Our Services

Supporting meaningful participation in everyday life - at home, in school, and in the community.

At Coastwide Therapy, we offer occupational therapy services for children and young adults experiencing challenges that impact the things they need and want to do.

We use a neuro-affirming, strength-based approach that celebrates individual differences and builds skills through interest-led, play-based strategies. Our therapists focus on practical tools and everyday routines that can be embedded into home and school life — without the pressure to buy expensive equipment or specialised resources.

What we are all about

At Coastwide Therapy, our occupational therapists lead with connection, steer clear of compliance-based interventions, and support children and young people to build confidence, safety, and skill across their daily lives.

We work collaboratively with families, educators, support workers, and allied health professionals to create wraparound supports that meet children where they’re at — not where they’re expected to be.

We support children and young people with a wide range of developmental differences and disabilities, including (but not limited to):

• Autism
• ADHD and Attention Differences
• Cerebral Palsy
• Global Developmental Delay
• Sensory Processing Differences
• Neurological and Physical Disabilities
• Learning and Participation Challenges

We don’t confine therapy to the clinic — we work where life happens: in homes, schools, preschools, and the community. We support participation across self-care, learning, emotional regulation, social interaction, play, and community life.

We prioritise:

Collaborative goal setting that centres the voice of the child, alongside their family and support network.
Interest-based and identity-affirming approaches that make therapy meaningful, inclusive, and tailored to the individual.
Trauma-informed flexibility, recognising that past experiences impact regulation, communication, relationships, and engagement.
Coaching and mentoring the adults around the child, because real progress doesn’t come from one session a week — it comes from getting everyone on the same page, embedding strategies into daily life.
Environmental adaptations that support regulation, independence, and access across all settings.

Key areas we support

Sensory Processing – Helping children and young people understand their nervous systems and explore regulation strategies that support communication, relationships, learning, and participation across environments.

Emotional Regulation – Building awareness and developing strategies to understand, express, and manage emotions in ways that feel safe and supportive, so children can engage in what matters most to them.

Play and Social Differences – Valuing play as both a therapeutic tool and an occupation in its own right — one that fosters development, connection, and belonging in a way that is authentic to each child.

Fine Motor Skills – Developing the foundations for tasks like writing, dressing, feeding, and play.

Responsive Feeding – Supporting safe and positive mealtime experiences by exploring sensory needs, motor skills, and emotional safety. We build trust around food and routines at the pace of the child, working closely with families to reduce stress and promote curiosity, regulation, and connection during mealtimes.

Gross Motor Skills – Promoting movement, balance, coordination, and motor planning using fun, play-based activities.

Executive Functioning – Supporting skills like planning, organisation, flexible thinking, and self-monitoring in everyday tasks. We work with families and educators to scaffold these skills in real-world situations, helping young people gain confidence, independence, and control over how they manage their time, energy, and responsibilities.

Visual Processing – Strengthening skills like visual tracking, memory, and visual-motor integration — essential for learning, social play, and navigating the world.

Handwriting and Pre-Writing – Supporting grip, posture, and formation in ways that make writing tasks more achievable and less stressful.

Self-Care Skills – Breaking down tasks like toileting, dressing, and hygiene into manageable steps, building independence and success through real-world practice.

Adaptive Equipment Prescription – Recommending functional, accessible equipment (e.g. wheelchairs, prams, hoists, slings, hi-lo beds, car seats and travel harnesses) to promote safety, comfort, and participation.

Therapy that meets you where you are

Clinic-Based Therapy

Our clinics in Killarney Vale, Toukley, and Wyoming are equipped with a wide range of sensory and motor resources, including suspension equipment, crash pits, climbing frames, and creative play zones. Sessions typically run for 45-60 minutes and are scheduled weekly or fortnightly, depending on your child’s goals and the clinical reasoning around what will best support their progress.

We use interest-driven, play-based approaches tailored to your child’s goals. Parents are actively involved, because real progress happens when strategies are realistic and continue to be implemented beyond the session.

Home Visits

Therapy at home allows us to support your child in a space that’s safe, familiar, and meaningful to them. It lets us work on real-life skills, in real time - within the routines, relationships, and environments that matter most.

