What does a paediatric occupational therapist actually do?

Paediatric occupational therapists work with children from birth through to young adulthood, focusing on their ability to engage in the occupations that matter most—play, school, self-care, and social participation. They're trained health professionals registered with AHPRA (Australian Health Practitioner Regulation Agency).

What they assess An OT will observe and evaluate how your child manages everyday tasks. This might include fine motor skills (like holding a pencil or using scissors), gross motor skills (like climbing or balance), sensory processing, coordination, attention and concentration, self-care routines (toileting, dressing, eating), and social skills. They'll also consider your child's environment—home, school, childcare—to understand what barriers exist.

What they do in sessions OT sessions typically last 45–60 minutes and might involve play-based activities, structured exercises, or practice with real-life tasks. For a child struggling with handwriting, an OT might strengthen hand muscles through games, teach grip techniques, and suggest ergonomic adjustments. For a child with sensory sensitivities, they might introduce gradual exposure to different textures or movements in a controlled way.

How to access paediatric OT in Australia You can access paediatric OT through several pathways: - **NDIS**: If your child is eligible, the NDIS funds occupational therapy. The 2025–26 NDIS Pricing Arrangements set standard rates; your plan will outline allocated therapy hours. - **Medicare**: Your GP can refer your child for a Mental Health Treatment Plan or Chronic Disease Management Plan, which may include OT rebates (typically $80–120 per session, with the therapist billing Medicare directly). - **Private**: You can self-refer to a private OT; costs vary ($100–250+ per session depending on location and experience). - **School or early intervention services**: Some schools employ OTs, and early childhood intervention programs (state-based) may provide OT as part of developmental support.

Common reasons parents seek paediatric OT Children are referred for OT when they're struggling with handwriting, fine motor skills, coordination, self-care independence, sensory sensitivities, attention difficulties affecting learning, or social participation. OTs also support children with autism, cerebral palsy, developmental delay, dyspraxia, and other conditions affecting daily functioning.

What to do next Start with your GP or paediatrician, who can assess whether OT is appropriate and provide a referral if needed. If your child is NDIS-eligible, discuss OT goals with your planner. Ask potential OTs about their experience with your child's specific needs and what outcomes you might expect over 8–12 weeks.