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Occupational therapy evaluations for children aged 0-6 years old in Helsinki

Information tel. 09 310 20823, for Finnish speaking customers on Wednesdays 13: 00-14: 00 and for Swedish speaking on Fridays 13: 00-14: 00.

Why is a child given a referral to an occupational therapy evaluation?

In most cases, a referral is made when a comprehensive examination of the child at the maternity and child health clinic has revealed issues with the child's development that require a more detailed review at an appointment with an occupational therapist. It is also possible to receive a referral for an occupational therapy evaluation from a maternity and child health clinic, based on concerns that have been brought up by the child's family or day care centre or in a psychologist's evaluation, for example. The family's consent is required for the referral in all cases.

Who will give the referral?

In Helsinki, a public health nurse or a doctor from the child's maternity and child health clinic will give the referral for an occupational therapy evaluation. The occupational therapist will contact the family as the appointment approaches.

How many appointments are needed?

Depending on the child's age, energy and the nature of the problems there will be 2 to 3 appointments in total. The evaluation appointment usually takes 1-1.5 hours. When necessary, the occupational therapist can, with the parents' consent, call or make an observational visit to the child's day care centre or contact other parties treating the child.

What happens during the evaluation appointments?

A child's occupational therapy evaluation involves a review of the different areas of the child's development. These include, for example, gross and fine motor skills, visual perception and processing of sensory data. The methods used include tests and tasks that assess skills and capabilities and, for example, observation during different situations.

It is important that the child's parent or an adult who knows the child well is present during the first appointment, so that the occupational therapist can interview them about the child's situation and the progress of their development. At later appointments, the child works alone with the occupational therapist, so one of the child's other loved ones can bring them to the appointment instead, if necessary.

The occupational therapist is under the obligation of professional secrecy in all matters concerning the child. Cooperation with the day care centre, for example, requires the parents' consent. The therapist will make an evaluation statement, which they will deliver to the family, usually when giving the evaluation feedback.

When does the evaluation take place?

Clients are invited to the occupational therapy evaluation by phone or letter. The occupational therapy evaluations are usually carried out between 9am and 3pm.

What happens after the evaluation?

After the occupational therapy evaluation, the process will proceed in one of the following ways:

1. The occupational therapist may state that the child's skills are at an appropriate level for their age, which means that no further measures are needed.

2. The occupational therapist can give the family some instructions for practicing the skills at home and will meet with the child later, at a follow-up appointment.

3. The occupational therapist may recommend occupational therapy rehabilitation for the child. The therapists carrying out the rehabilitation periods are private service providers who have a valid purchased service agreement with the City of Helsinki. In such cases, the child will receive a commitment to pay for the rehabilitation period from the City of Helsinki.

4. The occupational therapist may recommend additional, specialist health care examinations, for example by a speech therapist, physiotherapist or a maternity and child health clinic psychologist.


Requires a referral.

The service is intended for residents of Helsinki.

Available languages:

Finnish, Swedish, English

Related service points and contact information:

Contact info and service points:


Social Services and Health Care Division

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