Home visits also provide the opportunity to:

Build independence in daily routines like dressing, toileting, mealtimes, and transitions
Use the toys, tools, and resources you already have - no fancy equipment required
Coach and support parents and carers to embed strategies into everyday life
Involve siblings and extended family where relevant
Adapt your child’s environment to support access, regulation, and participation

We meet you where you are, literally and figuratively - to create changes that feel practical, respectful, and doable. Sessions typically run for 45-60 minutes and are scheduled weekly or fortnightly, depending on your child’s goals and the clinical reasoning around what will best support their progress.

Please note: additional travel costs apply.

School & Preschool Visits

We work directly within school and early learning environments - in the classroom, playground, or a quiet therapy space, to support participation, regulation, and access to learning. These visits are most effective when parents are actively involved.

Therapy works best when families, educators, and therapists are on the same page. School and preschool sessions are just one part of your child’s support - not the whole picture. Sessions typically run for 45-60 minutes and are scheduled weekly or fortnightly, depending on your child’s goals and the clinical reasoning around what will best support their progress.

To ensure we remain responsive to your child’s needs, we require a minimum once-per-term parent/carer session (by phone, Zoom, or in-person) to review goals, discuss what’s working at home, and adjust strategies as needed.

Please note: additional travel costs apply.

Post-School, Day Programs, Respite & SDA Support

We support young people as they transition into adult life, including during their time in post-school programs, respite, and Supported Disability Accommodation (SDA). Our aim is to ensure no one is left behind - and that each young person is supported to live a life of participation, autonomy, and meaning.

Our role is to work alongside the young person, their team, and their environment to build capacity, support skill development, and ensure continuity of care. This includes:

Collaborative planning with support workers, key workers, and coordinators
Development of one-page profiles and person-centred planning tools to support smooth transitions and shared understanding
Environmental assessments and strategies that promote regulation, access, and participation
Manual handling planning and risk assessments tailored to the individual and their environment
Equipment prescription and modification to support safety, comfort, and independence
Collaborative work with behaviour support, speech pathology, physiotherapy, and other providers to align goals and skill up the team around the young person

Our goal is to involve young adults in decision-making, support them to explore their interests, and create pathways to build confidence, independence, and self-determination; no one should be left behind during key life transitions.

Please note: additional travel costs apply

School Holiday Intensives (Goal-Specific)

We offer short-term intensive blocks over the school holidays for children and young people with specific goals but who may not receive regular therapy.

Examples include:

Cooking and life skills
Self-care skills – toileting/ bathing/ sleep/ feeding
Employment skills
Bike riding
Public transport independence
Transition readiness – school/ high school/ adulthood

These run over 3-4 targeted sessions and are designed to be fun, practical, and capacity building. A written summary with suggestions for ongoing practice is provided at the end of the session.

Groups & Dyads

We offer small-group and dyad programs during school holidays, with a focus on connection, peer interaction, and shared goals. These may be suited to children not currently in regular OT, or as an adjunct to individual supports.

Our therapists internally match participants and tailor each group to meet shared interests and therapeutic goals. A written summary with suggestions for ongoing practice is provided at the end of the group.

Common group themes include:

Supported social opportunities
Emotional regulation through play
School readiness and high school transition
Gross motor sports-based groups
Beach buddies
Cooking and independence skills

Whole-School Consulting Programs

Our team provides whole-day consulting services within partner schools to support both students and educators. These roles are school-funded and allow our therapists to:

Work collaboratively in classrooms
Support students without NDIS supports
Coach and mentor SLSOs and teachers
Provide summaries and letters to support referrals (e.g. paediatricians, PTs, SPs)
Assist vulnerable families to access the right supports

This model builds school capacity and ensures students feel safe, connected, and ready to learn through every day, practical embedded strategies.

Parent Coaching & Collaborative Support

We believe that therapy doesn’t begin and end with a weekly / fortnightly session - real, lasting change happens when the adults in a child’s life feel confident, equipped, and empowered. That’s why parent coaching is a core part of our approach, not an add-on. You are an essential and integral part of your child’s team.

Parent coaching allows us to:

Explore what’s working (and what’s not) in real time
Problem-solve challenges in a safe, collaborative space
Ensure consistency across home, school, and community
Adapt strategies to fit your capacity, routines, and values
Build your confidence and clarity around what your child needs and how to implement strategies at home.

These sessions happen without your child present - by phone, in-person, or via Zoom and give you the space to ask questions openly, reflect on progress, and problem solve together.