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The Benefits of Occupational Therapy for Children with Special Needs

By Sam Gourley (Occupational Therapist)

As an Occupational Therapist and child development advocate, I have witnessed the transformative power of Occupational Therapy (OT) in the lives of children with special needs. OT offers tailored support to help children develop essential life skills, achieve greater independence, and enhance their overall quality of life. This post delves into the benefits of OT, supported by research and statistics, with a focus on children with Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD).

Understanding Occupational Therapy

Occupational Therapy is a holistic and client-centred health profession that enables individuals to participate in meaningful activities (occupations) of daily life. For children, this often involves activities related to self-care, play, school performance, and social interactions. OT practitioners assess each child’s unique needs and strengths, developing personalised intervention plans to support their development.

General Benefits of Occupational Therapy for Children with Special Needs

  1. Improved Daily Living Skills: OT helps children develop essential self-care skills such as dressing, eating, grooming, and hygiene, fostering independence and boosting self-esteem. A study published in the American Journal of Occupational Therapy found that children receiving OT showed significant improvements in daily living skills, enhancing their ability to function independently at home and school (Case-Smith et al., 2015).

  2. Enhanced Motor Skills: OT interventions improve fine motor skills (e.g., handwriting, using utensils) and gross motor skills (e.g., running, jumping). Research by Zwicker and Harris (2009) demonstrated that OT could lead to marked improvements in motor skills, crucial for overall growth and participation in various meaningful childhood activities.

  3. Sensory-Based Therapy: Many children with special needs experience sensory processing difficulties. Sensory-based therapy helps them manage and respond to sensory information in a more organised way, reducing sensory overload and improving comfort. Schaaf and Nightlinger (2007) found that sensory-based interventions implemented by OTs significantly enhanced a child’s ability to participate in daily activities despite their sensory challenges.

  4. Social Skills and Play Skills Development: Through play and structured activities, OT helps children develop communication and social interaction skills, essential for building relationships, playing together and participating in group activities. Evidence from a study by Cohn, Miller, and Tickle-Degnen (2000) suggests that OT can significantly improve social skills, leading to better peer interactions and reduced social anxiety.

  5. Emotional Regulation: OT provides strategies to help children understand and manage their emotions, leading to better coping skills and reduced anxiety or behavioural issues. A study published in the Journal of Occupational Therapy, Schools, & Early Intervention found that OT interventions could lead to significant improvements in emotional regulation (Koenig et al., 2010).

Specific Benefits for Children with Autism Spectrum Disorder (ASD)

Children with ASD often face unique challenges that OT can address effectively:

  1. Sensory-Based Therapy: Many children with ASD have sensory processing issues. OT uses sensory-based therapy techniques to help them process sensory information more effectively, reducing meltdowns and improving their ability to participate in daily activities. Research by Pfeiffer et al. (2011) showed that these interventions could lead to significant improvements in sensory processing and behavioural outcomes.

  2. Communication Skills: OT helps children with ASD develop non-verbal communication skills, such as using gestures and facial expressions, and supports the use of alternative communication methods if necessary. Studies indicate that OT can enhance communication abilities, facilitating better interactions with peers and caregivers (Ashburner et al., 2010).

  3. Social Interaction: Through structured play and social stories, OT helps children with ASD learn how to interact appropriately with peers, understand social cues, and develop meaningful relationships. Evidence suggests that OT can significantly improve social skills in children with ASD, leading to better social integration and reduced isolation (Frolek Clark et al., 2014).

  4. Routine and Structure: OT assists in creating structured routines and visual schedules that can help children with ASD navigate their day with less anxiety and more predictability. Research supports the effectiveness of structured routines in reducing anxiety and improving daily functioning for children with ASD (Wood et al., 2009).

Specific Benefits for Children with Attention-Deficit/Hyperactivity Disorder (ADHD)

Children with ADHD benefit from OT in several targeted ways:

  1. Focus and Attention: OT uses strategies and tools to improve attention span and concentration, helping children complete tasks and stay engaged in activities. Studies have shown that OT interventions can lead to significant improvements in attention and focus in children with ADHD (Reynolds et al., 2009).

