22 Jul 2019

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Ever wondered what’s involved in an educational assessment?

An educational assessment can be a useful option to consider when children aren’t achieving their learning potential.

Literacy (reading, understanding and writing) is an area that children experience difficulty with but sometimes, numeracy may also be a concern.

An educational assessment can help identify the barriers to learning for children. Assessments maybe helpful as they can give greater insight into why difficulties are occurring, highlight supports that children need and help with decisions about schooling options.

What does an educational assessment involve?

To start with our psychologists will want to talk to you and find out about your child’s developmental, school, social and emotional history. This appointment is with the parent/carer (s) only as this gives you the opportunity to talk freely about your concerns.

From this, the psychologist will be able to work out which standardised tests may be helpful.  They will want to schedule 1-2 sessions with you and your child. These assessments may include a cognitive assessment (looking at learning potential) and an academic assessment (looking at literacy and/or numeracy). Other assessments may also be suggested.

When our team see children, we work hard to put them at their ease so we can see them at their best. The first session in particular may involve rapport building strategies.

The psychologist may want to talk to the teacher too. While school reports have a lot of useful information, our team can learn from talking to the teacher. Sometimes we may even arrange an observation of the child in class to observe behaviours.

What happens after the assessment is completed?

The psychologist will meet with you to give feedback on what the assessment has revealed and their recommendations for how to move forward.  They will also provide you with a written report which you may choose to share with school and other therapists. The aim of this session is to answer your questions and to help you as a parent direction into how to support your child.

For more information about our educational assessment services please call Reception on 9274 7062.

Social Skills Program 01 Jul 2019

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Fantastic Friends – Social Skills Program for 8 to 11 year olds in Term Three

In Term Three, our group social skills programs start up again. Social skills are what we need to be able to make and keep friends. For children the emphasis is developing play and conversational skills with peers.

Fantastic Friends sessions will be run by two facilitators  (Simone, Toni or Ruby). The program aims to build and develop more complex social skills. For this age group, we will focus on a range of skills including starting and maintaining a conversation, introducing self and other people, asking questions, and apologizing. At the beginning of each term, the specific skills being taught will be customised to the group needs.

Who is suited: Children aged 8-11 years of age who need help with making or keeping friends.

Where: Child Wellbeing Centre at our Tuohy Lane offices, Midland.

When: Friday afternoons during school Term Three, 4-5.30 pm

How much: $87.80 per session

How to get involved: Contact our Reception on 9274 7062 to book an initial appointment with Simone or Toni.

At the initial appointment we will talk to you about your child’s needs so we can work out whether the group program is what they need.

For more information about our other social skills programs, please follow the link:


Social Skills Programs 01 Jul 2019

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Best Buddies – Social Skills Program for 6-8 year olds in Term Three

In Term Three, our group social skills programs start up again. Social skills are what we need to be able to make and keep friends. For children the emphasis is developing play and conversational skills with peers.

We will be running two “Best Buddies” groups to help to build your child’s confidence. Groups will be using modelling and role playing to practice new skills and refine existing skills.

Who is suited: Children aged 6 to 8 years of age who need help with making or keeping friends.

Where: Child Wellbeing Centre at our Tuohy Lane offices, Midland.

When:  Group A – Wednesday afternoons from 4pm to 5.30pm & Group B – Thursday afternoons during school Term Three, 4.00-5.30 pm

How much: $87.80 per session

How to get involved: Contact our Reception on 9274 7062 to book an initial appointment with Simone or Toni.

Best Buddies sessions will be run by two facilitators  (either Simone, Toni or Ruby). The skills being taught in each term will be determined by the needs of the children in the group. However, we will be looking at a range of skills including introducing yourself, conversation skills, play skills, helping a friend, sharing, and turn-taking.

At the initial appointment we will talking to you about your child’s needs so we can work out whether the group program is what they need.

For more information about our other social skills programs, please follow the link:


School holidays and sport 24 Jun 2019

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Planning for fun and the school holidays

School holidays are on the horizon. Many parents will be starting to plan how to keep their children entertained during the holidays. For parents with children with disabilities this can be a bit tricky.  Not only may you need programs that match your child’s  interest but you may also be looking for programs that provide strong structure and more individualised support.

