Occupational Therapy

SYDNEY & MELBOURNE

Occupational therapy aims to enable our students to participate in the activities of everyday life. This is achieved by working with the students to enhance their ability to engage in the occupations they want to, need to or are expected to, or by modifying the occupation or the environment to better support their level of engagement.

Andrew Frakes

Andrew Frakes

National Director of Occupational Therapy Director
BAppSc(OT)

Andrew Frakes holds a Bachelor of Applied Science in Occupational Therapy from the University of Sydney.

Working as an Occupational Therapist at Giant Steps since 2008, Andrew has a special interest in assessing and developing programs for school readiness. He also has significant experience and training in developing plans to assist children who are having difficulty regulating their emotions.

Recently Andrew completed longitudinal training in the Assessment and Analysis of Severe and Challenging Behaviour conducted by the Institute of Applied Behaviour Analysis.

The whole team works to equip and support the children to engage in all classroom, community, routine and playground activities.

Our approach

Participation in meaningful life activities is supported by helping the individual to maintain, improve or develop new skills; adapting the environment; and/or adapting the task requirements. Through occupational therapy, a person with autism can be aided both at home, in the community and within the school setting by teaching skills needed for tasks including dressing, feeding, toilet training, grooming, social interaction, writing, manipulation and scissor use, walking, running, playing and sports, and managing classroom expectations.

Many children with ASDs have some kind of sensory processing disorder. This means they process information about their world and their bodies differently to others. This may affect them in a number of ways: poor balance, difficulties planning movements efficiently, difficulties attending to important information, emotional dysregulation, sensitivity or seeking in their sensory systems and much more. The impact of sensory dysfunction can vary greatly however it often impacts the person’s ability to learn successfully.

In the school context, an Occupational Therapist’s main focus is to support children to engage in their primary occupation of being a student. At Giant Steps, this is achieved through working within a transdisciplinary team to equip and support children to engage in all classroom, community, routine and playground activities.

Skills which Occupational Therapists bring to the transdisciplinary team include:

  • Assessment of occupational performance (e.g. handwriting, self-care skills), skills required for performance (e.g. gross and fine motor, cognitive) and sensory processing
  • Goal setting
  • Development and implementation of programs and strategies to improve skills for participation
  • Environmental modification to enable participation
  • Addressing the emotional and sensory needs of individual students

At Giant Steps, Occupational Therapists work with classroom teams to support each student in three different ways.  Whilst different in style, each way is focussed on sharing knowledge with the whole team. This facilitates skill development for staff members outside of their specialisation, ultimately strengthening all programs at Giant Steps.

  • Demonstration – This is where an Occupational Therapist will take a leading role in developing and implementing a group or individual program. Once established the therapist will focus on ensuring information related to the program is shared amongst the team to enable other team members to complement and/or take over the program.
  • Collaboration – This is where a therapist will develop a program with a teacher or other therapist ‘from the ground up’. This provides an opportunity for therapists and teachers to contribute their specialised skills to a program whilst learning from each other.
  • Consultation – This is where therapists make recommendations for classes and individual programs based on assessment and observation. Where required, therapists will demonstrate how to implement strategies and work with teachers to ensure the recommendations are able to be managed within the classroom environment.

Occupational Therapists also play a key role in supporting families. This is achieved through regular communication with families concerning goals for their child, successes and challenges at home and school and recommended strategies for success.  Ensuring generalisation of skills across all environments is a key focus for Occupational Therapists as this allows students to engage fully in activities at home, school and in the broader community.

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