u/Survivor2000king

Hey all — this is purely hypothetical, no real client, just genuinely curious how different speechies reason through it.

Say you had a client like this:

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How would you actually spend it? Here's a rough cut just to get the conversation going (genuinely happy to be told it's wrong):

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The TA bit is what I'm most curious about — at roughly half the hourly rate, it stretches the budget a fair way, but I don't know how often speechies actually delegate practice to a TA vs keeping it all hands-on. Is that a normal move for a client like this, or not really how it works in speech?

And more broadly: do you build up from the goals and then check it fits the budget, or keep half an eye on the dollars throughout? How do you avoid it blowing out or underspending?

Not trying to turn therapy into a spreadsheet — just interested in how people actually approach the planning side. Cheers.

What is a journey with an OT look like?

Does it start with an FCA always?

What assessments are there , lets say a participant comes in fresh , in that 1 year, ( 12 sessions) what does the OT actually do with a participant?

Do they have the whole plan set at the start? like will a parent get the whole plan with what the year will look like with the OT?

Is the OT's work plainly based on the goals on the NDIS plan?

Setting up a multi-disciplinary practice — OT, speech, physio, EP, dietetics, social work, TA. All sit under Therapeutic Supports (same reg group).

Do I still need to give participants a formal COI declaration with a list of alternative providers for each discipline? Or because it's all one reg group, is a paragraph in the Service Agreement enough?

What are other providers actually doing here?

Cheers.