INTEGRATING SSP INTO YOUR PRACTICE
The SSP is a powerful auditory intervention designed to reduce stress and auditory sensitivity while enhancing resilience and social connection.
When adding the SSP to your practice, you’ll want to consider the financial, logistical, and therapeutic aspects of incorporating SSP into your practice. Use the resources here to optimize your and your clients’ experience.
How can the SSP contribute to the financial success of your practice? How much should you charge for the SSP and your related services? Our pricing guidance and the SSP Calculator helps you find the right financial fit for your practice.
What is the best time to schedule your SSP facilitation? How should you navigate the Pathways to assure your client is getting the most benefit?
Who are ideal candidates for the SSP and why should you recommend it as a therapist? What are the guidelines for facilitation?
The Potential Financial Benefits of the SSP
Did you know that providing the SSP to only one client per month can contribute meaningful incremental financial value to your practice?
In addition to the clinical benefits of the SSP for your clients, many providers view the SSP as an important financial contributor to their practice. Your investment in the SSP can be recouped many times over when successfully integrated into your practice.
For example, a practice that provides the SSP to 1 client per month will gain, on average, over $4,000 in incremental earnings per year (after factoring in subscription costs). At 2 clients per month, providers can add over $10,000 in annual earnings.
The table demonstrates the potential earnings associated with different levels of monthly clients. It assumes an average price of $500 for SSP access and delivery, which is reflective of the market.
We also encourage you to utilize the “SSP Calculator” tool, which enables you to assess your own specific financial impact, based on the unique aspects of your practice.
As you think about the financial potential of the SSP for your practice, how you decide to “price” the SSP for your clients is an important consideration. The guidance below is based on the real-world experiences of SSP providers like you.
|# of SSP Clients/month||Estimated Annual Net Earnings from SSP*|
*Net Earnings are calculated as follows: Total Client Fees/Revenue less SSP Subscription Costs. Calculations are based on an annual/12-month SSP subscription ($139/month) and an average client fee of $500
The SSP’s Two Key Value Components: Time and Access
We want the Safe & Sound Protocol to work for your business. We acknowledge that facilitating the SSP requires an individualized approach and that this may require some pricing flexibility. That said, one thing that is consistent across all providers are the two key components of client value when it comes to the SSP:
- Your clinical time and expertise, and;
- Access to the SSP itself (playlists and tools).
Considering these two key components, we’d like to provide some practical guidance for pricing the SSP with clients, both to support you in your individual decision making, and to help provide a level of consistency in the market.
Whether facilitated in your office or remotely via video conferencing, each client will have different needs for your support.
You’ll likely spend from three to eight hours together with your clients to facilitate the SSP. Some clients will require more than 8 hours, but we do not recommend less than 3 hours. Since the safety you bring and your support during listening can significantly improve the experience, you’ll need to consider your own approach and the time you’ll spend together with each client.
Following are some factors that may affect the amount of time spent facilitating the SSP:
- Inclusion of an initial session to discuss the SSP Intake Form and any pre-assessments and determine an initial plan for facilitation. This is recommended. In fact, more time spent upfront communicating and creating a shared language and understanding can pay off in a smoother experience for the client, and the ability for them to do some of the listening on their own.
- Inclusion of a concluding session to debrief the experience, review the findings from assessments, and assess next steps. This is recommended.
- Age of your client: In general, children tend to require less facilitation time of the therapist because the parent/caregiver can support the delivery.
- Working relationship with your client: Existing clients may require less facilitation time because there is less time needed in intake and connection.
- Client features: You can expect the severity of your client’s features and the degree to which they experience the effects of trauma to impact your facilitation time.
- Use of the Pathways: The Pathways are offered as supplements to the SSP Core to support and integrate. Remember that their use may increase the length of the SSP experience. While the bulk of your time spent with the client will be during SSP Core, it will still be necessary to check in regularly with your client to assure the listening is still meeting their needs and supporting them. It’s important to include this in the estimation of your time.
- Some providers include very short listening sessions of the SSP periodically during their regular therapy sessions. We’re finding the SSP to still be quite effective if done only a little at a time – even segments as short as 5-10 minutes weekly over time.
- In general, it’s best not to shortchange the amount of time you spend alongside your client for their SSP journey.
The SSP is offered on a subscription basis, and includes access to all SSP playlists and clinical tools. The cost of the SSP to providers is determined by the length of the subscription commitment and client usage. The price of a 3-month subscription is $169/month and a twelve-month subscription costs $139/month. Both include 5 Active Clients per month (defined as any client who accesses more than 30 minutes of any playlist within a month). Since digital delivery removes the need for multiple subscriptions, there is a $10 Active Client Fee for each Active Client that exceeds five per month.
Depending on the number of clients you work with in a given month, your cost of accessing the SSP per client will change. For example, if you have an annual subscription and work with only 1 client in a given month, your cost for that client’s access to the playlists of the SSP would be $139 – the cost of the subscription. But the more clients who access the SSP Pathways, the lower the cost per client. Below is a table to assess your cost per client:
|Number of clients||$10 client fee applies?||Cost per client|
|7||Yes: $20 (2 clients x $10)||$22.71|
|10||Yes: $50 (5 clients x $10)||$18.90|
|15||Yes: $100 (10 clients x $10)||$15.93|
|20||Yes: $150 (15 clients x $10)||$14.45|
While the two value factors of time and SSP access can vary by your specific client, practice, location, and experience, a consistent starting point for pricing to the client is important. We offer some options and ranges here as guidance.
