Navigating Occupational Therapy Services in Malta
When parents first realise their child might need occupational therapy, one of the first questions they ask is: where do I start? In Malta, there are two main pathways — the public health system and private clinics. Both have their place, and understanding the differences helps you make the right choice for your family.
Public Occupational Therapy in Malta
Public OT services in Malta are provided through Mater Dei Hospital and the Child Development Assessment Unit (CDAU). These services are free at the point of use, which makes them essential for many families.
The Child Development Assessment Unit (CDAU)
The CDAU is the primary gateway for children who need developmental assessments. It offers multidisciplinary evaluations involving OTs, speech-language pathologists, physiotherapists, and paediatricians. A referral from your family doctor or paediatrician is required to access the CDAU.
Once referred, your child will be placed on a waiting list. Waiting times can range from several months to over a year, depending on demand. For children with complex needs, this wait can feel very long.
What Public OT Typically Covers
- Developmental assessments and reports
- Individual therapy sessions for children with diagnosed conditions
- School-based support in some cases
- Referrals to other services within the public system
Private Occupational Therapy in Malta
Private OT clinics offer faster access, more flexibility, and often more intensive therapy programmes. You do not need a referral — you can contact a private therapist directly and book an initial assessment within days or weeks.
Advantages of Private OT
- Shorter waiting times: Assessments are typically available within one to four weeks.
- More session frequency: You can arrange weekly or twice-weekly therapy to support faster progress.
- Parent involvement: Private sessions often include more time for parent coaching and home programme guidance.
- Specialist approaches: Private therapists may offer specialised approaches such as sensory integration therapy, DIR/Floortime, or handwriting programmes.
Understanding the Costs
Private OT sessions in Malta typically range from €50 to €90 per session, depending on the therapist’s experience and session length. Initial assessments usually cost more than ongoing therapy sessions. Some private health insurance policies in Malta cover or contribute to OT costs — always check your policy.
How to Get a Referral for Public OT
To access public occupational therapy, follow these steps:
- Speak to your family doctor (GP) or paediatrician about your concerns.
- Ask for a referral to the CDAU or the OT department at Mater Dei Hospital.
- Ensure the referral clearly describes your child’s difficulties and the reason for the request.
- Follow up regularly — referrals can sometimes be delayed in the system.
Can You Use Both Systems?
Absolutely. Many families in Malta use the public system for formal diagnosis and reports, while accessing private therapy for more frequent, hands-on intervention. The two approaches are not mutually exclusive. A private therapist can also liaise with your child’s school or public healthcare team to ensure a consistent approach.
Which Option Is Right for Your Child?
If your child’s needs are urgent or you want to begin intervention quickly, private OT is usually the faster route. If cost is a significant barrier, the public system provides essential services at no charge. In either case, early intervention is key — the earlier children receive support, the better the outcomes.
If you are unsure where to start, speaking directly to a qualified OT can help you understand what your child needs and which pathway makes most sense for your situation.
If you’re concerned about your child’s development, contact us at +356 99872936 or visit wonderkids.mt to book an assessment.