Down syndrome — therapy support for children · Occupational Therapy
Occupational therapy for children with Down syndrome
Clinically reviewed by Hannah Chamberlain
OT helps children with Down syndrome build the practical skills of everyday life — using their hands, self-care, play, and independence. We work online on real activities at home, coaching parents to continue the work between sessions.
What we treat
- Fine-motor skills — grasp, manipulation, early drawing and writing
- Self-care — dressing, eating, grooming
- Play skills that drive learning and connection
- Daily routines and growing independence
- Sensory and regulation supports for engagement
- Coaching parents to embed practice in daily life
Typical outcomes
- Stronger fine-motor and self-care skills
- More independence in everyday routines
- Richer play and participation
- Parents confident supporting skills all day
- An OT plan coordinated with speech and the wider team
How sessions run
Online 50-minute sessions built around real activities in your child's home, with parents coached to continue the work between sessions — where most of the progress is made.
Building everyday independence
Occupational therapy helps children with Down syndrome develop the practical, hands-on skills that underpin independence and participation — using their hands, looking after themselves, playing, and managing daily routines. Lower muscle tone and other factors can make these skills take longer, and targeted, repeated practice in everyday contexts is what helps.
The focus areas:
- Fine-motor skills — grasp and manipulation for play, self-care, and writing
- Self-care — dressing, eating, and grooming, step by step
- Play — the engine of early learning and social connection
- Daily routines — building independence in real, everyday tasks
Parents make the difference
Skills build through repetition in everyday moments, so OT for children with Down syndrome leans on parent-coaching. We help you turn dressing, mealtimes, and play into skill-building opportunities across the whole week.
Coordinated with speech and your team
Most children also benefit from speech pathology for communication. Hey Sprout's single intake coordinates OT and speech into one plan, and we work alongside your child's wider team (including physiotherapy, which we don't provide).
NDIS funding
Down syndrome is a recognised disability under the NDIS; children usually access support through the early childhood approach. OT is funded under Capacity Building — Improved Daily Living. For families without NDIS funding, sessions are private-pay at the NDIS rate.
Clinically reviewed by Hannah Chamberlain
Last reviewed 31 May 2026
This page reflects current clinical guidance. See the Hey Sprout editorial policy for review cadence and corrections.
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Related conditions
ADHD in children and adolescents
Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental conditions in Australian children, affecting roughly 1 in 20.
Autism (Level 1 and Level 2) in children
Autism is a lifelong neurodevelopmental difference. Level 1 and Level 2 children typically benefit from speech, OT, and psychology support — and most are NDIS-eligible.
Cerebral palsy — therapy support for children
Cerebral palsy affects movement and posture. Goal-directed OT and speech therapy build independence and communication, online and coordinated with your team.
Childhood apraxia of speech (CAS)
CAS is a motor speech disorder where the brain struggles to plan the movements for speech. It needs frequent, specific speech therapy — and responds to it.