How Does an Occupational Therapist Support School and Classroom Success?
School is about so much more than academics. To succeed in the classroom, children need a mix of motor, sensory, attention, organisational, and emotional regulation skills. When these skills are challenging, learning can feel exhausting, frustrating, or overwhelming.
An occupational therapist (OT) helps children develop the foundational skills they need to participate confidently and successfully at school.
The Skills Needed for School Success
Many children who struggle at school are not lacking intelligence or motivation. They may be finding it hard to manage:
Sitting and maintaining posture
Holding and using a pencil
Paying attention and staying on task
Following instructions and routines
Coping with noise, movement, or busy classrooms
Managing emotions and transitions
Organising belongings and work
OTs look beneath the surface to understand what’s really getting in the way.
How an OT Helps in the Classroom
✍️ Handwriting and Fine Motor Skills
OTs support skills needed for writing, including:
Pencil grip and hand strength
Letter formation and spacing
Writing endurance and speed
Scissor skills and classroom tool use
This may include strengthening activities, pencil adaptations, or alternative ways to record work.
🪑 Posture, Seating, and Core Strength
If a child struggles to sit upright or stay seated, an OT may help with:
Core strength and body awareness
Desk and chair setup
Alternative seating options (e.g. wobble cushions, footrests)
Movement breaks to improve focus
Good posture supports attention, endurance, and learning.
🧠 Attention, Focus, and Executive Functioning
OTs help children with:
Starting tasks independently
Staying focused
Planning and organising work
Managing time and transitions
Strategies may include visual schedules, checklists, timers, and task breakdowns.
🌈 Sensory Regulation in the Classroom
Classrooms are busy sensory environments. OTs support children who may be:
Sensitive to noise, touch, or visual clutter
Seeking movement or sensory input
Easily overwhelmed or dysregulated
Support may include sensory strategies, quiet spaces, movement opportunities, or regulation tools that help children stay calm and ready to learn.
😌 Emotional Regulation and Behaviour
OTs help children build skills to:
Recognise emotions
Manage frustration and anxiety
Cope with change and transitions
Use calming strategies independently
This support helps children feel safe, confident, and engaged at school.
Supporting Participation, Not Just Performance
OTs focus on helping children participate meaningfully in school life, including:
Joining group activities
Following classroom routines
Completing tasks with confidence
Building independence
Success isn’t just about grades—it’s about feeling capable and included.
Working With Teachers and Schools
OTs often collaborate with:
Teachers
Teacher aides
Learning support teams
Families
This ensures strategies are practical, consistent, and realistic within the classroom setting.
Support may occur through:
In-class observations
Teacher education and coaching
Environmental adjustments
Home–school strategy alignment
The Bigger Picture
When children are supported with the right tools and strategies, school becomes:
Less stressful
More accessible
More enjoyable
Occupational therapy helps children build the skills they need not just to cope at school, but to thrive.
FAQ
Can paediatric OT help with learning difficulties?
OT does not teach academic content, but it supports the underlying skills needed to access learning, such as focus, regulation and fine motor control.
Does OT work with teachers?
Yes. Occupational therapists often collaborate with teachers to recommend classroom strategies and adjustments.
Is paediatric OT only for children with diagnoses?
No. Many children benefit from OT support without a formal diagnosis.
Can therapy be provided at school?
Yes. School-based therapy is often effective because it targets real classroom challenges directly.
