View an easy-read version of this page.
The Occupational Therapy (OT) team works with children up to the age of 18 who live in the Dorset Council area and who have:
- a substantial and permanent physical condition
- a neurodiverse condition and/or on a relevant pathway or likely to have a neurodiverse condition
- a moderate to severe intellectual disability who are eligible for/or attend specialist education provision
and as a result of the above, they experience a significant impact on their activities of daily living (this may include washing/dressing, toileting and bathing, sleeping, seating and access in/out of the house).
"Substantial" means the extent of the disability (caused by a person’s medical condition) which significantly affects their ability to carry out one or more essential activities of daily living.
"Permanent" means the condition is deemed to be life-long with little prospect of improvement, and/or there is a likelihood of further deterioration.
Reason for referral
The Birth to Settled OT service will assess how the child/young person’s condition(s) and physical environment are impacting on their levels of function and independence in daily living activities and routines at home.
The areas that we assess include:
- Mobility: Access in/out of the home, steps and stairs
- Seating: Posture, feeding and play
- Bathing/showering: Access to essential facilities and personal care/hygiene
- Toileting/changing: Access to essential facilities
- Safe Moving and Handling for child/young person, parents/carers
- Sleeping: Transfers in/out of bed, care tasks undertaken on the bed
If a child is being referred because of behaviours that challenge and these are impacting on their engagement in essential activities of daily living or place them or others at risk, we would advise you contact their Paediatrician in the first instance and request a referral to Intellectual Disabilities Child and Adolescent Mental Health Service (ID-CAMHS) so that their behavioural and/or sensory processing needs are assessed and supported by a relevant service. They may be able to advise on appropriate sensory equipment and how to purchase/access these.
Our service aims to enable the child or young person and their family to thrive and fully participate in daily activities at home.
Once an OT assessment has been completed
We may be able to consider providing specialist equipment to meet the above needs and if appropriate, complete a referral to Millbrook Healthcare for consideration of a minor adaptation (under a £1,000) or a major adaptation under a Disabled Facilities Grant.
The OT Service is not responsible for any repairs or maintenance to your house or garden. Please contact your housing provider or consider funding privately.
Higher fencing to reduce the risk of absconding may be assessed and considered under a discretionary grant if all reasonable practical adjustments have been applied by families in the first instance.
Dual Residence
In a situation where parents have separated or divorced and the child or young person spends frequent time between the two homes which are within the Dorset Council area, then an OT assessment can be considered and appropriate equipment provided if it cannot be transported between homes. Any assessed adaptation works would be carried out at the child’s main residence only.
Additional Information
If a child/young person is placed in Dorset by another local authority, for example, they are subject to a S20 or a care order under the Childrens Act the responsibility would lie with the placing authority to assess their Occupational therapy needs.
If child/young person is living with relatives as a connected person foster carer or under a special guardianship order, then Dorset would be the responsible authority.
If the child/ young person requires an assessment for a wheelchair or specialist buggy please contact:
Dorset Wheelchair services
[email protected]
01202 892874
Or alternatively, you can make a referral through your GP.
If the child/young person requires an assessment for a sleep system or standing frame you can contact your physiotherapist at the Child Development Centre (CDC):
Dorchester CDC 01305 254744 or Poole CDC 0300 0192011
You can find more information on our SEND Local Offer pages.
Occupational therapist professional registration
Occupational therapists are registered with and work in accordance with the Health and Care Professions Council standards. For more information about occupational therapy visit the Royal College of Occupational Therapists website.
Contact us to refer someone for OT in Dorset
We accept referrals from:
- Self-referral - young person who is 16+
- Child/young person’s legal guardians or parents
- Educational settings
- Health and Social care professionals
- Housing services
Contact us to find out how to refer someone for occupational therapy: