1. Purpose
This policy is to ensure that caseload targets are managed in a manner that is considering the needs of our clientele and team members.
2. Application
This policy applies to all employees and directors working for Joyful Journey Occupational Therapy Pty Ltd, including casual and contracted employees.
3. Policy
Free Spots in the Calendar
The following steps are to be followed for filling in clients when a vacancy presents in the calendar.
A spot is identified as free, and the clinician is made aware if not already
In Splose, the spot is blocked as a 'busy time' appointment in the purple colour, with the following information:
'Available Now' or 'Available starting xx/xx/20xx')
Was Delilah Lees (client name if applicable)
Weekly/fortnightly
The clinician determines whether:
a) the spot needs to be filled and,
b) an existing client needs to be moved/increased to fill the free spot
The clinician (with support from their senior OT if needed) sends admin 3-5 names from the waitlist via an email with the subject line 'Potential Waitlist Clients for [CLINICIAN NAME HERE]' or via Teams.
Admin contacts clients to book in.
Clients left a voice message/text before 12:30pm have until the end of the business day to respond.
Clients left a voice message/text after 1:30pm have until end of the next business day to respond.
If the spot isn't filled by the names in the email, clinician and director are informed.
Ideally, the spot is filled within one week of availability becoming available.
Clients Nearing Discharge
Sometimes we have clients that appear to run out of goals. Here are the steps that we go through before comfortably discharging:
A goal review should be completed with the family. This may include:
An OT Therapy Plan update
Discussing through goal outcome measures (as per the SMART goal)
Instructing parents to think between sessions about any new goals that might need to be discussed
Completing a standardised assessment to measure progress
If new goals cannot be identified (remember, it is not up to a therapist to determine goals - A problem is only a problem if it's a problem):
Inform parents that it might be time to discharge. This may look like:
Reducing session frequency (fortnightly, monthly, school holiday check-ins or as needed check-ins. Client's can be flagged as 'call to fill cancellations' on the waitlist under the 'Cancellation Callback List'
Placing clients on a therapy break. This means they are placed on the waitlist as an 'Existing' client for a pre-determined amount of time (often 3, 6 or 12 months) and then called when a spot becomes available again
Discharging clients (aka graduating occupational therapy)
Referring clients to other services (social groups, other therapies etc.)
Sometimes we have been kept in the loop as we are seen as one of the supports for their families. We are not the best support for families if we don’t have goals. Referring onto psych, CAHMS, OT, play therapy, community groups and support groups, GP etc can provide more optimal care to the whole family.
Ensure your supervisor and admin are informed of the discharge.
Joyful Journey Occupational Therapy
Policy & Procedure: Children in the Waiting Room Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines Joyful Journey OT’s approach to managing children in the waiting room to ensure safety, minimise disruption, and support a welcoming, child-friendly environment for all visitors.
This policy applies to all clients, families, visitors, clinicians, and administrative staff at Joyful Journey Occupational Therapy.
Joyful Journey OT strives to create a warm and inclusive space for children and families. While our waiting area is designed to be family-friendly, children must remain under the supervision of a parent or guardian at all times. Our team is not responsible for supervising children in the waiting area.
4.1 Supervision Expectations
Children in the waiting room must be accompanied and supervised by a responsible adult.
Staff, including clinicians and admin, are not responsible to supervise children under any circumstance, even briefly.
Siblings of clients are welcome in the waiting area, provided they can be appropriately supervised.
4.2 Safety Considerations
The waiting room is not a child-proofed or enclosed play space and may include potential hazards (e.g., doorways, furniture edges, entry to carpark areas).
Caregivers are responsible for ensuring that children:
Do not climb on furniture
Do not leave the waiting area unattended
Use toys and equipment appropriately
Do not disturb other families, clinicians, or sessions in progress
4.3 Use of Toys and Books
Limited toys, books, and sensory items may be available in the waiting room. These are:
To be shared respectfully
Cleaned and rotated regularly
Not to be taken home unless explicitly given as part of a therapy program
Families are welcome to bring personal toys or activities for children while they wait.
4.4 Unattended Children
If a child is found unattended in the waiting room, the admin team will attempt to locate the responsible adult immediately.
If safety is at risk and a parent or guardian cannot be found, staff will escalate (e.g., contacting the client’s emergency contact, seeking assistance from a senior staff member).