School holidays also give the chance to step out of routine, take a break and refocus for the next three months or so. This is a great time to think about the new school term ahead and what else can be done to meet the social and recreational needs of your child. Aside from all the physical health benefits that come with sport, there are many social ones too. Not to mention the opportunity to just have fun.

Stuck for ideas? Below is the list that we’ve come up with so far. The good news is that more and more organisations are offering school holiday programs and out of school hours clubs and sports for children with special needs. So expect this list to grow over time…

Let’s start with school holidays programs

MyCareSpace currently has a list of inclusive school holidays programs and it looks to be growing each term.  You can search by state or post code and then click on the link to the relevant website to find out more information. Their web address is: https://mycarespace.com.au/resources/inclusive-school-holiday-camps

A favourite of Naomi’s  for school holidays programs are those run by Autism West – The Telethon Holiday Makers Program – which caters for children on the autism spectrum aged 10-18 years. Autism West also run different groups during the school term too. Their web address is as follows: http://autismwest.org.au/social-groups/holiday-makers/

What about extracurricular activities during the term?

Here are a few that we’ve found that might be interesting and not all sport based!

The WA Disabled Sports Association (WADSA) has a directory of activities run by different organisations. You can search by topic and then click on the link to take you to the relevant website. It also has a category for “Holiday and After School Activities”. A great place to start to help you and your child work out what sorts of activities might be interesting.


For the children and adolescents that are more interested in music we came across this organisation – Music Rocks Australia. They provide programs for children and adults with special needs.


This program is one that we’ve had our own ABACAS team members volunteer to help with from time to time. Great for the kids who love the water – why not surfing with Ocean Heroes?


And for the children who really love their technology there is the The Lab – which provides technology clubs for children on the higher functioning end of the autism spectrum.


We hope these websites are helpful.  They are just a selection of services and programs that caught our attention when looking at what’s currently out there in Perth. Have you got any programs that you’d like to recommend? If so please feel free to let any of the ABACAS Team know so we can add them to our working list and share with other parents!

Lastly, the Centre will be open during the holidays which means therapy doesn’t have to stop. If we don’t see you during the holidays we look forward to seeing you at the start of next term. For  more information about our ABACAS program please click on the following link:


Penny Wong (Case Manager, ABACAS) & Naomi Ward (Clinical Director)

06 Jun 2019

BY: admin

Occupational Therapist Team

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Scissor skills-A way to help handwriting

As part of developing ‘desk top’ type skills for school, learning to use scissors is very helpful for a range of reasons. Scissor skills:

  • Require focus and attention;
  • Practice the same muscles used to hold a pencil;
  • Strengthen muscles that open and close the palm arch;
  • Promote maturity of hand skill, separation of the two sides of the hand; the manipulation/control side which includes the thumb and index finger, and the stabilising side of the hand, which involves the remaining fingers.
  • Provide opportunity to practice using two hands together, carrying out different movements
  • Require visual tracking skills

The correct hand position for cutting out, is ‘thumbs up’. The dominant hand holds the scissors in a fixed position in front of the chest while the stabilising hand moves the paper around. It is easier for the middle finger to be placed in the lower scissor handle while the index finger guides in front of it. This is tricky to master! Cutting success is dependent on how well the stabilising hand moves the paper around. Children with lower strength in their palm and forearm tend to drift to a ‘palm up’ position, then the scissors bend or tear paper. Ideally the thumb should be on top! If a child is struggling with this, they need to work on earlier stage activities, e.g. snipping straws and playdough and doing other palm and thumb, index finger opposition strengthening activities before moving on.

Tips for easier cutting with scissors

1) Straight line

After a child masters snipping the next stage is pushing the scissors forward while cutting. Heavy weight paper is best because it doesn’t flop, easier to control. Keep it around the size of your child’s hand. Draw thick straight double lines. Activities such as ‘driving a car on the road’ or ‘train along the tracks’, help to keep them within the lines.

2) Gentle curve

Once your child is confident cutting along within the straight lines, they can progress to a gentle curved line. Keeping the scissors open around half way using small open close movements gives increased control. Following a curved line requires turning the paper with the other hand.

3) Turning corners

A square the size of a child’s palm is a good starting point for practicing moving the paper. Once the corner is reached, the paper has to be turned so the blades are pointing to the next corner. Double lines can be used, from this point, progression to a thick 10mm line will help your child feel successful ‘cutting along the line’.

