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Monday 9am - 5pm Tuesday 9am - 5pm Wednesday 9am - 5pm Thursday 9am - 5pm Friday 9am - 5pm

Milestones Paediatric Occupational Therapy

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Milestones Paediatric Occupational Therapy

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Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Milestones Paediatric Occupational Therapy, Medical and health, St Albans.

Milestones Paediatric Occupational Therapy, founded by Sian Wilson, helps children and families build confidence, independence, and essential life skills, supporting every step of their journey.

25/10/2026

🧩 Are sensory rooms really delivering what SEND students need?

Sensory rooms have become a common feature in many schools and SEND provisions. But here's an important question:

Are these spaces genuinely supporting children, or are we assuming they work simply because they're called sensory rooms?

A dedicated, predictable, low-demand space can be incredibly valuable. However, every child has a unique sensory profile.

💡 What helps one child feel calm and regulated could actually overstimulate another.

That's why I believe in designing Return to Learn spaces — thoughtfully planned environments that respond to children's individual sensory needs and help support their readiness to learn.

And here's something worth considering:

✨ A well-designed sensory corner in an ordinary classroom can sometimes be more effective than an expensive, poorly matched sensory room.

It's not necessarily about having more equipment or a bigger budget.

It's about understanding the child first. 💜

🎥 Watch the video to hear my thoughts.

💬 Are sensory rooms working effectively in your school or SEND setting? I'd love to hear your experiences.

21/10/2026

20/10/2026

Meltdowns at school? Often it’s not the activity, it’s the gap between activities. 🔁

In this week’s In the OT Kit, Sian explains how a simple transition schedule (even just a whiteboard and a pen!) helps children see what’s happening now and what’s coming next. Predictability means one less thing to worry about.

Her top tip: show the schedule before the transition starts, with a 5-minute visual warning like a sand timer or kitchen timer.

👉 More ways to support your child’s development: milestonesot.co.uk/supporting-childrens-development

16/10/2026

When a child is overwhelmed, frustrated or dysregulated, telling them what they should be doing isn't always enough and likely won't land.

Co-regulation matters. Our nervous systems influence one another, and the experiences we create with children can support their ability to regulate, connect, and learn.

The Regulated Classroom® gives educators practical ways to do this, woven into the school day, through four Core Practices: Connectors, Activators, Settlers, and Affirmations. Supporting regulation isn't just about what we say to children. It's also about what we help them experience.

08/10/2026

When a child repeatedly calls out in class, it can easily be interpreted as rudeness, attention seeking or defiance. But sometimes there’s something very different happening underneath the behaviour.

For some children, particularly those struggling with impulse control and working memory, the thought arrives and needs to come out immediately. By the time they’ve raised their hand, waited and been chosen, they may no longer be able to hold onto what they wanted to say.

Instead of repeatedly correcting the behaviour, small adjustments can help — such as a visual reminder, a non-verbal cue or simply acknowledging the thought and helping the child hold onto it.

Understanding why a behaviour is happening can completely change how we support it 💚

07/10/2026

06/10/2026

Do mornings in your house often feel rushed, stressful or like a daily battle?

For many neurodivergent children, the difficulty may be coming from things like decision overload, sensory overload and unpredictability — not from them simply being “difficult”.

Small changes can often make a big difference, such as preparing choices the night before, reducing sensory triggers and creating a more predictable morning routine.

If mornings are a regular flashpoint in your home, please get in touch. I’d be happy to help you work out where to start 💚

05/10/2026

For professionals working in diagnostic clinics and paediatric teams, I’d really value your perspective 💚

When you think about the families you support day to day, would one-to-one coaching or a small group format feel like the better first step — or does it completely depend on the individual family?

Your feedback will help shape how I develop and explain these options when speaking with referrers and other professionals.

I’d love to hear your thoughts in the comments 👇

03/10/2026

Why should children have to wait for the support they need? 💚

EHCP demand has risen sharply, and many families tell me they're facing long waiting lists and struggling to access support when their child needs it.

England's 2026 schools white paper outlines proposed SEND reforms, with a focus on earlier intervention and greater inclusion in mainstream schools.
For me, practical support within the school day is an important part of this conversation.

That's why I've developed a school-based occupational therapy programme to help teachers integrate practical OT strategies into everyday learning and support children across the school.

Are you a parent or teacher navigating SEND support? I'd love to hear your experiences. And if you'd like to know more about my school training and support programme, please get in touch 💬

02/10/2026

Address

Saint Albans

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm

Telephone

+447700175100

Website

http://www.milestonesot.co.uk/

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