Clinicians may discuss concerns with families if a child’s behaviour in the waiting room poses a safety risk or causes significant disruption.
This policy is shared at onboarding and included in the New Client Welcome Pack.
Clear signage is displayed in the waiting area.
Reminders may be provided gently by admin staff if supervision concerns arise.
This policy will be reviewed annually or as required in response to safety incidents, environmental changes, or staff feedback.
Joyful Journey Occupational Therapy (JJOT)
Policy: Child Safety and Wellbeing Policy
Effective Date: 09/05/2025
Next Review: Annually
Joyful Journey OT is committed to promoting the safety, wellbeing, and inclusion of all children and young people. We have zero tolerance for child abuse or neglect and actively work to uphold children's rights to feel safe, be respected, and have a voice in their care.
This policy applies to all JJOT employees, students, contractors, volunteers, and anyone engaged in service delivery with or around children and young people.
At JJOT, we:
✅ Prioritise the physical and emotional safety of children in all environments
✅ Embed child safety into daily practice and decision-making
✅ Uphold the United Nations Convention on the Rights of the Child
✅ Promote child voice and agency in therapy and service planning
✅ Ensure staff are trained in recognising and responding to harm
We actively build a culture of child safety by:
Embedding child-safe language in our documents, spaces, and sessions
Encouraging children and families to speak up
Creating inclusive, welcoming environments for all children
Modelling respectful, developmentally appropriate boundaries
All Staff and Contractors Must:
Comply with this policy and mandatory reporting obligations
Complete child safety training at induction and annually
Report concerns promptly following JJOT’s Mandatory Reporting Flowchart
Create physically and emotionally safe spaces
Record and document concerns professionally and sensitively
Management Will:
Maintain up-to-date screening (e.g. WWCC) and training records
Respond to all allegations and concerns with transparency
Review risks and incidents to strengthen child safety measures
We are committed to child-safe recruitment by:
Requiring Working with Children Checks (WWCC) and referee checks
Including child safety and values-alignment in interviews
Requiring completion of child safety training before unsupervised work with children
JJOT is committed to:
Supporting the safety of Aboriginal and Torres Strait Islander children
Embracing children from culturally and linguistically diverse backgrounds
Promoting the participation and dignity of children with disability
Respecting gender identity, sexuality, and family structure
We:
Use developmentally appropriate communication tools to explain rights, boundaries, and consent
Seek feedback from children and families through surveys and informal check-ins
Encourage children to share their goals and preferences in sessions
Support carers to be involved in a way that upholds the child’s best interests
All staff must follow JJOT’s Mandatory Reporting Flowchart when:
They suspect a child is at risk of harm
A child discloses abuse, neglect, or unsafe behaviour
They observe concerning behaviour from another adult, child, or staff member
Reports are to be made in accordance with state legislation (e.g., to Child Protection, NDIS Commission, or Police). Documentation must be recorded in an Incident Report, on Splose using the Child Concern Record Template and escalated to management immediately.
JJOT proactively identifies and mitigates risks to children by:
Completing risk assessments for new environments (e.g., home visits)
Supervising interactions in shared or community settings
Ensuring clinicians are never alone in enclosed spaces without parent knowledge
Reviewing incidents and near misses in the WHS Risk Register
JJOT’s Child Safety Code of Conduct prohibits:
Inappropriate physical contact or isolation
Gift-giving, secret-keeping, or favouritism
Personal relationships outside the therapeutic context
Communication with clients via social media or private messaging
This policy will be reviewed:
Every 12 months
After any child safety incident or concern
With input from staff and families where appropriate
Code of Conduct
Confidentiality Policy
Risk Management Policy
Complaints Management Policy and Procedure
Incident & Allegation Response Procedure
Joyful Journey Occupational Therapy (JJOT)
Polciy: Clinical Documentation Policy
Effective Date: 09/05/2025
Next Review Date: Annually
This policy ensures all clinical documentation at JJOT is timely, accurate, ethical, and compliant with legal, professional, and funding body requirements. It promotes quality care, continuity of service, and accountability.
This policy applies to all occupational therapists, students, and allied health assistants under JJOT who are involved in documenting client care, including clinical notes, reports, letters, assessments, and communication logs.
