Lynda Niles
      OT Associates
    A A


  • Professionals that link with Occupational Therapy

  • For example I have worked with some of the following professional groups and have been able to help the clients or patients that come to them for help.

    • Schools, SENCOs and SEN workers
    • GPs, practice nurses
    • Community health service providers for children, specialist nurses e.g. ASD, LD and ADHD etc.
    • Other Allied Health Professionals (AHPs) – NHS or Social Services OTs, Speech and Language Therapists, Physiotherapists and Play Therapists etc.
    • Community and hospital Paediatricians
    • Child or Educational Psychologists
    • Child and Adolescent Psychiatrists, CAMHS staff
    • LD services
    • Social workers and LAC teams etc.
    • Adoption services
    • Youth workers
    • Voluntary sector services

    As an independent Occupational Therapist for children, young people and young adults, I may be able to help a number of people that you are working with too. I am able to offer the following services:

    • An independent assessment or report for tribunals, appeals and disputes etc.
    • An assessment of needs re independent living skills and potential levels of help and support needed.
    • An OT intervention for individual children, groups or even whole class or school programmes.
    • Specialist OT interventions such as Sensory Integration Therapy, Sensory Attachment Intervention, CBT based OT for phobias, and anxiety etc.
    • Screening assessments re developmental co-ordination disorder etc.
    • Specialist assessment to help support diagnostic assessments for ASD, ADHD etc.
    • Alternative interventions for long term difficulties such as eating disorders, ME etc.
    • An additional information re a child or young person’s needs when placement options are being considered.


  • What is Occupational Therapy (OT)?

  • Occupational therapists view people as occupational beings. People are intrinsically active and creative, needing to engage in a balanced range of activities in their daily lives in order to maintain health and wellbeing. People shape, and are shaped by, their experiences and interactions with their environments. They create identity and meaning through what they do and have the capacity to transform themselves through premeditated and autonomous action.

    The purpose of occupational therapy is to enable people to fulfil, or to work towards fulfilling, their potential as occupational beings. Occupational Therapists promote function, quality of life and the realisation of potential in people who are experiencing occupational deprivation, imbalance or alienation. They believe that activity can be an effective medium for remediating dysfunction, facilitating adaptation and recreating identity.

    (Taken from the college of Occupational Therapist website:) (COT 2009d, p1)


  • Who can be helped?

  • As an OT with over twenty years of clinical experience and post graduate training, I am equipped to be able to work with children, teenagers, and young adults with a wide range of physical, developmental, sensory, social and mental health difficulties.

    The following list gives examples of the sorts of conditions I may see:

    • ASD (Autistic Spectrum Disorders)
    • Behavioural difficulties (sleeping, eating, tantrums etc.)
    • Developmental Co-ordination Disorders (Dyspraxia)
    • Eating difficulties and disorders
    • Irritability and anger difficulties
    • Low self-esteem and poor confidence
    • Low mood (mild to moderate depression)
    • Long term / life-long physical or developmental disabilities
    • Mild to moderate anxiety disorders, worries and fears
    • Sensory integration difficulties / Sensory Processing disorders
    • Self-destructive behaviours (including self- harm, risky behaviours)
    • Learning disability, chromosomal disorders etc.

    This is not an exhaustive list and indication for OT is more about how these conditions may be impacting on the individual’s activities of daily living rather than simply the diagnostic label.

    In terms of age group, I would normally work with children of school age upwards but with no upper end age limit to allow effective transition where relevant.

    Young people / young adults are often in a place where they fall between services and so I accept referrals for adults where there is no local provision and where my skills would be most effective. I would make recommendation re other services should I feel that a person would not benefit from my work.

    More information about OT in general can be found at the following link from the College of Occupational Therapist –

    I am also able to provide clinical training and resources directly to professionals (see ADVICE section) LINK


  • Occupational Therapy Process

    1. Initial contact can be made in writing, e-mail or by phone call. It is usually helpful to ring me directly to discuss your patient’s/ clients’ needs to check that I am able to help and that I am the most appropriate service for them.
    2. Follow up with any additional reports, a formal referral letter, other assessment information that will assist me in gaining a clear background of the situation before I approach the client / patient and their family.
    3. Please ensure that contact information is included, and that where relevant the young person or young adult has given consent for me to contact them or their family.
    4. I will then arrange to meet the child or young person for an initial assessment
    5. Once the assessment information is collected from a number of sources, this will be a combination of assessment interview, questionnaires, standardised assessments and where relevant, observation of activities such as on a school visit etc.
    6. The information will then be processed and analysed to form a report with clear recommendations for Home, Services and OT intervention
    7. A summary will be sent to the referrer unless a full version is requested, or a report has been requested for specific purposes e.g. Statement process, Transition planning etc.


  • Costs
  • Please contact Lynda to discuss the potential costs of services provided and any funding options that may be available.