What occupational therapy involves for children
Occupational therapy for children focuses on the "occupations" of childhood — the meaningful, everyday activities that make up a child's day. That includes fine motor skills (like handwriting, using scissors and doing up buttons), sensory processing (how a child responds to sound, touch, movement and other input), and daily-living skills (dressing, toileting, feeding and sleep routines).
A paediatric OT looks at how a child's body, brain and environment work together, then designs practical strategies and activities to help them participate more confidently at home, in the classroom and in the community. Sessions are usually play-based, because play is how young children learn best.
Signs your child might benefit from OT
Every child develops at their own pace, but some signs that an OT assessment could help include:
- Difficulty with pencil grip, handwriting, drawing or using cutlery
- Trouble with everyday tasks like dressing, tying shoelaces or managing zips
- Strong reactions to sounds, textures, tags in clothing, or messy play
- Seeming clumsy, bumping into things, or avoiding playground equipment
- Difficulty concentrating, sitting still or following classroom routines
- Delays in reaching developmental milestones
If you're unsure, it's worth chatting with your GP, paediatrician, maternal and child health nurse, or your child's teacher. You don't always need a referral to see an OT privately, but a referral can help clarify goals.
Suitable ages
Occupational therapy supports children from infancy right through to the teenage years. Early intervention (before school age) can be particularly valuable, but OT is helpful at any stage — including for older children navigating school demands, independence and self-regulation.
What a first appointment looks like
An initial appointment usually involves the therapist gathering background information, chatting with you about your concerns and goals, and observing your child through play and structured activities. For some children, a formal standardised assessment is used to measure skills against typical development. The OT will then discuss findings and recommend a plan, which may include a block of sessions, home strategies and reviews.
First appointments often run longer than follow-ups, and it's a good idea to bring any reports from other professionals (paediatrician, speech pathologist, school).
Typical costs and NDIS funding
As a general guide, private OT sessions in Australia typically range from around $190 to $230 per hour. The NDIS sets maximum price limits for therapy under its published price guide, and these caps are reviewed each year — so always confirm current pricing directly with the provider.
If your child has an NDIS plan, OT is generally funded under Capacity Building — Improved Daily Living. This budget can cover assessments, therapy sessions, report writing and, in some cases, therapy assistant support. Some families also access support through Medicare's Chronic Disease Management plan (up to five allied health sessions with a GP referral, though gaps usually apply) or private health extras cover.
Always ask providers whether they charge at or below the NDIS price cap, and whether travel, report writing or non-face-to-face time is billed separately.
How to choose a provider in Canberra
Canberra and the surrounding region have a good range of paediatric OT services, from Griffith and Deakin through to Fyshwick, Bruce, Cook and nearby Queanbeyan. When comparing options, consider:
- NDIS registration: Check whether the provider is NDIS-registered. Registered providers can invoice NDIA-managed plans directly; if you're self-managed or plan-managed, you can also use non-registered providers.
- Therapist credentials: Occupational therapists in Australia must be registered with AHPRA (the Australian Health Practitioner Regulation Agency). You can verify registration and check they're in good standing.
- Paediatric experience: Ask about the therapist's experience with children of your child's age and needs.
- Waitlists: Waitlists for children's OT in the ACT can be lengthy. Ask upfront how long you're likely to wait for an initial appointment and for ongoing sessions.
- Location and telehealth: Consider whether a clinic, home-visit, school-based or telehealth model suits your family. Telehealth can be a useful option for coaching and reviews.
This page features a range of local providers — including Ability To Achieve (Griffith), Early Bird Therapy (Fyshwick), Little Hands OT (Holt), House on the Hill Paediatric Therapy Services (Crace), Ability Action Australia (Bruce) and others across the region — to help you compare.
Questions to ask a provider
- Are your OTs registered with AHPRA, and do they have paediatric experience?
- Are you an NDIS-registered provider, and do you support self-managed and plan-managed families?
- What's your current waitlist for an initial appointment and ongoing sessions?
- How do you set goals and measure progress, and how often do you review?
- What are your fees, and do they align with the NDIS price caps? Is report writing or travel charged separately?
- Do you offer telehealth, home or school visits?
- How do you involve parents and communicate with schools or other therapists?
Taking the time to ask these questions helps you find a provider who's the right fit — someone your child feels comfortable with and who works in partnership with your family.