Occupational therapy for school-age children, teenagers and young people

Practical occupational therapy support for everyday life, school and growing independence

Belong OT helps you understand what is making daily life harder and what practical support may help next.

Support starts with your child or young person’s strengths, priorities, routines and environments. No diagnosis or referral is required.

Child and adult working together in a relaxed home or school setting
The focus is meaningful participation, not making a child or young person fit one standard way of doing things.

Looking for support for a baby, toddler or preschool child?

The separate Early Years page covers birth to around six years, including play, movement, feeding, sleep, sensory needs, self-care and preschool participation.

Visit the Early Years page

Who this page is for

Support from primary school age through adolescence and young adulthood

Families often get in touch because a routine is taking more effort than expected, school demands are becoming harder to manage, or a child or young person is missing out on activities that matter to them.

Some arrive with a diagnosis or previous reports. Others have a concern, a pattern they have noticed or a recommendation from a school or professional.

Belong OT looks at the person, the activity and the environment together. The aim is to reduce barriers, build useful skills and support participation in real life.

Everyday life first

Home, school, study, self-care, friendships, leisure and community life all matter.

No diagnosis needed

Support is based on everyday strengths, needs and priorities.

Young people are included

Their views, preferences and goals shape support wherever possible.

What families often seek support with

Everyday areas that affect participation, confidence and independence

Open a section to read more. Support is matched to the child or young person rather than to a standard programme.

Routines, regulation and independence

Daily routines and self-care

Support may focus on dressing, personal care, mealtimes, morning or bedtime routines, managing belongings and growing independence at home or in the community.

Sensory needs, regulation and recovery

This may include understanding sensory preferences, reducing overload, planning recovery after demanding days and building regulation supports that fit home, school and community life.

Organisation, attention and getting things done

Support may address starting tasks, following through, managing time, remembering equipment, homework routines, planning ahead and developing strategies that suit the young person.

Transitions and growing independence

OT input may help with changes between activities, school transitions, moving into secondary school, preparing for further education or building independence for everyday adult roles.

Movement, learning and participation

Movement, coordination and physical confidence

Support may focus on motor coordination, body awareness, balance, DCD or dyspraxia-related functional concerns, PE, sport, cycling, playground participation and everyday movement skills.

Handwriting, typing and written work

The focus may be handwriting, typing, assistive technology, managing written workload or finding a more efficient way to show knowledge without unnecessary effort.

School, study and classroom participation

Support may address classroom routines, access to learning, practical school tasks, managing equipment, sensory demands, fatigue, transitions and strategies that support consistency across settings.

Play, friendships, leisure and community life

OT may help a child or young person take part in activities that matter to them, including play, clubs, hobbies, friendships, sport and community routines.

Child working on a school task with handwriting support

Handwriting, typing and access to school tasks

Calm sensory regulation space with supportive tools

Sensory needs, regulation and recovery

Child taking part in a movement activity to support coordination

Movement, coordination and physical confidence

How support works

A flexible assessment and support pathway

The Initial Consultation is the starting point for everyone new to Belong OT. From there, the next step is matched to what would add the most useful support or information.

Start here

Initial Consultation

This focused first clinical stage helps build an initial picture of your child or young person’s strengths, everyday routines, concerns and priorities.

It is not a full occupational therapy assessment on its own. It guides the decision about what should happen next.

60-minute online appointment
€120
Intake information reviewed beforehand
Brief written Initial Consultation Summary and Plan
Parent taking part in an online occupational therapy consultation
The first conversation gives parents and carers space to explain what they are seeing and what matters most.

Assessment is used where it adds useful information

For some families, the Initial Consultation and practical OT support provide the right next step.

Other children or young people benefit from a fuller assessment of everyday routines, participation, movement, sensory needs or the environments where difficulties arise.

The recommendation is based on what would help, rather than on one fixed pathway or diagnosis alone.

The pathway can be reviewed and adjusted

The Initial Consultation sits at the centre. One or more routes may follow, depending on the child or young person’s goals and what adds value at that point.

Start here

Initial Consultation

60 minutes | Online | €120

Understand strengths, everyday concerns, priorities and the most useful next step.

Possible route

Goal-Focused OT Support

45 minutes | €120 per session

Practical support around an agreed everyday goal, with planning and personalised strategies.

More information where useful

Assessment

Everyday Life and Participation Assessment | €400

A fuller picture of routines, strengths, needs, environments, participation and goals.

Across everyday settings

Family and school collaboration

Parent guidance, school consultation, environmental advice or consistent strategies across settings.

As needs change

Review, adjustment or signposting

Review progress, adjust the plan, pause support or signpost to another service where this is a better fit.

There is no single fixed route.

A child or young person may move between practical support, assessment, collaboration and review as priorities change.

The pathway keeps the focus on the person, the everyday activities that matter and the environments around them.