Option 1 — SSP Package Pricing
If you include your time and access to the SSP together, a suggested price range for SSP facilitation is $495 – $995. This is the approach we will take with our own SSP Home Program.
Option 2 — Pricing Your Time and SSP Access Separately
If, due to insurance or other aspects of your practice, you prefer to separate the two price components, we recommend charging for the estimated number of hours you will spend facilitating SSP + a fee of approximately $300 for access to the SSP.
Option 3 — Pricing Only for Your Time
Some providers prefer to charge only for their time in facilitating the SSP, and provide SSP access with no explicit fee or upfront bundle price, as described in Option 1. If you choose this approach, you will in most cases fall within the pricing range provided in Option 1 above, of course depending on your hourly rate and the needs of the specific client.
Other Pricing Scenarios
Each client is unique and so too will be their SSP journey. While we expect that the above three pricing frameworks will be the most common, your own client and practice situation may demand a different approach. We hope that these ranges, however, will still guide your approach.
The Importance of Consistency
We acknowledge that these recommendations represent a price increase over previous guidance. This reflects the increasing understanding of the importance of safety and being alongside the client in their SSP journey. In addition, access to the Pathways may lengthen the experience in service of improved effectiveness.
Consistent, established pricing upholds the value of the SSP and sets a standard in the marketplace. As a provider, adhering to this guidance helps to create uniformity among providers and maintain the reputation of the SSP as a valuable clinical approach.
SSP Financial Calculator
Use the SSP Financial Calculator to assess the financial viability of using the SSP in your practice.
- Complete the fields in Your Inputs with information about your practice (if any of the fields are not applicable to your practice, leave them blank).
- Monthly and annual net revenue is calculated automatically in Your Summary.
- Experiment with different activity levels to see how your this impacts the financials of your practice.
The SSP is a physiological, bottom-up protocol that affects the nervous system. While the music is a potent factor, your facilitation and education throughout the process of listening plays a major role in its outcomes. Following are some general suggestions about timing:
- The intervention need not be administered at the same time every day.
- While the SSP consists of five hours, there are no requirements to complete any specific amount of listening during any given session. In fact, Dr Porges describes clearly how “less is more”.
- It can be facilitated in your office or clinic or remotely via video conference.
- The intervention can be administered on a hybrid basis with some sessions facilitated by the clinician and some done independently by the client or overseen by a parent or caregiver at home.
- There is no specific time of day, length or frequency of listening that is mandatory. Pacing of delivery should be decided based on the client’s circumstances and tolerance.
- When accompanying the client in their listening – whether in person or via video conference – it is recommended that you pause regularly and spend equal time assessing the client’s response, processing the experience, and co-regulating.
The SSP is best used in combination with other therapies.
Changes from the SSP can be cumulative and will be enhanced by the social support the client receives and the learning opportunities they are presented with. While you may notice some very positive changes while using the SSP, it is not meant to be used in isolation. The changes you see can potentiate neuroplasticity and functional change from subsequent therapy modalities.
Because of the short duration of the intervention, the SSP can be used flexibly in your practice.
With a new client
The changes in state regulation that often result from using the SSP make it an excellent way to start a relationship with a new client.
With an existing client
The improved outcomes of therapeutic modalities engaged in after the SSP also make it an effective intervention to use at any time. Because the SSP can improve state regulation, you may find it worthwhile to insert when you have reached a plateau in your therapeutic process.
A Guide to the Pathways
The SSP Pathways are offered as tools to support and integrate the SSP experience. This chart offers a quick overview of their characteristics.
|SSP Connect: Classical||Classical||
Full spectrum music curated to enhance calming.
|Ambient (via speakers), earbuds, or over-the-ear headphones||Consider for sensitive clients for calming and/or preparing for listening to vocal music||May listen in any order||Listen according to comfort level|
The underlying playlists of the SSP without any filtration.
|Ambient (via speakers), earbuds, or over-the-ear headphones||Consider for sensitive clients for creating context and setting expectations for SSP Core||– May listen in the specified order to gain understanding of what is to follow
– May also listen in any order, skipping around for a flavor of the experience
|Listen according to comfort level|
The underlying playlists of the SSP with the most potent filtration algorithm applied.
The filtration progresses over each hour of listening making SSP Core a neural exercise.
|Over-the-ear headphones with no noise cancellation||Follow the specified guidelines||Follow the SSP Playlists in the order presented||Follow the SSP Facilitation Guidelines|
The underlying playlists of the SSP with a lighter filtration algorithm than SSP Core.
|Ambient (via speakers), earbuds, or over-the-ear headphones||– Consider for use after successful completion of SSP Core
– Continue to monitor listening, checking in periodically
|May listen in any order||Listen as long as comfortable after therapist has established that client can listen without dysregulation|
Who? Those with the following features might benefit from using the SSP:
- Social and emotional difficulties
- Auditory and other sensory sensitivities
- Auditory processing difficulties
- Anxiety and trauma-related challenges
- Stressors that impact social engagement
- Difficulties in regulating physiological and emotional state
- Chronic pain and fatigue
- Difficulty sleeping
- Gut issues
- Low resilience
Why? The SSP exercises the neural pathways associated with regulating behavioral state and social engagement. These are aspects of the Autonomic Nervous System (ANS). And just as the brain is plastic and can change based on experience, the ANS is also plastic.
The SSP has been shown in peer-reviewed research to significantly increase vagal regulation of the heart. This has the effect of better control of state.
State is critical to how we approach the task at hand. So when a client has better state control, not only can they be more socially engaged, they are more open to therapy. Better state regulation improves therapeutic outcomes.