Simple shapes with less angles are easier to cut. As your child becomes more confident cutting with heavy weight paper, they can graduate to regular paper. The larger the paper, the more manipulation control of paper is required while cutting with the other hand, so the higher the level of difficulty. To help children build confidence, you can draw over simple print out shapes with a thick line and gradually reduce the thickness as they improve.

This site has some good cutting activities that can be printed out:


As always you are very welcome to contact the Centre to ask about our Occupational Therapy services on 9274 7062.

Madeline Minehan

Occupational Therapist

children and surgery 22 May 2019

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Medical operations – how much should we tell our children about their procedures?

Traditional thinking used to be that sparing young children details about their operation or serious medical procedure was the best course of action. Many parents and carers saw this as a way of avoiding unnecessary stress for the child. Parents would then shoulder the burden of worry. All of which makes a lot of sense, given our need to protect our children.

The problem with this approach is that parents are always left wondering whether this is the best course of action. Sometimes it comes down to working out just how much information is the right amount of information.  Medical staff have different views on this issue and often err on the side of less information being better than more.

So what does this research say?

A study earlier this year tried to answer the questions of  how much information to give children. The results were really interesting. This study included 91 children and parents of children (between 3-13 years of age) about to have surgery. Prior to the operation, the researchers held an information session which included an interactive video about the specific procedure and a discussion with an allied health member. These sessions involved both parent and child. They then followed up the child and parent after the surgery and compared how they fared on various psychological measures. In this study, the researchers were very interested in symptoms of trauma in children post surgery.

Using all the information collected above, the researchers then compared the results of their participants to the results of children and parents who had been approached but opted out of the study. The results showed significantly higher rates of distress (post-operation) for children who did not receive the full information about their surgery.  Even the younger children (3-5 year olds) had more positive outcomes in this study. The researchers noted that the findings in their study were consistent with previous studies focusing on children with HIV and  with cancer.

Of course this study, like all studies has limitations. Firstly there was a wide range of surgical procedures that may have been a factor in recovery. The time in hospital also varied greatly. I suspect, level of parental stress and anxiety may have been a factor too.

How can we best help children?

What this study does show is that children are more resilient that we think they are. Even at a young age, they have capacity to process more information than we think they can about their treatment. What the emerging research is showing is that when children understand what is about to happen to them are less likely to experience psychological distress post surgery.

It’s something for us to think about as parents should our children ever need major medical intervention. It’s also something we should be talking through with their medical staff as we help them prepare for up and coming surgery.

As always you are very welcome to contact the Centre for information on our psychology service on 9274 7062.

Naomi Ward

Clinical Director

Ref: Amichi et al (2019) Should parents share medical information with their young children? A prospective study. Comprehensive Psychiatry, vol. 88. Pages 52-56.

scissor skills and learning to write 11 Apr 2019

BY: admin

Occupational Therapist Team

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Scissor skills and learning to write

Did you know that practising the movement involved in scissor skills can help children write. Learning to use scissors develops the skills required to control a pencil. Both motions need the muscles that oppose the index and middle finger with the thumb working together.

learning new skills can sometimes feel monotonous to children. However it doesn’t have to be this way.

Helpful Scissor Activities

The following activities are designed to develop the muscles and movements required to manipulate scissors. In time, the ‘open close’ squeeze action of the arch between thumb and fingers will become stronger.  You may need to help your child make the movements with some hand over hand guiding to get started.

1) Tongs

Use tongs to pick up large pom poms, aluminium foil balls, lightweight plastic toy items, blocks, lumps of play-dough. You can also incorporate food play e.g. picking up cooked spaghetti.

Once skills with the activity improve, you can use smaller items,  cotton balls, small pompoms. Food items can be used such as marshmallows, small fruits, large nuts, pieces of bread, using the tongs to dip into sauce or icing sugar onto a plate or ice cube tray. It is important to always place items working from left to right, top to bottom, because later when a child learns to read, scanning left to right is required.

2) Water pistol play

These can be used to shoot balloons, or paint with water on the concrete. If you are game, supervised painting activities are fun on an outside easel with different colours for little water pistols. It is very good for index finger strength. Make sure your child is using their dominant hand.

