast when only one caregiver is talking to you.

  • Court language: Unless you’re trained for custody evaluations, include a clear court policy & fee schedule that discourages subpoenas.

3) Space That Serves Play (and Still Works for Grown-Ups)

If you’re a play-therapy purist, a dedicated room is gold: low, open shelves, accessible themed toys, sand tray, and room to move. If you also see adults, create a transitional room that can flex:

  • Couch + armchair + small table (adult-friendly),

  • Cubbies with bins for toys (kid-friendly and easy to reset),

  • Easy-wipe rugs and a “mess plan” for sand/art days.

Design tip: Store toys at child height. The invitation to choose is therapeutic.

4) Scheduling Realities (and Boundaries) for Kid Practices

Parents prefer after-school slots, which means your peak hours are 2–7 p.m. Expect fewer morning sessions and build your week accordingly.

Sustainable scheduling playbook

  • Start new families in daytime slots with a waitlist to slide down into after-school times as they open.

  • Offer school excuse notes for daytime therapy.

  • Set a latest session time you can live with (your family dinners matter, too).

  • Keep a rolling graduation plan so growth doesn’t depend on holding everyone forever.

What I tell my team: “We don’t manufacture availability. We keep clinical quality and personal sustainability. Clients choose from the times we offer.”

5) Build a Multidisciplinary Referral Web

Most child cases are team sports—especially with neurodivergent kiddos. Your results will rise or fall on the strength of your connections.

Network targets

  • Medical: pediatricians, psychiatrists/NPs

  • School: counselors, 504/IEP teams

  • Therapies: SLP, OT, PT, feeding therapists

  • Testing: psychologists/neuropsychs

  • Parent support: parent coaches, faith communities, social skills groups

Easy outreach rhythm

  • Two relationship coffees per month (SLP/OT/psych/PCP).

  • One school touchpoint per active school-age case each quarter (with ROIs, of course).

  • A short one-pager about your practice and how you coordinate care.

Bonus Essentials We Couldn’t Skip

Interns multiply impact.

Melissa is onboarding an admin-plus-clinical intern early in their program (per Georgia/Texas rules). Interns can support phones, social media, family resources, and—when appropriate—offer lower-fee sessions under supervision. It’s workforce development, mission, and access all in one.

Custody savvy saves headaches.

Require custody orders up front. Read them. Highlight sections on healthcare decision-making and therapy rights. Document every attempt to contact the non-present parent when consent is needed.

Parent communication cadence.

Over-communicate without oversharing. We like:

  • Intake with caregivers,

  • First kid session that includes confidentiality limits,

  • Monthly parent consults (15–30 minutes) focused on home strategies and progress themes.

Show Sponsor Practice at Scale

I want to give a quick shoutout to our sponsor, Practice at Scale. They are your done-for-you growth team for group practices wanting to scale.

If you’ve outgrown the DIY hustle and you’re ready for serious growth, more leads, better systems, and more, Practice at Scale can help. They don’t just consult; they do the work.

You get a growth team that’s so customized, it feels like you have an in-house team, without the overhead. They help you take the guesswork out of growth.

Want to see what’s working and what’s not in your practice growth? Get a free marketing and website analysis at practiceatscale.co/wise-analysis. It’s time to scale smarter.

Melissa Griffing’s Resources

Website

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Links and Resources

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WP152 | Turnover & Trust: 5 Considerations for Group Practice Owners When Therapists Leave - Podcast Takeover with Amy Dover

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WP150 | Being Willing to Grow Your Practice with Zack Ufland, LMFT