What occupational therapy involves for children
Occupational therapy for kids focuses on the everyday "occupations" of childhood — playing, learning, self-care and getting along with others. A paediatric OT looks at how a child's body, senses and thinking come together to complete tasks, then works on the specific skills that are tricky.
Common areas of support include:
- Fine motor skills — handwriting, using scissors, doing up buttons and zips, cutlery skills
- Gross motor and coordination — balance, ball skills, and planning movements
- Sensory processing — helping children who are over- or under-sensitive to sound, touch, movement or textures
- Daily-living skills — dressing, toileting, mealtimes, sleep routines
- Attention, self-regulation and emotional control — coping strategies and calming techniques
- School readiness and participation — sitting, following instructions and joining in
OTs often work through play, because play is how children learn best. Many also provide practical strategies and equipment recommendations for home and school.
Signs a child might benefit from OT
Every child develops at their own pace, but you might consider an OT assessment if your child:
- Avoids or struggles with drawing, writing or using their hands
- Finds dressing, feeding or toileting harder than expected for their age
- Is very sensitive to noise, clothing tags, food textures or messy play — or seeks out constant movement
- Has trouble with coordination, balance or seems clumsy
- Finds it hard to sit still, focus or manage frustration
- Is falling behind peers with school tasks or self-care
If you have concerns, it's worth talking to your GP, paediatrician or child health nurse as a first step.
Suitable ages
Paediatric OT can help from the early years right through to the teens. Early support (from toddler and preschool age) is often encouraged because young brains are highly adaptable, but there's no "too late" — OTs also support primary and high-school-aged children with school, independence and social participation.
What a first appointment looks like
An initial appointment usually starts with a conversation about your concerns, your child's development and your goals. The OT may observe your child playing, use standardised assessments, and ask about routines at home and school. This helps them understand your child's strengths and challenges.
After the assessment, the therapist typically provides a report or summary and recommends a plan — how often to attend, what to work on, and any strategies for home. Bring along any previous reports, and a list of the things you'd most like help with.
Typical costs and NDIS funding
As a general guide, occupational therapy in Australia commonly ranges from around $180 to $220+ per hour. The NDIS publishes price limits (caps) for therapy supports that registered providers work within, and these are reviewed each year. Costs can vary by clinic, session length, travel and report writing, so always ask for a clear quote and a service agreement up front.
Under the NDIS, OT is usually funded through Capacity Building — Improved Daily Living. Depending on your plan, funding may be:
- Self-managed — you pay providers and claim back
- Plan-managed — a plan manager pays invoices on your behalf
- NDIA-managed — you must use NDIS-registered providers
Some families access OT privately, through private health extras cover, or via Medicare with a GP-referred Chronic Disease Management plan (limited rebated sessions). Check what applies to your situation.
Pricing above is a general guide only and not a quote — confirm current fees and NDIS price caps directly with each provider.
How to choose a provider on the Sunshine Coast
This page features providers across the region, including Sunbears Paediatric Occupational Therapy (Maroochydore), Grow Play Create (Sippy Downs), Your Best Life Children's and Teens' Therapy (Bokarina), Limitless Allied Health and Talk Plus Allied Health Centre (Caloundra), Minerva Allied Health Services (Maroochydore), Bambini Allied Health (Birtinya), and clinics in Nambour and Minyama.
When comparing providers, consider:
- NDIS registration — if your plan is NDIA-managed you must use registered providers; plan- and self-managed families have more flexibility
- Therapist credentials — check the OT is registered with AHPRA (occupational therapists must be) and, ideally, a member of Occupational Therapy Australia. If speech is also involved, check membership of Speech Pathology Australia
- Paediatric experience — ask whether therapists specialise in children and in your area of concern (e.g. sensory, handwriting, feeding)
- Waitlists — availability varies, so ask about current wait times early
- Telehealth — useful if you're rural or juggling appointments; ask whether it suits your child
- Location and mobile visits — some clinics offer school, home or kindy visits
Questions to ask
- Are your OTs registered with AHPRA and members of OT Australia?
- Are you an NDIS-registered provider, and do you accept plan- and self-managed clients?
- What's your current waitlist for a first appointment?
- What are your fees for assessment, sessions and reports?
- How do you set goals and measure progress?
- Do you offer telehealth, home, school or kindy visits?
- How will you work with our family, school and other therapists?
Taking the time to ask these questions helps you find the right fit for your child and family.