Working With Adults

When working with adults the Occupational therapist has an overriding goal of helping individuals regain or maintain a level of independence that will allow them to be as safe and functional as possible for as long as possible. In addition to assessing the family home to ensure it can be accessed safely an Occupational therapist may prescribe specialised equipment to assist in maintaining ones independence.

This may include walking frames, wheelchairs, toilet aids, hoists, slings, hi- low beds and specialised seating that may be custom made to suit the person. Occupational therapists are unique in that they look at the whole picture when it comes to a person and the issues they present with. This involves analysing the task that needs to be performed, and the environment in which the task takes place. They find creative solutions and offer advice along with adaptive equipment that will assist an individual maintain his/ her independence and dignity.

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Service Options 

(Clinic)

Coastwide Therapy services has 4 clinics across the Central Coast - Killarney Vale, Toukley, Woy Woy and Wyoming. Each clinic is set up with a range of resources including suspension equipment, slides, crash pits and toys to meet your child's needs. Using standardised and non-standardised assessments along with the information collected from parents our Occupational Therapist's will set achievable and meaningful goals collaboratively.

The Occupational therapist uses a developmental play-based, fun approach to work on your child's physical, emotional, social and sensory needs. Parents will be engaged in the therapeutic process as research shows that unless parents understands the process and can replicate interventions at home, seeing a therapist once a week will not reach the best outcomes for your child. The therapist will empower you to have the tools to implement therapeutic interventions into your everyday routine at home.

The Occupational therapist will guide your child through a process of discovering how their body works and what it can do, to promote the development of the skills and confidence they need to successfully participate in all that life has to offer. Coastwide Therapy Services also provides some services to adults at the clinic and in the home environment. Initial consultations, equipment prescription, postural evaluations etc can be completed when their is capacity.

Home

Our therapists also complete home based intervention which provides a unique opportunity for the Occupational Therapist to interact with the child, their siblings and their parents/ carers  in their day to day home environment. These sessions also allow therapists to work on everyday functional skills and routines which are often difficult to replicate in the home environment. As a parent it allows you direct contact with your therapist in your own home to provide support and recommendations based on those things already existing in the home eg routines, layout, toys etc.

NDIS funding CAN be used for home visits. 

Additional costs do occur for visits outside the clinic.

School / Pre School Visits

School based Assessment and intervention programs can provide convenient therapy services at your child's primary or pre-school. Therapy is conducted either in your child's classroom/ playground or they can be withdrawn from their class, utilising a private therapy space within the school, depending on your child's needs.

This approach means the therapist can have direct access to your child's teacher, opening lines of communication and sharing knowledge on how to best support your child. The therapist provides written or verbal feedback at the completion of school based sessions and you as the parent are required to have a face to face session or phone call at the end of each term to assess and evaluate goals. This is an important part of the the therapeutic process to ensure the therapist, teacher and parent are on the same page and moving in the same direction. 

Occupational therapy sessions can be invoiced to the school, pre-school, parents or other external agencies/ services for either full or part of the payment if required. This can be discussed with admin at point of contact.

NDIS funding CAN be used for school visits. 

Additional costs do occur for visits outside the clinic.

Groups

In addition to supporting relationships between a child and their family members, we are committed to facilitating meaningful relationships with your child's peers and siblings. We may recommend individual sessions first, and when ready, a dyad (two children and one therapist), followed by larger groups if/ when possible.

During these groups we continue to work on the identified goals eg motor skill development, sensory regulation, school readiness,  social skill development, play skills, mindfulness whilst fostering the social understanding and bond between friends.

Children learn best from other children and at Coastwide Therapy services we work hard to ensure the grouping of children leads to a successful group. Only children who are currently engaged in our service can attend our group program as this allows us to group children who we think will match well together. 

NDIS funding CAN be used for group therapy at a rate set by the NDIA.

TYPES OF GROUPS

Dyads

In addition to supporting relationships between a child and their family members, we are committed to facilitating meaningful relationships with peers. We may recommend individual sessions first, and when ready, a dyad (two children and one therapist), followed by larger groups if/ when possible. During these groups we continue to work on the identified goals eg fine/ gross motor, sensory regulation, school readiness whilst incorporating the social understanding and bond between friends.

