Danielle provides regular Occupational Therapy sessions out of her office in Gordon, NSW and sessions in families homes and community settings as appropriate. Her schedule structure is designed to provide flexibility for the families that she works with to enable appointments to occur in different environments when there is a need for more detailed analysis of what is happening contextually. Each session varies significantly in what is being focused on due to the nature of the chronic conditions that she works with. Some sessions focus solely on the children’s needs whilst others include only the parent(s). The goals within each therapy session are fluid, in that they change as the session progresses based on what demands are being placed on the child. Sessions include focus on the family’s wellbeing as part of managing their child’s health care. Short and Long term goals for the family are separated from those that are required within the overall care of their health as an Occupational Therapist where monitoring progress during chronic conditions requires management of financial, personal, social, physical and those obstacles which block future progress for the individual and for each member of the family as it relates to interactions with that particular child as they age. Danielle has experience working with parents as their children age over an extended time period, and in altering Occupational Therapy goals to realign with new demands for supporting healthy and productive ageing as children move out of school into disability support services for adults. Navigating through those obstacles is a huge burden of care for families and has a significant impact on their health and wellbeing and productiveness with their own personal goals. Chronic conditions require additional experience with goal setting and management of resources that requires constant interaction with parents and lengthy discussions of details to promote healthy prioritisation of which settings are appropriate and which place their loved one at risk from the environmental issues that are present and not able to be managed due to the complexity of the environment at that point in time e.g lack of internet laws consistency with online bullying / sexual assault of children. Chronic conditions require preventative care with focus on environmental analysis and strategies put into place within the context of routine daily life that support absolute safety. Issues with staff capability and risk of abuse is high in some settings and requires significant family and child support to manage resources to identify options that suit that particular families needs e.g. current issues industry wise with access to carers.