All clinical documentation must be:
✅ Accurate
✅ Objective and professional in tone
✅ Timely and up to date
✅ Clear, concise, and client-centred
✅ Compliant with privacy and consent requirements
✅ Stored securely and only in JJOT-approved systems (e.g. Splose)
JJOT clinicians are expected to complete documentation such as:
Initial and review assessments
Session notes/progress notes
Therapy plans and goal reviews
Support letters (e.g., for NDIS, schools, GPs)
Reports (e.g., functional capacity, sensory, NDIS EOP reports)
Risk assessments or incident reports
Communication logs (emails, phone calls with stakeholders)
Each clinical contact must be documented with a progress note, including:
Date and time of session
Location (e.g., clinic, school, telehealth, home)
Participants present
Session summary: goals targeted, activities used, observations, outcomes
Clinical reasoning and next steps
Any risks, incidents, or safeguarding concerns
Signature and designation (e.g., Hannah Lees, OT)
Must be completed within 48 hours of the session
Late entries must be clearly dated and marked as a “late entry”
Reports and letters must:
Be written in clear, respectful language
Include date, author, and role
State the purpose, client background, assessments used, findings, and recommendations
Be submitted for internal review if clinically or legally complex (see “Senior OT Review” section)
Be uploaded to Splose and shared with stakeholders per consent
All clinical notes and reports must be documented in Splose, JJOT’s practice management system
Paper notes (if temporarily used) must be scanned and uploaded, then securely shredded
No client information may be stored on personal devices, USBs, or unauthorised platforms
In line with Australian standards, JJOT will retain client records for:
Children: Until the child turns 25
Adults: 7 years after the last client contact
Records will then be securely archived and destroyed following our Archiving Procedure.
All documentation must reflect only information the client or guardian has consented to share
If including sensitive or third-party information (e.g., school observations), note the source clearly and ensure permissions are in place
Clients have the right to request access to their documentation under the Privacy Act 1988 (Cth)
Random clinical documentation audits will occur quarterly
The Director or Senior OT will provide feedback and offer support where improvements are needed
Clinicians are encouraged to seek peer or supervisor review for complex reports
Failure to adhere to this policy may result in:
Documentation revision requirements
Additional supervision
Performance management or disciplinary action where appropriate
Confidentiality Policy
Supervision Policy
Joyful Journey Occupational Therapy
Policy & Procedure: Clinician Self-Care & Burnout Prevention Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines Joyful Journey OT’s commitment to promoting clinician wellbeing, preventing burnout, and fostering a sustainable, reflective, and compassionate work environment. It provides guidelines for proactive and responsive strategies to support staff mental health and job satisfaction.
This policy applies to all clinicians employed or contracted by Joyful Journey OT, including occupational therapists, therapy assistants, students on placement, and any staff providing direct client care.
Joyful Journey OT recognises the emotionally demanding nature of working in paediatric and mental health therapy, particularly in a trauma-informed, neurodiversity-affirming practice. We are committed to creating a workplace culture that values personal wellbeing as essential to ethical, high-quality care.
Burnout prevention is a shared responsibility between individual clinicians and the organisation. We strive to provide structural, cultural, and interpersonal supports to enable clinicians to thrive.
Prevention-first approach: Addressing workplace stressors early reduces the risk of burnout.
Psychological safety: Clinicians are encouraged to speak openly about stress, fatigue, and wellbeing.
Individual differences: Wellbeing strategies are flexible and tailored.
Shared responsibility: Leadership, teams, and individuals all contribute to a supportive culture.
Sustainability over heroism: Working sustainably is more valuable than pushing through at the expense of wellbeing.
5.1 Support Structures
Access to regular in-house supervision (minimum monthly, or more often if desired).
Availability of external supervision or counselling (reimbursed or subsidised when needed).
Scheduled wellbeing check-ins with the Director or Senior OT.
Team debriefs after high-intensity cases or incidents.
5.2 Workload Management
Monitoring of client loads and non-billable time.
Encouragement to take clinical pause weeks or lower-load periods when needed.
Protected time for planning, documentation, and professional development.
Processes in place to request adjustments to caseloads, days worked, or session types.
5.3 Culture & Communication
Open-door policy with leadership.
Regular team meetings to promote connection and shared problem-solving.
Promotion of boundary setting (e.g., not replying to emails or working outside work hours).
Encouragement to take annual leave and mental health days.
Encouragement to finalise work at the clinic before returning home within work hours to support work-life balance and separation.