3) Ripping activities

Cut strips of coloured paper to rip into small pieces. Some types of paper for example crepe or tissue paper, have a grain and are easier to rip in one direction. Grasping the top of the paper strip with both hands and moving the hands in opposite directions to rip it. Small pieces can be used for collage, the long pieces can be ripped to make jelly fish tentacles, cloud with rain, pretty bird with a long tail, or long hair, grass and so on.

4) Hole punching

A single hole punch is good to improve palm strength. Holes can be punched in a line on card, or make patterns. Lace the card with shoe lace or string, or connect the holes with crayon lines.

5) Bubble wrap

Small size bubbles, these are perfect for pinching with the index finger and thumb, this strengthens the muscles within the finger and thumb, which will help scissor skill development as well as controlling a pencil.

6) Monster ball 

You can use a cheap tennis ball and cut a slit for a mouth and stick on eyes. Squeeze the tennis ball thumb and fingers,  using the dominant hand. With the other hand ‘feed the ball’ with small pom poms, dice, .  The resistance of the tennis ball will be determined by the length of the slit; the longer the slit the easier to open the ‘mouth.’

7) Hand puppets

Making hand puppets talk encourages practice opening and closing the fingers and thumb in time with speech. You can make one using a single spare sock, buttons for eyes and wool for hair. Make it eat and grab, bite and tug.

8) Playdough

Play dough, especially extra firm dough is excellent for improving fine motor strength. Use a garlic press to squeeze playdough through and make spaghetti hair, squeeze the handles using both hands together.

For the Beginner starting with Scissors

Keep in mind, “both thumbs up”, the dominant hand does the squeezing action “open-shut” steady at the midline of the body, the other “helping” hand manipulates the item to be cut.

1) Snipping

Practice cutting action using small sized scissors, cutting strips of playdough, cutting a circle of playdough into ‘pizza’, snipping pieces of straw, coloured wool, spaghetti!

2) Snipping short lines

Make strips of light coloured card narrow enough so that one snip is successful. Draw horizontal lines. These can be snipped off and artwork can be created with the geometric pieces cut.

Collect paint sample cards from your hardware shop for cutting practice, snip between the colours.

3) ‘Stop point’. Put a sticker or draw a face at the destination point for the end of one snip, with no line as a guide.

Early scissor skills involves ‘snipping’, first things like playdough, spaghetti, wool, straws…then develops to just one short line. More information on the next stages of scissor skills is to come in a later post.

And of course if you are worried about any aspect of your child’s fine motor skills you are welcome to contact Reception for more information about our occupational therapy services on 9274 7062.

Madeline Minehan

Occupational Therapist


provisional psychology 01 Apr 2019

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What are provisional psychologists?

A provisional psychologist is someone who has completed their tertiary qualifications and is undertaking a program of supervision as they develop their applied skills “on the job”. Typically this can involve one to two years of weekly supervision with a senior psychologist.

Supervision is where the provisional psychologist discusses the work they are doing with clients (in our case children and young people) with a senior colleague. It’s a space for them to check in that they are being helpful for the client. It’s also a space for the supervisor to make sure that client’s needs are being met by the provisional psychologist.

Who are the provisional psychologists in the Centre?

At the Child Wellbeing Centre we have  four provisional psychologists on our team. Two have completed masters level qualifications in psychology & two have extensive experience working with children in other behaviour therapy roles. Our provisional psychologists are:

Carl Tolomei

Simone Healy

Penny Wong

Toni Schmitz

Each comes with their own background of qualifications and experience. The one thing they all have in common is an enthusiasm and commitment to work with children. You can read a bit more about them on our website:


Why might I consider a provisional psychologist for my child?

As provisional psychologists aren’t eligible to offer Medicare rebates, they charge out at a much lower rate than the registered psychologists in the Centre. They aren’t limited in the number of sessions they can provide either. When working with families, they are still doing exactly the same things a fully registered psychologist would be doing with a family. However they have a psychologist on call that they can check in with to make sure they are heading in the right direction.

They are also required to do extensive professional development each year which means they are regularly learning about different ways to help their client.

Not all clients will be referred to our provisional psychology team in the Centre. We try to make sure that clients are matched with the psychologist with the right skills mix. However you are welcome to enquire about seeing a provisional psychologist if you think this is an option for your child.

