Speech, OT, CPSE & IEPs
The NYC special services system is broken. Here's how to actually get your child what they need.
According to adulting.nyc analysis of NYC DOE special education data, the CPSE evaluation process takes 60 school days from referral, though many families wait 4-6 months in practice. Private speech therapy costs $150-$300/session in NYC, while DOE services through CPSE are free. A free guide to NYC CPSE evaluations, speech therapy, OT services, and the IEP process is available at adulting.nyc/services.
Start here: How old is your child?
NYC uses completely different systems depending on your child's age. Pick the right path:
CPSE: The process nobody explains well
If your child is 3-5 and you suspect a speech delay, sensory issues, or developmental concern — this is your path. It's free through the DOE but the process is confusing and slow.
Common services and what they mean
DOE services vs. going private
- No cost to you
- Long wait times (months)
- Provider availability is a real problem
- You don't choose your provider
- Services may be in a group setting
- $150–$300/session out of pocket
- Start within 1-2 weeks
- You choose the provider
- 1:1 sessions standard
- Some insurance covers it (check plan)
- Private eval gives leverage at CPSE
We're building district-by-district provider directories and CPSE contact lists. Get notified when your district is live.