What therapy assistants and groups involve
Allied health assistants (sometimes called therapy assistants) work under the supervision and delegation of a qualified therapist — usually an occupational therapist, speech pathologist or physiotherapist. The therapist sets the goals and the plan, and the assistant helps deliver the hands-on practice, often at a lower hourly rate. This can stretch your funding further while keeping regular momentum between therapist-led sessions.
Group programs bring several children together to work on shared goals in a social setting. Common examples include social skills groups, fine-motor or handwriting groups, play-based groups, feeding groups and school-readiness programs. Groups are led or overseen by an allied health professional, and they give children a natural chance to practise skills with peers — something that's hard to replicate one-on-one.
Signs your child might benefit
Every child develops at their own pace, so this is not a checklist for diagnosis. Some families explore group or assistant support when a child:
- finds it hard to take turns, share or join in with other children
- struggles with everyday tasks like dressing, using cutlery or handwriting
- has difficulty following instructions or communicating needs
- feels anxious in new or social situations
- is working towards specific goals set by a therapist and needs more repetition and practice
If you're unsure, a GP, paediatrician or your child's current therapist can help you decide whether individual therapy, a group program, or a combination is the best fit. This guide is general information only and isn't a substitute for professional advice.
Suitable ages
Programs exist across early childhood through to the teenage years. Toddler and preschool groups often focus on play, language and early social skills, while school-age groups may target friendships, emotional regulation, handwriting or executive functioning. Some providers run separate teen groups. When enquiring, ask whether a group is grouped by age, developmental stage or specific goal.
What a first appointment looks like
Before joining a group or starting assistant sessions, most providers begin with an initial assessment or intake with a qualified therapist. This usually involves:
- a conversation about your concerns, your child's history and your goals
- some observation or play-based assessment of your child
- a discussion of whether individual therapy, group work or assistant-delivered sessions suits your child
- a plan outlining recommended frequency and how progress will be measured
Bring any previous reports, your child's NDIS plan (if you have one) and a list of questions. First appointments often run 45–90 minutes.
Typical costs and NDIS funding
As a general guide, allied health sessions in Australia commonly range from about $150 to $220 per hour, while therapy assistant time is usually charged at a lower rate. Group programs are often priced per session or per term and can work out cheaper per child than individual therapy. The NDIS publishes annual price caps for registered supports, and actual fees vary between providers — always confirm current pricing directly, as these figures are indicative only.
Under the NDIS, therapy for skill development typically comes from your child's Capacity Building budget (Improved Daily Living). Therapy assistant time is often billed at a separate, lower line item under the supervising therapist's delegation. If you're plan-managed or self-managed, you'll have more flexibility to use non-registered providers; if you're NDIA-managed, you'll generally need an NDIS-registered provider. Ask each service how they bill and whether group programs can be claimed against your child's plan.
How to choose a provider in Sydney
Sydney has a wide spread of services, from the Sutherland Shire to the Inner West, North Shore and Eastern Suburbs. When comparing options:
- Check NDIS registration if your plan is NDIA-managed, or if you simply prefer a registered provider.
- Verify credentials. Speech pathologists should be members of Speech Pathology Australia; occupational therapists should be registered with AHPRA and may belong to Occupational Therapy Australia; physios are also AHPRA-registered. Ask who supervises any therapy assistants.
- Ask about waitlists. Popular clinics can have waits of weeks to months, and group intakes may only open at the start of a term.
- Consider location and telehealth. Some support can be delivered via telehealth, which may reduce travel — though hands-on and group work is usually in person.
- Look at reviews and fit. Ratings such as those featured on this page can be a starting point, but a good match for your child matters most.
Questions to ask
- Are you NDIS registered, and how do you bill group and assistant sessions?
- What are the qualifications of the therapist and the assistant?
- How is the assistant supervised, and how often does the therapist review progress?
- What is the current waitlist, and when does the next group intake start?
- How are goals set and progress reported back to me?
- What's the group size, age range and staff-to-child ratio?
- Do you offer telehealth for any part of the program?
Taking a little time to ask these questions upfront helps you find a service that suits your child's goals, your budget and your family's routine.