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OCCUPATIONAL THERAPY · SERVICE GUIDE

Paediatric Occupational Therapy

Supporting your childs growth, their way.

Paediatric Occupational Therapy helps children take part in the everyday things that make up childhood, from getting dressed and holding a pencil to playing, making friends, and managing a school day. At Optimum Health Solutions, our Occupational Therapists work with your child and your family to build the skills that matter to you.

Occupational Therapists look at the “occupations” of childhood, the everyday activities a child does. When something in that day is hard going, whether it’s doing up buttons, sitting comfortably at the mat, coping with a noisy classroom, or forming letters with a pencil, your Occupational Therapist works out why and helps your child find a way through it. Occupational Therapy Australia, the profession’s peak body, sets the standards our team works to.  
Our Occupational Therapy team at Optimum Health Solutions is experienced in offering support for paediatric occupational therapy across our clinics in NSW and Tasmania, alongside our Occupational Therapists for the physical side of access.

Every child is different, and so is every plan. We start by getting to know your child, what they’re good at, what they enjoy, and where the day gets tricky. We build support around who your child is, at a pace that suits them, so they can take part in the life they want with more confidence and less frustration.

How families fund paediatric Occupational Therapy

There are a few ways families pay for paediatric Occupational Therapy, and we’ll help you work out which one fits.

  • NDIS, the early childhood approach. For children younger than 9 with a developmental concern or disability, the NDIS early childhood approach funds support focused on taking part in everyday activities at home, in early learning, and in the community. A diagnosis isn’t always required to get started.
  • NDIS, for older children. School-age children with an NDIS plan can access Occupational Therapy under Capacity Building, in Improved Daily Living. We handle the service agreements and the reports.
  • Medicare. If your child has a chronic or complex condition, your GP can write a Chronic Condition Management Plan, which gives up to 5 Medicare-subsidised allied health sessions a calendar year, shared across all allied health. Your GP will let you know if your child is eligible.
  • Private health insurance. With extras cover you can claim on the spot through our HICAPS terminal.
If you’re not sure where to start, call us on 1800 678 647 and we’ll talk it through before your child’s first visit.

What we help with

01

Fine motor skills and handwriting

Doing up buttons, using scissors, holding a pencil so writing doesn’t tire the hand. These small movements take a lot of coordination, and for some children they’re genuinely hard work. Your Occupational Therapist looks at how your child uses their hands, then builds playful activities that grow the strength and control underneath the skill. For handwriting, that might mean a pencil grip that suits them, letter formation that sticks, or ways to take the pressure off so a child can get their ideas down without the writing getting in the way.

02

Sensory differences

Some children feel the world more intensely, where a noisy classroom, a scratchy school jumper, or a busy shopping centre can be a lot to take in. Others go looking for more movement and input than a day usually offers. This is how their nervous system takes in the world. Your Occupational Therapist helps you understand your child’s sensory differences and works with you on practical ways to make the day more comfortable, so your child can settle, focus, and take part on their own terms.

03

Getting dressed, eating, and daily routines

The ordinary parts of a day, getting dressed for school, managing a knife and fork, the bathroom routine, packing a bag, can be a daily battle for some children, and a stressful one for the whole family. Your Occupational Therapist breaks these routines into steps your child can manage and finds the tweaks that help, the right equipment, a visual routine, a different technique. The aim is for your child to do more of their day themselves, in a way that feels good for them.

04

Play and making friends

Play is how children learn, and how they connect with other kids. Some children find it hard to join in, share, take turns, or read what’s happening in a game. Your Occupational Therapist uses play itself as the way in, building the skills and confidence to take part, at your child’s pace. For neurodivergent children, that means connecting in ways that work for them, on their own terms.

05

Starting school

Starting school is a big step. Sitting at a desk, following a group instruction, managing a busy room, getting through the day with energy left over. Your Occupational Therapist works with you, and often with the early learning service or school, to build the everyday skills that make the classroom easier to manage, and to set up the environment so it suits how your child learns. The work often starts well before the first day, practising the routines and the transitions that school will ask for.

06

Attention and regulation

Some children find it hard to settle, switch between tasks, or come back down after they have been upset or excited. Your Occupational Therapist helps you understand what’s going on underneath, and builds practical strategies that fit your child and your family, ways to get ready for a task and wind down afterwards, and changes to the day that take some of the pressure off. The work is always about helping your child feel more in control, in a way that respects who they are.

INSIDE THE CLINIC

What working with us looks like

Every child is different, so we start by getting to know yours. Most families move through four stages with us.

