What age can a child start occupational therapy?

Occupational therapy (OT) supports children's development across everyday activities like self-care, play, learning, and social participation. In Australia, access pathways vary by age and circumstance.

**Early Intervention (0–3 years)** If your child has developmental delay, disability, or health condition, the NDIS Early Childhood Approach provides free therapy coordination and support planning for children under 3 years. You can contact your state's Early Childhood Early Intervention (ECEI) partner or apply directly to the NDIS. Early intervention focuses on family-centred support in natural environments like home and playgroups.

**Ages 4–18 years** Access typically occurs through: - **Medicare**: Your GP can refer your child to an occupational therapist. The Medicare Chronic Disease Management plan (up to 10 allied health sessions per year) or Mental Health Treatment Plan (up to 10 sessions) may apply, with a rebate of around $55–$80 per session (gap fees vary). - **NDIS**: Children with disability or developmental delay may have an NDIS plan. OT services are funded based on individual goals; typical session costs range from $100–$200+ depending on the provider and plan. - **Private**: Direct payment to a registered occupational therapist (AHPRA-registered) costs $80–$200+ per session.

**Common reasons children access OT** Developmental delay, autism, cerebral palsy, coordination difficulties, sensory processing concerns, fine motor skills (writing, self-care), gross motor development, social participation, school readiness, and mental health support.

**Next steps** 1. Contact your GP or paediatrician if you have concerns about your child's development. 2. For children under 9 with disability, contact your state's ECEI partner or the NDIS (1800 800 110). 3. Ask for a referral to an AHPRA-registered occupational therapist. 4. Check whether Medicare rebates or NDIS funding applies to your situation.

Occupational therapists cannot diagnose conditions—that's your GP's or paediatrician's role. If you're unsure whether your child needs OT, start with your GP.