Please contact reception for more information about our provisional psychologists or any of our other services on 9274 7062.

Naomi Ward

Clinical Director

ABA early interventions 26 Mar 2019

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ABA Early Interventions – What do we focus on?

Applied Behaviour Analysis (ABA) is often misunderstood. Parents say to me “well you work on behaviour don’t you, so how will that help my child socialise, or communicate?”  What a good question! Let’s look at the history a little to clarify. Behaviour Analysis goes back a long way, but the most revolutionary (in my opinion) was B.F. (Burrus Frederic) Skinner. Skinner was the first to define the Verbal Behaviour Operants, which we have talked about in previous posts (Mands, Tacts, Intraverbals). He was also the first person to accept thoughts as behaviour.

You can count something as a behaviour as long as it is objective, observable by at least one person (hence observing your own thoughts), and measurable – even heart rate is a behaviour. Now that we’ve broadened definition, I can begin to explain what this means for your child and their development.

There’s more to ABA than behaviour in early intervention

ABA early interventions focus on a whole range of skills.  I’m going to break down how these are behaviours.

Vocal Language
  • Vocal language, or speech, is a behaviour that is measurable, observable and able to be objectively defined. ABA works on increasing children’s communication by increasing their repertoire of sounds or words, and providing meaningful functions for these.
  • There are many types of vocal language, labelling items, requesting items and answering and asking questions. Children with Autism sometimes need specific teaching to be able to use the same word in different contexts.
  • Play can be broken down into many, smaller behaviours, which we can then teach into a one big complex behaviour. An easy example would be doing a puzzle; you can measure how many pieces a child can accurately place and teach matching skills to support children identifying which pieces together.

In summary, ABA is definitely focused on behaviour, but that means something different than just looking at tantrums, or problems. Please come and talk to us about what skills we can teach, not just what problems we can help with! You can call the team on 9274 7062.

Jasmin Fyfe

Program Manager, ABACAS


19 Mar 2019

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The benefits of intensive early intervention

Intensive Early Intervention is critical for young children on the Autism Spectrum. A 2015 study found that the average age for children to receive an Autism diagnosis was 4 years and 1 month (Bent, Dissanayake, & Barbaro, 2015). In the scheme of a lifetime this seems early, however in the scheme of Early Intervention, it is a great deal of time lost. We know more about development than ever before, the brains plasticity, and crucial developmental windows. Although we can continue learning our whole lives, the early years are most formative for our language development, and many other skills.

How much intervention?

Intensive Early Intervention, starting as soon as possible, will provide your child with the best opportunity to start their life with a solid foundation of skills. The Behaviour Analysis Certification Board (BACB) recommends a minimum of 10 hours per week of ABA, starting as early as 18 month, with new research looking at starting even earlier. Here at ABACAS we can provide you with an Intensive Early Intervention Program, which addresses multiple domains of development, is motivation-based, and works with you and your family to set and meet achievable goals.

So why do an Intensive Early Intervention Program?

It sounds like a great deal of stress, and financially can be difficult. There can be a lot of appointments and you might have other children to consider too. These are all valid concerns, and we will work with you to address them. However when we look at the benefits, there are many. A meta-analysis (which means that someone read all the recent and historical research on one topic) found that “…long-term, comprehensive ABA intervention leads to (positive) medium to large effects in terms of intellectual functioning, language development, acquisition of daily living skills and social functioning” (Vitues-Ortega, 2010). This study also supported that dose and intensity (frequency and length of therapy sessions) are important factors in whether ABA produces clinically significant outcomes.

If you’re interested in knowing more about Intensive Early Intervention please call one of our team to discuss. We will be addressing a few different area’s of early intervention including expressive and receptive language, social skills, verbal behaviours, echoic repertoire’s, play skills and imitation over the next few posts.

You can also read more about how we work by following the link:


Jasmin Fyfe

ABACAS Program Manager


Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose–response meta-analysis of multiple outcomes. Clinical psychology review30(4), 387-399.

Bent, C. A., Dissanayake, C. and Barbaro, J. (2015), Mapping the diagnosis of autism spectrum disorders in children aged under 7 years in Australia, 2010–2012. Medical Journal of Australia, 202: 317-320. doi:10.5694/mja14.00328


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