Clinicians are encouraged to:
Monitor their own stress levels and energy patterns.
Seek support early—from peers, supervisors, or management.
Maintain clear work-life boundaries (e.g., no client notes at night).
Practice personal self-care routines (e.g., rest, exercise, therapy).
Use supervision to reflect on emotional and professional challenges.
Be honest about capacity and avoid overcommitting.
Clinicians or supervisors noticing the following are encouraged to initiate support conversations:
Persistent fatigue or sleep disruption
Irritability, disconnection, or reduced empathy
Dread about certain clients or days
Avoidance of tasks (e.g., note writing)
Increased errors or reduced satisfaction with work
Withdrawal from colleagues or supervision
If burnout is suspected or reported, leadership may:
Offer an adjusted caseload or temporary change in duties
Arrange additional supervision or peer support
Encourage use of personal leave or other external supports
Conduct a wellbeing planning meeting
Document agreed supports and monitor progress
Discussions related to mental health and burnout are treated with sensitivity and respect. Information shared will be confidential unless there is a risk to safety or a need for collaborative problem-solving with consent.
This policy will be reviewed annually and after any significant wellbeing incident or staff feedback indicating policy improvement is required.
Joyful Journey Occupational Therapy
Policy & Procedure: Clinician Time Management Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines expectations and supports for effective time management among clinicians at Joyful Journey OT. It ensures clinicians can manage client care, administrative duties, professional development, and wellbeing within paid working hours.
This policy applies to all clinicians employed or contracted by Joyful Journey OT, including occupational therapists, therapy assistants, and students on placement.
Joyful Journey OT is committed to helping clinicians work sustainably, within their rostered hours, and with adequate time for all aspects of their role. The organisation supports proactive time management, realistic scheduling, and clear communication to ensure work-life balance and prevent burnout.
Workload should be achievable within paid hours, including client sessions, documentation, planning, and other responsibilities.
Sustainability over productivity: Quality care and clinician wellbeing are prioritised over excessive output.
Protected time is necessary for tasks beyond client-facing hours.
Regular reflection and adjustment of schedules is encouraged.
Clinicians are expected to:
Schedule non-billable tasks such as report writing, excessive planning beyond time spent in their 10-minute allocated note writing time, and additional admin into their calendars.
Allow buffer time between appointments (e.g. 10–15 minutes) for transition and documentation.
Communicate with the Practice Manager or Senior OT if workload consistently exceeds capacity.
Use time-tracking (e.g., within Splose or Outlook Calendar) to ensure accurate representation of time use.
Avoid taking work home, particularly clinical notes, unless specifically arranged for flexibility.
Prioritise tasks using workload triaging strategies (e.g. “Must do, Should do, Could do”) and using Asana to track workload tasks.
Joyful Journey OT supports clinician time management by:
Scheduling realistic client loads that account for non-face-to-face time (e.g. 10 minutes of planning/prep per session).
Allowing clinicians to block off calendar time for:
Report writing
Session preparation
Resource development
Supervision and professional development
Team and client liaison tasks
Providing access to time management resources, templates, and coaching in supervision.
Allowing flexibility in consulting days or session formats where needed.
Regularly reviewing workload equity across the team.
If a clinician is:
Consistently working overtime
Falling behind on documentation
Feeling rushed or unable to complete tasks adequately
They are encouraged to:
Raise this in supervision or a wellbeing check-in
Work with the Director and/or Practice Manager to identify scheduling changes, resource needs, or delegation options
Adjust caseload where necessary to protect clinician health and service quality
Standard session (45-50 mins) + note writing + planning = 65-70 mins total
Supervision: 1–2 hrs/fortnight
Documentation ~10 mins per client contact (accounted for within the session block)
Admin/liaison tasks: ~5–10% of weekly hours
PD/reflective practice: ~3–5% of weekly hours
Note: These are flexible estimates; actual needs may vary by clinician role and client complexity.
This policy will be reviewed annually and may be updated in response to:
Clinician feedback
Audits of time-tracking data
Changes in service models or caseloads
Incidents of overtime-related stress or burnout
Joyful Journey Occupational Therapy
Policy: Dealing with Aggressive and Unsafe Clients
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
1. Purpose
This policy outlines how Joyful Journey OT (JJOT) staff respond to actual or threatened aggression, unsafe behaviours, or violence from clients, family members, or others present during service delivery. The goal is to protect staff and client safety while maintaining ethical, trauma-informed practice.
