- 555 University Avenue, S229, Burton Wing, Service Level
- 8 a.m. to 4 p.m. (Monday-Friday)
Occupational Therapists (OTs) at SickKids are skilled healthcare professionals who help children with a wide range of medical conditions, so they can gain independence in their daily activities. OTs work together with kids and their families towards developing the cognitive, motor, visual perceptual, and socioemotional skills they need to optimize function within the environments in which they live and play.
OTs at SickKids use a combination of formal and informal assessments to determine a child’s level of functioning in order to: establish family-centred goals, create an individualized treatment plan, ensure safe discharge home from hospital, and/or to determine need for ongoing community supports.
All Occupational Therapists at SickKids are registered with the College of Occupational Therapists of Ontario and work in collaboration with most Specialty Clinics within the Hospital.
Occupational Therapists (OTs) at SickKids work in an acute care environment, where children's multi-system medical problems and functional outcomes are complex. Due to acuity, our OTs work in a fast-paced environment that is constantly changing; they possess highly adaptable decision-making skills.
The role of the OT in each program is unique and treatments are based on the needs of the child and family. OTs work closely with all members of the inter-professional team both within SickKids and with local health systems.
The family and child is central to the health care team. OTs partner with children and their families to identify goals and strengths to develop plans of care and optimize outcomes.
The occupational therapy treatment a child receives will evolve as they progress through the acute phase of treatment at SickKids, attend a rehabilitation centre, transition home and/or receive community occupational therapy services. The OTs collaborate with all members of the SicKKids interprofessional team as well as our local partners to strive for a seamless transition of care to community rehabilitation services.
- Neurodevelopment: A developmental assessment will look at a child's muscle tone, movement patterns, gross motor skills, fine motor skills, sensory skills (visual, auditory, tactile, vestibular), language, adaptive skills and personal social skills in the context of their diagnosis. Based on the initial assessment, and in collaboration with the patient/caregiver, the OT will determine the intervention required. This may include education, referral to occupational therapy services in the community and/or treatment during prolonged hospitalizations.
- Feeding/Swallowing: OTs assess oral feeding and swallowing safety in order to provide recommendations and feeding interventions. A feeding assessment can occur in the hospital room. If medically necessary, a feeding study can be conducted in conjunction with a radiologist to do a video x-ray of a child’s swallowing.
- Cognition (or thinking skills): Thinking skills including memory, attention, awareness, sensation, perception, executive function, etc. These are the building blocks for school performance and develop over our lifetime. Some children have changes in their thinking skills while in hospital due to illness or injury. OTs can assess and provide intervention and recommendations for cognition.
- Upper extremity/Fine motor skills: OTs assess upper extremity function and fine motor skills. OTs can provide intervention or recommendations for adaptive techniques to optimize upper extremity skills performance.
- Splint fabrication: OTs fabricate splints to support and position joints safely to promote healing recovery and function.
- Burn intervention and Scar management: OTs are skilled in the assessment of scars and able to provide scar management strategies.
- Equipment/Assistive devices: OT may assess and coordinate proper assistive devices to optimize independence with meaningful activities of daily living.
- Discharge from hospital: If a child is transitioning home, OT will help make referrals to local community therapists (e.g. infant and child development programs, children’s treatment centres, in home therapy or school health). In collaboration with the physiotherapist, OTs provide recommendations for safety at home based on an assessment in hospital.
The primary focus of Occupational Therapy at SickKids is the assessment and treatment of acute events resulting in changes of function. Outpatient occupational therapy at SickKids plays a vital role in supporting and informing medical and surgical management, optimizing surgical outcomes, and providing essential education to improve safety throughout the acute phase of care.
There may be cases in which OT is involved with your child’s care on an outpatient basis at SickKids:
- OT Consultation in clinics – OTs may be available for consultation though some specialized clinics. You may inquire about an OT consult with your health care team (Doctor, Nurse Practitioner) if your child is not receiving similar services within the community. Consultation may include assessment of needs, consultation, and initiation of treatment and/or referrals to local providers.
- OT Assessment and Treatment in Rehabilitation Department – OTs at SickKids provide limited outpatient assessment-based feeding/swallowing, neurocognitive and upper extremity services to infants and children/youth with new or acute deterioration in function within these areas AND who are not adequately followed in the community. In the next section, please see additional outpatient referral guidelines for further details.
- When your child has an outpatient visit with an OT you should bring your child’s health card, and, if applicable: feeding equipment (i.e. bottle, specialized nipples, utensils, etc.) and food/drink (ie. formula/preferred foods) for a feeding assessment; splints/burn garments and/or other OT related equipment/devices
- Your initial assessment may take approximately 1 hour. After that your therapist will be able to tell you how long any possible follow-up appointments will take.
- Your therapist will make every effort to see your child in a timely manner. If you are late for your child’s scheduled appointment, it may be difficult to accommodate your child without sacrificing the therapeutic benefit of the appointment and/or negatively impacting scheduled appointments for others. Please be sure to arrive on-time.
- If you or your child is sick, please call your therapist directly or call the Rehabilitation Department at 416-813-2153 to reschedule.
Follow instructions provided by your OT if they have recommended thickening your child’s liquids or altering the texture of their food due to a feeding or swallowing issue. For more information, please see the following link.
In addition, many Divisions organize family education days which parents, siblings and patients can attend to meet other children with a similar condition. This allows families to ask questions of their teams of inter-professional clinical experts and share experiences with other families. Information regarding family education days can be obtained from your therapist, program or clinic.
Learn more about Rehabilitation on AboutKidsHealth
University of Toronto
Occupational Therapy students: The Rehabilitation Department is committed to supporting the education and clinical mentorship of OT students. The Rehabilitation Department has an agreement with the University of Toronto and provides clinical internships for its students. Occupational therapists at SickKids hold status appointments at the University of Toronto, participating in lecturing, clinical workshops, examination processes, and the development of the paediatric unit at the university.
For more details, visit the University of Toronto’s Occupational Therapy portal.
Humber College Institute of Technology and Advanced Learning
Rehabilitation Therapy Assistant (RTA) students: Rehabilitation therapy assistant placements are also provided for students from Humber College Institute of Technology and Advanced Learning.
For more details, visit Humber’s Faculty of Health Sciences and Wellness.