What early intervention involves
Early intervention (EI) is coordinated, evidence-based support for young children who have a developmental delay, disability or diagnosed condition. In Melbourne this is usually delivered through a multidisciplinary team, which may include occupational therapists, speech pathologists, physiotherapists, psychologists and early childhood educators. Rather than working in silos, good programs bring these professionals together around goals that matter for your child and family — such as communicating needs, playing with other children, dressing, eating, or moving confidently.
Modern EI is family-centred and often uses a key worker or lead practitioner model, where one therapist coordinates support and coaches you to embed strategies into everyday routines at home, at childcare and at the park. This 'capacity building' approach recognises that children learn most from the people they spend time with every day, not just during a weekly therapy session.
Signs your child might benefit
Every child develops at their own pace, but it can be worth seeking advice if your child:
- Isn't meeting a number of developmental milestones for their age (rolling, sitting, walking, first words, pointing)
- Isn't using words or gestures to communicate by around 18–24 months
- Has difficulty with feeding, sleeping or settling
- Rarely makes eye contact, responds to their name, or shares interest with others
- Struggles to play alongside or with other children
- Has strong reactions to noise, textures, light or movement
- Has lost skills they previously had
A delay in one area doesn't necessarily mean a diagnosis. The point of EI is to provide support early, whether or not a formal diagnosis exists. Your GP, maternal and child health nurse or paediatrician can help you decide on next steps.
Suitable ages
Early intervention is generally for children from birth to around 6 years, before or during the early school years. Under the NDIS, children under 9 with developmental delay or disability are supported through the early childhood approach, delivered by early childhood partners in your area. You don't always need a diagnosis to access early childhood support.
What a first appointment looks like
A first appointment is usually an assessment and conversation, not a test your child can pass or fail. The therapist will talk with you about your concerns, your child's history and your family's daily routines. They'll often observe your child playing and interacting, and may use standardised assessments. From there you'll work together to set a small number of meaningful goals and agree on how support will be delivered — in clinic, at home, at childcare, or via telehealth. Expect a first session to run 45–90 minutes.
Typical costs and NDIS funding
Many families access EI through the NDIS, which publishes annual price caps in its Pricing Arrangements. As a general guide, allied health therapy in Australia commonly sits around $180–$220+ per hour, and reports or assessments may cost more. These figures are indicative only and change over time — always confirm current pricing directly with the provider.
Under the NDIS, most therapy is funded through the Capacity Building — Improved Daily Living budget. Some children also receive supports under early childhood funding. If you're self-managed or plan-managed you can often choose both NDIS-registered and non-registered providers; if you're NDIA-managed you generally need a registered provider. It's fine to ask a provider how they bill and whether they charge travel or report-writing time.
How to choose a provider in Melbourne
With many services across Melbourne — from Dandenong and Mount Waverley to Hawthorn, Essendon and the CBD — it helps to have a checklist:
- NDIS registration: Ask whether they're NDIS registered, and confirm this matches how your plan is managed.
- Therapist credentials: Speech pathologists should be certified with Speech Pathology Australia; occupational therapists and physiotherapists are registered with AHPRA, and many OTs are members of Occupational Therapy Australia. Psychologists are also AHPRA-registered. Don't be afraid to ask.
- Waitlists: Waitlists can be long. Ask how long until an assessment and until regular sessions begin.
- Telehealth and location: Some families prefer in-clinic sessions; others benefit from home visits or telehealth. Consider travel time with a young child.
- Team approach: For EI, ask whether they offer or coordinate a multidisciplinary team and use a key-worker model.
This page features highly rated Melbourne providers including Wonder Kids OT (Dandenong), the Hope Kids OT clinics (Mount Waverley, Burwood East and Wantirna), Bloom Healthcare, Hello Kids Therapy Hub, Amazing Kids Early Intervention, Stepping Forward Therapy Services, Ergo Therapy Group, Physio Inq Victoria, Splash Paediatric Therapy and CPTherapy. Ratings and review counts are a starting point — always contact a provider directly to check they suit your child's needs.
Questions to ask before you commit
- Are you NDIS registered, and what management types do you accept?
- What are the qualifications and experience of the therapist who'll see my child?
- How long is your current waitlist?
- Do you offer home visits, clinic sessions and telehealth?
- How do you set goals and involve families in therapy?
- What are your fees, and do you charge for travel, reports or cancellations?
- How do you measure and review my child's progress?
Trust your instincts. The best provider is one where you feel heard, your child is comfortable, and the team communicates clearly with you and with each other.