At OTHC, we offer therapy sessions in a variety of settings, including our clinic, schools, and occasionally at home. We work with several schools across Sydney’s Northern Beaches and North Shore. In school, we assist children from preschool age right up to teenagers preparing for their HSC.
Understanding OT at school vs OT at a clinic
Choosing the right setting for your child’s therapy is a crucial decision. Every child is unique, and what supports one child may not support another. School-based OT has many advantages, especially for busy families who have limited time after school due to sports, homework, and other extracurricular activities. By having sessions during the school day, your child can receive the support they need without sacrificing time for other activities.
One of the greatest benefits of school-based therapy is that it allows therapists to observe and support your child in their natural learning environment. Close collaboration with teachers ensures that your child’s therapy goals are directly aligned with their classroom needs. There is nothing more rewarding than seeing a child apply the skills they’ve learned in therapy to their daily school life. That may include self-regulation, handwriting, or social interactions. While handwriting and fine motor skills are commonly addressed in school-based therapy, it also provides an opportunity for therapists to monitor progress on other goals and adjust strategies as needed.
What to expect during school-based OT
During school-based therapy at OTHC, therapists give each child a dedicated folder to organise their work and a communication sheet. The OTs update this weekly to keep parents informed about progress. Therapists also email parents fortnightly to share developments and discuss any adjustments to the therapy plan. Your OT will ensure consistent communication and steady progress toward the child’s goals.
It’s important to recognise that while school-based therapy can be highly beneficial, it may not always align with every child’s needs. Each child is unique, and their therapy should be personalized to address their individual strengths and challenges. Example, if your child’s goals focus on sensory processing or gross motor skills, a clinic setting might be more suitable. Clinics often have specialised equipment and environments, like sensory swings or climbing walls, designed to support these goals. Clinic-based settings may be more appropriate for children who need help with transitions. It also offer the opportunity for face-to-face feedback, along with educational and coaching support for parents and families during sessions.
When choosing the most suitable therapy setting for your child, it’s crucial to consider their unique needs and the kind of support they require to achieve their goals. If you’re uncertain, consulting with your therapist can provide valuable guidance on what may be most beneficial. The aim is to place your child in an environment that optimally fosters their growth, development, and overall well-being.