Fussy Eating Groups

Fussy Eating groups assists children who are fussy eaters and those who have limited diets (based on food colour, texture, smell, food group, and more) to develop their eating habits using an individualised or group model. Our program is based on the SOS approach to feeding and allows children to learn about, explore, play with and test different foods. Individual sessions may be recommended first before moving to a small group model.

School Readiness Groups 
School Readiness Groups usually run term 3 and 4 and are for children commencing school the following year. These groups focus on gross and fine motor skills, play skills, classroom routines,  along with social skills necessary for school commencement. 

Friendship Groups (Social skills) 

Our social skills groups focus on the following areas – Greetings, turn taking, waiting, listening to others, eye contact, play ideas, coping with winning and losing, circles of support, appropriate touch, identifying emotions in others and theory of mind. It is unlikely that they will develop all of these skills and generalise their new skills immediately, hence parents will be given ideas and activities to practice at home. These groups are run throughout the term and/ or as a holiday intensive.

The hierarchy of social skills, self esteem and friendship skills:

  1. Awareness of self and self esteem
  2. Social skills: non verbal behaviour or foundation skills (body language, emotions in others etc)
  3. Social skills: verbal behaviour (conversation skills)
  4. Friendship skills

These groups are always very popular and loads of fun.

Sense Rugby

This is a rugby based Occupational Therapy program designed to help kids who usually find it difficult to be part of a sports team. It is run by an Occupational Therapist and an allied health assistant. This groups runs across the course of 6 weeks each term at two locations – Chertsey Public School and ???? Budgewoi. This group has a focus on sensory regulation along with other skills such as social skills including - waiting, turn taking, sharing, greetings, language development and listening skills to name a few. The group also works with children to enhance their physical skills such as gross motor, planning, visual motor skills, bilateral skills, body awareness and strength. Parent participation is encouraged.

Handwriting Groups 
Handwriting groups are often dependent on numbers. Students will be assessed individually initially for suitability for a group/ dyad, and then either placed in an appropriate upcoming group, or placed on a waiting list for the group. Where possible groups are run by school years, that is Kindergarten, years 1-2, years 3-4 and years 5-6.

NOTE: Other groups may be offered throughout the year and will be based on numbers and common need within our service. The above mentioned groups may be multidisciplinary including an Occupational Therapist, Physiotherapist, Speech pathologist, Psychologist, Music therapist, Educationalist or Allied health assistant etc. 

Physiotherapy for Children

Physiotherapists can work with children and their families to ensure the very best physical development and functioning. Clients can range from premature infants to adolescents.

Physiotherapists are often referred to as "movement specialists". Children that see physiotherapists may have conditions, disabilities or impairments that affect their ability to participate in everyday activities. The physiotherapist at this clinic provides the highest quality service to children with; Developmental Delay- babies who have difficulty or delay in their gross motor development eg rolling, sitting, crawling, walking. Also for premature babies requiring follow up of their motor development.


Physiotherapists will see a range of children who have difficulties including but not limited to:

- Cerebral palsy, acquired brain injury, Downs Syndrome, ASD, vision or hearing impairment

- Orthopaedic conditions including but not limited to- talipes equinovarus (club feet), talipes calcaneovalgus, developmental dysplasia of the hip, plagiocephaly, and torticollis.

- Gross motor difficulties- balance, posture, ball skills, strength, running, etc

- Gait/walking problems including but not limited to; intoeing, out-toeing, flat feet, bow legs, knock knees, and toe walking.

SERVICES INCLUDE:

· Individual assessment

· Goal setting with child and family

· Development of individual therapy programme

· Development of home programme

· Development of pre-school/school programme where appropriate

· Liaison with other health professionals involved in the child's care

· Liaison with teachers

· Pre-school/school visits

· Advice and application of equipment

· Application of plaster as needed

· Footwear advice

· Comprehensive reports on request

· Referral to other services as appropriate

REFERRALS; Can come from doctors, teachers, therapists, and parents.

NDIS funding CAN be used for physiotherapy services 

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