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Paediatric OT · Self-care and daily living skills

Self-care and daily skills OT for children, building independence at home and at school.

AHPRA-registered mobile OTs helping children develop dressing, feeding, grooming and daily living skills at the pace that works for them.

Self-care skills like getting dressed, managing a toothbrush, using cutlery or doing up a zip may look simple, but for many children they require a sophisticated combination of fine motor control, sensory tolerance, body awareness and sequencing ability. Our OTs assess what is making these tasks difficult and build practical, step-by-step strategies that work in your home environment.

  • AHPRA-registered paediatric OTs
  • Assessed and practised at home
  • NDIS self- and plan-managed, private
  • Mobile across QLD, NSW, VIC & TAS
Call (07) 3477 9366

You'll speak with one of our AHPRA-registered OTs.

Book a callback

We usually call back within one business day.

  • Free intake call
  • No obligation
  • No referral needed
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Mobile OT for children, adults & older people

AHPRA-registered OTs
Paediatric & adult OT
NDIS self- & plan-managed
Aged Care, DVA & private
Home, school, community
Paediatric OT · Self-care and daily living

Why self-care tasks are harder than they look

Getting dressed, managing a toothbrush, using a knife and fork or doing up a shoelace each require a combination of fine motor control, sensory tolerance, body awareness and the ability to sequence and execute multiple steps without prompting. When one or more of those foundations is not yet in place, a child can seem oppositional or behind when they are actually just missing a specific skill. OT identifies which component is missing and builds it.

Dressing and fastening skills

Buttons, zips, snap fasteners, socks and shoelaces each require different combinations of bilateral coordination, pinch strength and tactile feedback. Your OT assesses each task in your home, identifies the specific component causing difficulty, and builds a graded practice programme. Equipment modifications (elastic laces, larger buttons, front-fastening clothes) are recommended where they provide genuine functional gains.

Feeding and mealtime skills

Cutlery use, managing mixed food textures, drinking from open cups and self-feeding with control all develop across the early years. Your OT assesses where the difficulty sits (grip, coordination, sensory aversion or sequencing) and builds practical strategies around your family's mealtimes. Sensory-based food refusal is addressed separately through a graded exposure approach, not through pressure or distraction.

Grooming and personal hygiene

Toothbrushing, hair brushing, face washing and handwashing are daily tasks that sensory sensitivity, motor difficulty or sequencing challenges can make genuinely distressing. Your OT works through each task at your child's pace, introduces sensory modifications (different toothbrush types, water temperature adjustments, visual sequences) and builds consistent routines that reduce daily battles.

Toileting independence

Moving from nappies to independent toileting involves body awareness, sensory processing, motor coordination, clothing management and the ability to recognise and respond to internal signals. Your OT assesses the specific barriers, coordinates with parents and educators on a consistent approach, and works through the physical and sensory components of toileting that are within OT scope.

Morning and bedtime routines

Routines that involve multiple self-care steps in a sequence under time pressure are consistently the most challenging part of the day for many families. Your OT maps your existing routine, identifies where the breakdown points are, and builds a restructured sequence: visual timetables, task modifications and environmental setups that make the routine predictable and achievable without constant adult prompting.

Managing school belongings

Packing a school bag, opening a lunchbox, managing a drink bottle, organising sport clothing and remembering what goes where are self-care tasks with real school consequences. Your OT assesses these in your home environment, works on the fine motor and organisational components, and provides the school with specific strategies so expectations and supports are consistent across home and classroom.

How it works

Getting started with a mobile OT

Whether NDIS, aged care, DVA or private, the admin can feel complicated. We handle the paperwork and explain the funding options in plain English so you can focus on the person, not the process.

01

Call us or request a callback

Phone (07) 3477 9366 or drop your details in the form. Our intake team usually responds within one business day. We'll ask about age, goals, funding and where you're based.

02

Matched with the right Occupational Therapist

We pair you with an AHPRA-registered OT experienced in your context: paediatric, adult, older adult, rehab or reports. You know who's coming, and why they're the right fit.

03

Mobile OT, we come to you

Your OT visits you at home, at school, at work or in the community. We build a personalised plan, document progress, and coordinate with your supports, GP or support coordinator.

Meet the team

The people behind every visit

Our Occupational Therapists are AHPRA-registered, supported by OT assistants, a psychologist, a speech pathologist and a warm admin team who'll be your first point of contact. Small enough to know your name, big enough to match you with someone whose experience fits your goals.

AHPRA-registered OTs SPA Certified Speech Pathologist Coverage across QLD, NSW, VIC, TAS
Emily, Occupational Therapist at Astrad

