Thinking of starting a group practice? That's incredible! Embarking on the journey of starting a group practice is a significant milestone for child counselors and therapists. This article provides some ideas for considerations for pediatric counselors and therapists who are tossing around the idea of starting a group practice. There are lots of complexities to navigate, such as such as timing, location, hiring decisions, agreements, policy development, employment laws, staffing, reimbursement, fees, non-competes, and more! Let's delve into some of these aspects as you think about how to make a positive impact on a larger scale.
When and Why:
1. Timing is Key:
Before diving into the world of group practice, consider your experience level, client demand, and personal readiness. Starting a group practice is often a strategic move for seasoned therapists with a steady flow of clients seeking specialized services.
2. Why Start a Group Practice:
Expanded Reach: A group practice allows you to reach more clients, especially in areas with high demand for child therapy. For therapists who consistently maintain a waiting list or need to refer out, opening a group practice may be a practical next step.
Collaborative environment: Foster a collaborative and supportive environment for therapists to share insights, peer consultation, and enhance professional growth.
Business Opportunities: A group practice opens doors to various business opportunities, from integrated clinics to community engagement.
Multiple Locations:
3. Expanding Your Reach:
Consider the feasibility of opening multiple locations based on geographical demand. Research potential areas to ensure they align with your practice's mission and cater to the needs of the community.
Hiring vs. Subleasing Space:
4. Hiring Therapists:
Define your hiring criteria based on expertise and alignment with your practice's values. Establish clear expectations regarding client load, responsibilities, reimbursement, and collaboration. Review employment laws and IRS definitions regarding 1099 contractors versus employees. You may also want to consult with an attorney to review these factors and get assistance in creating employment paperwork.
5. Subleasing Space:
Alternatively, consider subleasing space to independent contractors. Clearly outline terms and conditions, ensuring clarity on usage, fees, and shared resources.
Agreements and Non-Competes:
6. Legal Protections:
Consult with legal professionals to draft comprehensive agreements for therapists and contractors. Including non-compete clauses is often a subject of discussion among therapists, but in many states, these are not enforceable and create ethical dilemmas regarding a client's right to self-determination.
Expectations:
7. Clear Communication:
Clearly communicate expectations regarding client care, administrative tasks, and collaboration. Foster open communication channels to address concerns promptly.
Group Practice Owner:
8. Leadership Role:
Embrace the role of a group practice owner with a focus on leadership, mentorship, and fostering a positive workplace culture. Provide ongoing support for therapists, facilitating professional development and growth.
9. Supervision:
Explore the possibility of investing in training to become a clinical supervisor, expanding your income streams and simultaneously providing valuable learning opportunities for emerging therapists within your practice. Whether offering direct clinical supervision or becoming a designated site for interns from local universities, this can be a fulfilling way to contribute to the growth and development of new professionals in the field.
Owning Multiple Locations:
10. Integrated Clinics:
Explore the concept of integrated clinics, where diverse therapeutic services are offered under one roof. Interview practice owners who have successfully implemented integrated models to gain insights and tips.
Conclusion:
Starting a group practice is a rewarding venture that requires careful planning and consideration. By understanding when and why to take this step, embracing the potential of multiple locations, making informed decisions on hiring and subleasing, implementing robust agreements, and setting clear expectations, child counselors and therapists can create a thriving practice that positively impacts their community. As group practice owners, they play a crucial role in shaping a collaborative and supportive environment where therapists can excel and, in turn, provide exceptional care to their clients.