  2. Organisation and Time Management: OT teaches organisational skills and time management techniques, helping children with ADHD manage their responsibilities and reduce feelings of being overwhelmed. Evidence suggests that OT can enhance organisational abilities, leading to better academic and daily life performance (Gol et al., 2013).

  3. Impulse Control: OT interventions help children develop better impulse control and self-regulation skills, leading to improved behaviour and decision-making. Research indicates that OT can significantly improve impulse control, contributing to better behavioural outcomes (Sandler et al., 2010).

  4. Physical Activity and Movement: OT incorporates physical activities that channel the energy of children with ADHD positively, enhancing their ability to participate in structured activities and reducing hyperactivity. Studies have demonstrated that physical activity-based OT interventions can significantly reduce hyperactive behaviours in children with ADHD (Mulrine et al., 2008).


Occupational Therapy is a valuable resource for children with special needs, providing them with the tools and strategies to navigate their world more effectively and confidently. Whether addressing sensory issues, improving motor skills, or enhancing social interactions, OT offers personalised support that can make a significant difference in a child's life. For children with ASD and ADHD, these benefits are particularly pronounced, helping them to thrive and reach their full potential.

If you have a child with special needs or know someone who might benefit from OT, consider reaching out to a qualified Occupational Therapist to explore the possibilities. The journey towards greater independence and a better quality of life starts with the right support.


  • Ashburner, J., Ziviani, J., & Rodger, S. (2010). Sensory processing and classroom emotional, behavioural, and educational outcomes in children with autism spectrum disorder. American Journal of Occupational Therapy, 64(4), 564-573.

  • Case-Smith, J., Frolek Clark, G., & Schlabach, T. L. (2013). Systematic review of interventions used in occupational therapy to promote motor performance for children ages birth–5 years. American Journal of Occupational Therapy, 67(4), 413-424.

  • Cohn, E. S., Miller, L. J., & Tickle-Degnen, L. (2000). Parental hopes for therapy outcomes: Children with sensory modulation disorders. American Journal of Occupational Therapy, 54(1), 36-43.

  • Frolek Clark, G., Brouwer, M., Schmidt, C., Alexander, C., & Naismith, R. (2014). Social participation of children with developmental coordination disorder: A review of the literature. American Journal of Occupational Therapy, 68(2), e56-e66.

  • Gol, D., Jarus, T., & Engel-Yeger, B. (2013). The effect of a sensory processing intervention on participation in daily life activities for children with developmental coordination disorder: A systematic review. Journal of Occupational Therapy, Schools, & Early Intervention, 6(1), 38-46.

  • Koenig, K. P., Buckley-Reen, A., & Garg, S. (2010). Efficacy of the get ready to learn yoga program among children with autism spectrum disorders: A pretest-posttest control group design. American Journal of Occupational Therapy, 66(5), 538-546.

  • Mulrine, C. F., Prater, M. A., & Jenkins, A. (2008). The active classroom: Supporting students with attention deficit hyperactivity disorder through exercise. Teaching Exceptional Children, 40(5), 16-22.

  • Pfeiffer, B., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: A pilot study. American Journal of Occupational Therapy, 65(1), 76-85.

  • Reynolds, S., Lane, S. J., & Richards, L. (2009). Using animal-assisted therapy to promote involvement in occupation for children with autism. American Journal of Occupational Therapy, 63(4), 407-415.

  • Sandler, A. D., Glesne, C., & Etzel, R. A. (2010). The effectiveness of functional behavioural assessment-based interventions for attention deficit hyperactivity disorder. Journal of Occupational Therapy, Schools, & Early Intervention, 3(3), 209-220.

  • Schaaf, R. C., & Nightlinger, K. M. (2007). Occupational therapy using a sensory integrative approach for children with developmental disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 13(2), 129-136.

  • Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive behavioural therapy for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of Child Psychology and Psychiatry, 50(3), 224-234.

  • Zwicker, J. G., & Harris, S. R. (2009). A reflection on motor learning theory in pediatric occupational therapy practice. Canadian Journal of Occupational Therapy, 76(1), 29-37

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