Stage 1, getting to know your child. The first session is mostly play and conversation. Your Occupational Therapist watches how your child moves, plays, and manages tasks, and asks you about your child’s day, what’s going well, and what’s hard. There are no surprises, and nothing your child can get wrong.

Stage 2, the assessment and plan. Your Occupational Therapist works out what’s getting in the way and what will help, and sets goals with you around the things that matter to your family. For NDIS or school, that includes the reports and goals required.

Stage 3, the sessions. Therapy looks a lot like play, because play is how children learn. Sessions build the skills and confidence behind the goals, and your Occupational Therapist coaches you on what to carry into home and school, so the progress isn’t stuck in the therapy room.

Stage 4, reviewing and adjusting. We check in on the goals, notice what your child has built, and adjust the plan as they grow. Paediatric Occupational Therapy is one part of what our Occupational Therapy team works on, and one of the ways we support children’s health across our clinics.

NDIS

Paediatric Occupational Therapy through the NDIS

If your child has an NDIS plan, it may fund Occupational Therapy under Capacity Building, in Improved Daily Living. For children younger than 9, the NDIS early childhood approach focuses on early support and taking part in everyday activities, and a diagnosis isn’t always required to get started. Your Occupational Therapist writes goals around the things that matter to your family, getting dressed for school more easily, joining in at the playground, getting through the morning routine, and tracks progress against them.

We handle the service agreements, the reports, and the back-and-forth with your plan manager or the NDIA. Self-managed, plan-managed, or NDIA-managed, we sort the admin. Find your nearest team on our locations page.

12 clinics across NSW & Tasmania

Email us

hello@opt.net.au

Speak to us

1800 678 647

START THE CONVERSATION

Get in Touch.

COMMON QUESTIONS

Common questions about paediatric Occupational Therapy

What does a paediatric Occupational Therapist do?
A paediatric Occupational Therapist helps children take part in the everyday activities of childhood, the “occupations” that fill a child’s day. That covers fine motor skills like handwriting and using cutlery, self-care like dressing and the bathroom routine, play and making friends, sensory differences, attention and regulation, and getting ready for school. Your Occupational Therapist works out what’s making an activity hard for your child, then builds the skills and adjusts the environment so your child can join in more easily, at their own pace.
Families come to Occupational Therapy when part of a child’s day is consistently hard going, in a way that wears on the child or the family. That might be a child who finds handwriting exhausting, who finds a noisy classroom overwhelming, who finds buttons and shoelaces tricky when other parts of life come easily, who finds it hard to join in play, or who is finding the start of school a big step. You don’t have to have a diagnosis to come. If you’re not sure whether it’s worth it, a first session helps you find out.
Trust what you’re seeing day to day. If something is a daily battle, dressing, mealtimes, handwriting, settling, or joining in, and it’s not easing as your child grows, an assessment can help you understand why and what would help. There’s no requirement for a formal diagnosis or a referral before you ask. Many families come simply because something feels harder than it should be for their child, and they want to understand it. A first session is low pressure and gives you a clear picture.
There are a few pathways. If your child has an NDIS plan, it may fund Occupational Therapy, and for children younger than 9 the NDIS early childhood approach can start support without a formal diagnosis. If your child has a chronic or complex condition, your GP can write a Chronic Condition Management Plan for up to 5 Medicare-subsidised allied health sessions a calendar year, shared across all allied health. Private health extras cover can also rebate sessions. Not sure which fits? Call us and we’ll work it out with you.
Not to book privately. You can come to us directly, with no referral and no diagnosis, if you simply want to understand what’s going on for your child. A referral matters for funding: for Medicare, a GP writes a Chronic Condition Management Plan, and for the NDIS, an approved plan must be in place. We can talk you through what each pathway involves before you commit to anything.
The first session is relaxed and mostly play-based. Your Occupational Therapist spends time getting to know your child, watching how they move, play, and approach tasks, and talking with you about how the day goes at home and at school. There’s nothing your child can get wrong, and nothing to prepare. By the end, you’ll have a sense of what’s going on and what working together might look like. Wear comfortable clothes your child can move and play in.
CLINICALLY REVIEWED BY

Reviewed by Sarah-Louise higgins

BSc (hons) Occ Thy
Head of Clincal Development (Occupational Therapy)
With over 10 years of clinical experience practicing in the United Kingdom and Australia, Sarah-Louise is an Occupational Therapist with a strong background in mental health, assistive technology, and home modifications.
Sarah-Louise Higgins

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