Occupational Therapy (OT) and Physiotherapy (PT)

Paediatric Occupational Therapy helps children participate in meaningful activities (“occupations”) that make up a child’s everyday life. Physiotherapy focuses on mobility and physical activity. OTs and PTs work to enhance functional abilities and to increase independence, participation and engagement in play and learning. Examples of OT and PT skills and areas of focus include:

  • OT: fine motor, play skills, feeding, sensory processing, self-regulation, pre-printing and pre-literacy skills, handwriting.
  • PT: gross motor, positioning, stretching, strengthening, balance, coordination, motor planning.

At Silver Creek, every child will receive occupational therapy and/or physiotherapy services depending on your child’s need.
OT and PT is a part of the learning team within your child’s classroom to ensure both physical and emotional development. The team at Silver Creek is responsible for assessment and goal setting, and works in collaboration with parents in the planning and delivery of treatment.

There are several ways that OT and PT are provided at Silver Creek, listed below:

  1. In the classroom, therapy is integrated as part of the program. Therapy goals are incorporated into circle time, free play, snack time, and transitions – during all routines of the day. Adapted seating, positioning, mobility aids, and other specialized equipment are available for your child to maximize his/her ability to play and participate in the program.
  2. Specialized therapy groups. The OT, PT, and therapy assistants run small groups throughout the week, focusing on specific gross motor skills, pre-printing, fine motor skills, self-help and sensory strategies.
  3. Collaborative Therapy groups. Groups are co-facilitated across multiple therapeutic disciplines. As an example, we have Music and Movement groups in which the music therapist helps facilitate movement, body awareness, and motor planning through the use of music.
  4. Individual goals. These goals are worked on throughout the day in the classroom, Snoezelen room, gym, and during transitions (for example, working on walking when going to and from the bus). All staff including therapists and teachers will encourage and facilitate every child in meeting their individualized, family-centred goals.

Along with these programs, a variety of therapy approaches are available to ensure each child receives the necessary support for their individualized success. Many of our Silver Creek therapy staff are trained in Kinesiotaping, Theratogs, Cuevas Medek Exercises, Neurodevelopment Treatment, yoga therapy, Handwriting Without Tears, and many others. Also, we work together with licensed orthotists to run orthotics clinics at the pre-school.

Our Mission is Play

At the heart of Silver Creek’s mission is play; where elements of fun and engaging activities stimulate development and promote positive outcomes. To maximize your child’s potential at home and school, it is beneficial that the staff of Silver Creek collaborate with families and outside agencies, to provide the best service of care to your child. We welcome and encourage ongoing input from parents!


Amy De Domenico

My two hearing impaired daughters were placed in classrooms with excellent peer language role models to assist in their language and articulation development. They received individualized programs to meet their needs. Silver Creek prepared them well for mainstream kindergarten. We are forever grateful.

Angela Pires

Silver Creek has given my son the tools that are necessary to succeed in school, and in life. Their patience and love have guided my son to develop in ways that words can’t describe. He is a confident individual who thrives on challenges and I thank Silver Creek for that. Actually, I thank all the members of Silver Creek for all they have done. It is truly a great place to be.

Linda and Darcy DeMonte

The staff at Silver Creek are wonderful people and amazing at what they do. They are a great resource to have as well; very knowledgeable, willing and able to help us as parents through the complicated process of raising a child with special needs. Thank you Silver Creek

Maryanne Tecimer

Our twins started at Silver Creek in the fall of 2009. I knew they were in excellent hands and I saw them progress so rapidly. I was very concerned about their development prior to starting Silver Creek and in no time, they were at the same level as the rest of their peers. The impact the staff at Silver Creek has had on our children has been tremendous. We are happy that our twins will benefit from another year under their guidance.

The Gedi Family

Fadhil has become a more confident boy ready to take on the world. He is able to sign and communicate his needs very efficiently. I am no longer worried about how he will do in school because of the great accomplishments that I have seen while he was at Silver Creek. Thank you for giving us courage and strength.

Farah Fua and Roy Ramnarine

The one-on-one attention, the follow through notes that the OT, the Speech and Language therapist or the music teacher, and everyone that’s involved is phenomenal. Silver Creek staff, you possess the healing hands and big hearts for looking after the welfare of our child in the areas we don’t know how.

Julie Guzzo

Silver Creek is a wonderful, caring and enriching experience for pre-schoolers. The program met our expectations (which were high!) because we had spoken with other parents whose children previously attend Silver Creek Pre-School. The teachers and staff exceeding our expectations.


The staff at Silver Creek have definitely exceeded my expectations in every way. They genuinely care about the children and work tirelessly every day for the benefit of the children. They also have a wealth of knowledge and have become my trusted advisers whenever I have questions or concerns about my child.

Maya Dansereau

I will never forget the moments when interacting with my children’s teachers, speech therapists, occupational therapist and volunteers how obvious it was they were fulfilling their truest calling in supporting them and all children. I feel profoundly lucky and grateful knowing that my children’s path forward is brighter now because of them.

Christopher Graci, 4 years old

The things I like about Silver Creek: 1. Playing on the computer 2. Playing dress-up with my friends 3. I like when the teachers read books to me 4. I also liked to spend time with Bill. He used to tell me jokes.They were very, very, very, very funny. 5. My favourite activity was listening to music