What do I do while waiting for paediatric OT?

Paediatric OT waitlists across Australia vary considerably. In some states, public waitlists exceed 12 months, while private OT costs $120–$200 per session (not subsidised by Medicare unless referred through a mental health plan). If your child has an NDIS plan, you may access OT services funded at approximately $80–$120 per hour (2025–26 NDIS Pricing Arrangements), depending on your plan allocation and provider.

While waiting, take these practical steps:

**Parent Education** Research your child's specific needs (fine motor, gross motor, sensory processing, self-care skills). Ask your GP or referrer for resources. The Australian Occupational Therapy Association (AOTA) website provides general information. Understanding what OT addresses helps you recognise progress and communicate effectively with schools.

**Home Routines** Create sensory-friendly environments: reduce visual clutter, use consistent daily schedules, and incorporate movement breaks. Simple activities like playdough, climbing, water play, and drawing develop motor skills. Establish consistent mealtimes and sleep routines, which support development.

**School Communication** Contact your child's teacher or school coordinator. Share your concerns and ask what support the school can provide (occupational therapy aide, classroom modifications, movement breaks). Many schools implement strategies without formal OT involvement. Request a meeting if your child struggles with writing, self-care, or transitions.

**When to Escalate** Contact your GP if: - Your child's development significantly declines - Safety concerns emerge (e.g., severe coordination difficulties affecting playground safety) - Behavioural changes accompany developmental concerns - You're concerned about autism or developmental delay (GP can refer for assessment)

Your GP can prioritise your referral if circumstances change or escalate your urgency rating on the waitlist.

**Funding Options** If your child has an NDIS plan, request OT services be added or increased. If not NDIS-eligible, explore private OT (costs vary by state and provider) or ask your GP about mental health plans, which may subsidise psychology or allied health services. Some community health services offer subsidised OT; contact your local council or health department.

**Next Steps** Confirm your referral status with the service provider. Ask for an expected waitlist timeframe and whether your child qualifies for priority access (e.g., complex needs, safety concerns). Keep records of your child's progress and concerns to share with the OT when your appointment arrives.