Possible next steps in more detail

What happens during the Initial Consultation? 60 minutes | Online through Cliniko Telehealth | €120

Before the appointment, Belong OT reviews the intake information you provide. During the consultation, you discuss strengths, concerns, routines, what already helps and what you would like support with.

Afterwards, you receive a brief written Initial Consultation Summary and Plan with practical recommendations and suggested next steps.

Goal-Focused OT Support 45 minutes | €120 per session

Sessions focus on an agreed everyday goal. Support may involve direct work with the child or young person, parent guidance, school collaboration, professional planning and personalised resources where appropriate.

Learn more about Goal-Focused OT Support
Everyday Life and Participation Assessment Detailed occupational therapy assessment and report | €400

This assessment builds a fuller picture of everyday routines, strengths, needs, environments, priorities and goals. It includes a written report and practical recommendations.

Full OT Assessment Pathway Everyday Life and Participation Assessment plus further focused assessment | €800 total

The €400 Everyday Life and Participation Assessment forms the first part. A further €400 applies where direct observation, clinic-based assessment, a setting visit or a standardised measure would add meaningful information.

Not every child or young person needs this pathway. The recommendation is discussed with you first.

View Occupational Therapy Assessment options
Family, school or other next steps

The plan may include parent guidance, school consultation, review of existing information, written recommendations, liaison with another professional, onward signposting or no further OT input at present.

What support might look like

Practical input shaped around real routines and goals

Support is not a standard pack. The format depends on the goal, the child or young person’s preferences and the places where support needs to work.

Ways Belong OT may work with you

Parent or carer consultation

Focused discussion helps identify patterns, clarify priorities and plan practical changes within everyday family routines.

Direct work with the child or young person

Direct sessions may focus on agreed goals linked to movement, self-care, regulation, handwriting, typing, organisation or participation.

School collaboration

Where relevant and agreed, support may include school consultation, environmental advice, observation or recommendations for access, routines and participation.

Learn about support for schools and organisations
Review and adjustment

Strategies are reviewed in context. What helps may change as the young person grows, environments change or new priorities emerge.

What you may receive

Initial Consultation Summary and Plan

A brief written summary of the main themes, practical recommendations and suggested next steps.

Personalised strategies or resources

This may include routine plans, visual supports, checklists, activity ideas, environmental changes or action plans linked to the agreed goal.

School recommendations where relevant

Written guidance may support consistency around access, regulation, written work, movement, organisation, routines or participation in school life.

Assessment report where assessment is completed

A full report is linked to a specific occupational therapy assessment service. The Initial Consultation includes a brief summary and plan, not a full assessment report.

The aim is practical follow-through. Support should make sense within the routines, relationships and environments the child or young person already lives in.

Good to know

A few important points before you begin

You do not need a diagnosis or referral

Families may contact Belong OT directly. Support focuses on everyday strengths, needs and practical next steps.

Your knowledge matters

Parents and carers bring detailed knowledge of patterns, preferences, routines and what already helps. This forms an important part of clinical reasoning.

The young person’s views matter

Wherever possible, the child or young person is supported to share what matters to them and to take part in decisions about goals and support.

Support is neuroaffirming and strengths-based

The aim is not to make a child or young person appear less different. Support focuses on understanding needs, reducing barriers and building meaningful participation.

Online and in-person options are discussed

Some consultations and support work well online. Direct assessment or observation may require an in-person appointment. Suitability is discussed before booking.

Another service may sometimes fit better

Where Belong OT is not the right service, other possible options are discussed where appropriate.

Frequently asked questions

Questions families often ask

Where do we start?

Everyone new to Belong OT starts with an Initial Consultation. You do not need to know which service you need before booking. The appointment helps clarify priorities and decide what support may be useful next.

Does my child or young person need a diagnosis?

No. A diagnosis is not required. Belong OT focuses on how everyday life is being affected and what practical support may help.

Does my child or young person attend the Initial Consultation?

For many child and family consultations, the first appointment is with the parent or carer. For older children and young people, their involvement is discussed beforehand and planned in a way that feels useful and respectful.

Is assessment always needed?

No. Some families move into practical support after the Initial Consultation. Assessment is recommended only where further information would change or strengthen the plan.

Is support available online or in person?

Online consultations are available across Ireland where appropriate. In-person services are available within the local service area across Limerick, Clare and Tipperary, with location and suitability agreed before booking.

Can Belong OT work with my child’s school?

Yes, where school input is relevant to the agreed goals and the necessary consent is in place. Support may include consultation, observation, environmental advice or practical recommendations.

Still unsure? The Initial Consultation is designed to help you work out whether occupational therapy is the right fit and what the next step should be.

Start with a calm, practical conversation

Ready to take the next step?

There is no pressure, no diagnosis needed and no referral required.

If you are unsure whether occupational therapy is the right fit, Déarbhla will help you understand whether Belong OT makes sense and what the most useful next step might be.