Emily

Occupational Therapist

AHPRA-registered
Jamie, Occupational Therapist at Astrad

Jamie

Occupational Therapist

AHPRA-registered
Lachlan, Occupational Therapist at Astrad

Lachlan

Occupational Therapist

AHPRA-registered
Andrew, Occupational Therapist at Astrad

Andrew

Occupational Therapist

AHPRA-registered
Matt, Occupational Therapist at Astrad

Matt

Occupational Therapist

AHPRA-registered
Niamh, Occupational Therapist at Astrad

Niamh

Occupational Therapist

AHPRA-registered
Elloise, Occupational Therapist at Astrad

Elloise

Occupational Therapist

AHPRA-registered
Bronwen, Occupational Therapist at Astrad

Bronwen

Occupational Therapist

AHPRA-registered
Monique, Occupational Therapist at Astrad

Monique

Occupational Therapist

AHPRA-registered
Sally, Occupational Therapist at Astrad

Sally

Occupational Therapist

AHPRA-registered
Sanskruti, Occupational Therapist at Astrad

Sanskruti

Occupational Therapist

AHPRA-registered
Mala, Occupational Therapist at Astrad

Mala

Occupational Therapist

AHPRA-registered
Milly, Psychologist at Astrad

Milly

Psychologist

AHPRA-registered
Teresa, Speech Pathologist at Astrad

Teresa

Speech Pathologist

SPA Certified Practising
April, Occupational Therapy Assistant at Astrad

April

Occupational Therapy Assistant

Under OT supervision
Georgie, Occupational Therapy Assistant at Astrad

Georgie

Occupational Therapy Assistant

Under OT supervision
Mia, Occupational Therapy Assistant at Astrad

Mia

Occupational Therapy Assistant

Under OT supervision
Liliana, Speech Therapy Assistant at Astrad

Liliana

Speech Therapy Assistant

Under SPA supervision
Delia, Client Intake Coordinator at Astrad

Delia

Client Intake Coordinator

Intake team
Bethany, Client Intake Coordinator at Astrad

Bethany

Client Intake Coordinator

Intake team

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Request a clinician match

Tell us your preferences: gender, language, cultural background, clinical experience. We'll match you with a clinician who fits.

Transparent pricing

No surprises on your invoice

We can't list fixed prices publicly. What you pay depends on your funding stream, the service, and your location. But every Astrad client gets the same three things, in writing, before any visit is booked.

Request a written quote

A written quote before we start

Every client gets a clear written quote setting out session rates, expected travel time and any reports, before we schedule a single visit.

Within NDIS price limits

For NDIS participants we bill within the limits set out in the current NDIS Pricing Arrangements and Price Limits. No surprises at invoice time.

Travel disclosed up front

Travel and non-face-to-face time are always quoted in writing, at the rates allowed for your funding stream. What you see is what you pay.

Coverage

Mobile OT across four states

Our Occupational Therapists travel to you. At home, at school, at work or in the community. We cover metro and many regional areas across Queensland, NSW, Victoria and Tasmania. Not sure if we reach your postcode? Ask us. We usually confirm within one business day.

Check availability

Queensland

Brisbane, Gold Coast, Sunshine Coast, Ipswich, Logan, Toowoomba

New South Wales

Sydney, Central Coast, Wollongong, Newcastle

Victoria

Melbourne, Geelong, Bendigo, Ballarat

Tasmania

Hobart, Launceston, Devonport

Questions & answers

Paediatric self-care OT: the common questions

Can't see your question? Call us and we'll answer it directly.

What self-care skills does paediatric OT work on?

Our OTs commonly work on dressing (buttons, zips, shoelaces, managing clothing textures), feeding (cutlery use, managing mixed textures, drinking from cups), grooming (teeth brushing, hair brushing, washing face and hands), toileting independence, managing school belongings (bag packing, lunchboxes), and morning and bedtime routines. Goals are set based on what matters most for your child's age and daily life.

At what age should a child be managing their own self-care?

There is a wide developmental range, but as a rough guide: most children can assist with dressing by age 3, dress independently (except complex fastenings) by 4 to 5, and manage most self-care tasks with minimal help by age 6 to 7. If your child is significantly behind peers or self-care tasks regularly cause distress or avoidance, it is worth an OT chat.

My child can physically do the task but refuses. Is that still an OT issue?

Often, yes. Refusal of self-care tasks is frequently driven by sensory sensitivities (textures, temperature, movement), anxiety about the steps involved, or difficulty with transitions. OT can help identify what is driving the refusal and work on practical strategies to reduce it, which is different from a purely behavioural approach.

Does my child need a diagnosis for self-care OT?

No. Self-care difficulties are assessed and supported on their own merits. Many children we see have no formal diagnosis. If your child does have a diagnosis (autism, developmental coordination disorder, ADHD, sensory processing differences), we factor that into the approach.

Will the OT come to our home for self-care sessions?

Yes. For self-care goals, home is by far the most useful setting. We observe your child in their actual environment: their bathroom, their bedroom, their kitchen. We see the specific barriers (a difficult button, a distracting environment, the routine that always breaks down) and build solutions around them. It is far more effective than practising in a clinic.

Does NDIS fund self-care OT for children?

Yes. Self-care OT is funded under the Improved Daily Living (Capacity Building) budget for self-managed and plan-managed NDIS participants. Some self-care goals may also fall under the Daily Activities support category depending on the plan. Our OTs will help you understand how your child's funding can be used before sessions begin.

What is the difference between OT and parenting strategies for self-care?

A good OT self-care programme always involves parent coaching. The difference is that OT identifies the underlying functional barriers (sensory, motor, sequencing) that generic parenting strategies do not address. Our OTs provide specific, evidence-informed strategies tailored to your child's actual profile, then help you implement them consistently at home.

Ready when you are

Dressing battles. Mealtime meltdowns. Morning routines that take an hour. Sound familiar?

Our OTs come to your home, assess what is actually making self-care hard for your child, and build a practical plan you can use straight away. No clinic, no referral needed, no jargon. NDIS self- and plan-managed, or private. Call (07) 3477 9366 or book a callback below.

We usually call back within one business day.

Mon–Fri 9am–5pm Brisbane time

Request a callback

We usually call back within one business day.

Call us