What do paediatric OTs do at school?

In Australian schools, paediatric OTs work across three main areas:

**Classroom Observation and Assessment** OTs observe how your child manages the physical and sensory demands of the classroom—sitting at a desk, holding a pencil, managing noise and movement, following instructions, and interacting with peers. They identify specific barriers to learning, such as poor fine motor control, difficulty with organisation, or sensory sensitivities. This observation informs recommendations for support.

**Teacher Consultation and Environmental Adjustments** OTs work collaboratively with teachers to suggest practical changes that don't require one-on-one support. Examples include: adjusting desk height or chair, providing a sloped writing surface, using fidget tools or movement breaks, modifying task instructions, or creating a quieter workspace. These adjustments often benefit multiple students and are sustainable long-term.

**Individual Support** Some children receive direct OT support in the classroom or a separate space. This might involve practising handwriting, developing self-regulation strategies, building independence with daily tasks (opening lunch containers, managing toileting), or improving social participation during unstructured times like lunch and play.

**Transition Support** OTs help children manage changes—moving from primary to secondary school, transitioning between classrooms, or adjusting to new routines. They may create visual schedules, practise new routes, or work with the child on coping strategies.

**Funding and Access** If your child has an NDIS plan, occupational therapy is often included as a support (typically $3,000–$8,000 annually depending on goals). Medicare rebates are available through a GP referral if your child has a chronic condition or disability (usually 10 sessions per calendar year). Some schools employ OTs directly or access them through allied health services. Ask your school's learning support coordinator about available options.

**Next Steps** Speak to your child's teacher or school's special needs coordinator about whether an OT assessment would help. If pursuing NDIS funding, discuss this with your local NDIS planner. For Medicare access, ask your GP for a referral. The Occupational Therapy Australia website lists AHPRA-registered practitioners.