OT in Schools.

Occupational Therapists (OTs) support children to participate fully in everyday school life. In a school setting, an OT’s role is to help pupils develop the practical, physical skills they need to learn, play, and engage with their peers. This can include supporting fine, gross motor skills, sensory processing, self-care, and the ability to concentrate and regulate within the classroom environment.

Examples of areas an OT might address in school include:

• Difficulties with handwriting, scissor skills, or using classroom tools.

• Challenges with attention, focus, or sitting still in class.

• Sensory sensitivities (e.g., noise, clothing, busy environments).

• Gross motor skills such as balance, coordination, and playground participation.

• Low confidence, anxiety, or difficulty engaging with peers.

• Delays in self-care (e.g., dressing for PE, using cutlery, toileting routines).

• Behaviours linked to sensory overwhelm, frustration, or low self-esteem.

What outcomes can schools expect from OT input?
OTs can work directly with a child 1:1 to build functional skills and confidence, recommend environmental adaptations to make classrooms more accessible, and provide advice for teachers and support staff. They may also signpost families to other services, make referrals to other professionals where needed, and contribute to Education, Health and Care Plans (EHCPs). Importantly, OTs work closely with families to share strategies, advice, and resources so that progress continues both at school and at home. The aim is always to help children become more independent, engaged, and successful in their learning and daily lives.