2. Scope
This policy applies to all JJOT clinicians, admin staff, and contractors in any service setting—clinic, community, telehealth, or home visits.
3. Definitions
Aggressive Behaviour: Verbal abuse, threats, shouting, intimidation, or hostile behaviour.
Unsafe Behaviour: Any conduct that places the client, clinician, or others at risk (e.g. physical aggression, absconding, damage to property).
Violence: Actual physical harm or clearly threatening physical conduct.
Escalation Plan: A pre-agreed behaviour support or safety plan in place for known risks.
4. Guiding Principles
JJOT is committed to:
✅ Trauma-informed and neurodiversity-affirming practice
✅ De-escalation wherever safe and possible
✅ Zero tolerance for abuse, threats, or violence toward staff
✅ Upholding the dignity of all clients and families
5. Prevention Strategies
Build strong, respectful rapport with clients and families
Use collaborative goal setting and clear boundaries
Review behaviour support plans for clients with known safety risks
Home Vist Risk Assessments
Clinicians should assess the risk of escalation before home or community visits, and modify the environment or bring a second team member if required
6. Responding to Aggression or Unsafe Behaviour
Risk Level: Low
Examples: Raised voice, mild frustration
Immediate Action: Stay calm, redirect, set clear expectations
Risk Level: Moderate
Examples: Repeated yelling, verbal threats, throwing items
Immediate Action: End session if needed; call for backup; report incident
Risk Level: High
Examples: Physical aggression, threats of harm, unsafe home environment
Immediate Action: Leave or call 000; prioritise safety; report to Director and log incident
7. In the Event of Immediate Danger
If you or another person is at risk:
Remove yourself safely from the situation
Call 000 if needed
Notify Practice Manager or Director as soon as safe to do so
Do not attempt to physically restrain a client or intervene unless trained and absolutely necessary
8. Post-Incident Actions
Complete an Incident Report Google Forms
Notify relevant team leaders within 24 hours
Notify family (if not present) and discuss safety planning
Review any behaviour support or safety plan
Debrief with supervisor or team
Seek psychological support if affected
9. Ongoing Risk Management
For clients with repeated unsafe behaviour:
Schedule a case review with Senior OT or Director
Consider adjustments to service model (e.g. joint sessions, telehealth, temporary pause)
In some cases, JJOT may suspend or terminate services if safety cannot be assured, following a formal review and notification process
10. Staff Responsibilities
All team members must:
Follow this policy when risk is identified
Report all incidents or near misses promptly
Never tolerate abuse or unsafe behaviour
Seek support and supervision when affected by an incident
11. Related Policies
Child Safety and Wellbeing Policy
Incident & Risk Management Policy
Lone Worker Safety Policy
Clinician Wellbeing & Supervision Policy
Effective Date: 12/09/2025
Next Review: Annually
Joyful Journey OT (JJOT) is committed to creating a safe, inclusive, and respectful workplace for all staff, clients, and stakeholders. We have zero tolerance for discrimination, harassment, or bullying and actively promote equal opportunity for everyone.
This policy applies to all JJOT employees, students, contractors, volunteers, and anyone engaged in service delivery or workplace activities.
At JJOT, we:
Promote a culture of respect, fairness, and inclusion
Ensure all decisions (employment, promotion, training) are based on merit
Provide a workplace free from unlawful discrimination, harassment, and bullying
Encourage staff and clients to raise concerns without fear of reprisal
We actively:
Support diversity in culture, language, gender, sexuality, family structure, and disability
Make reasonable adjustments for staff and clients with additional needs
Promote dignity and participation in all interactions and decision-making
All Staff and Contractors Must:
Comply with this policy
Speak up and report incidents of discrimination, harassment, or bullying
Maintain respectful and inclusive behaviour
Management Will:
Investigate all reports promptly and fairly
Maintain confidentiality
Take appropriate action to resolve incidents and prevent recurrence
We ensure fair recruitment by:
Applying consistent selection criteria based on skills and merit
Considering inclusion and diversity in hiring decisions
Conducting referee checks and screening as required
Staff must report concerns following JJOT’s Grievance & Complaints Policy. Reports may be submitted verbally or in writing and will be handled confidentially, promptly, and fairly.
This policy will be reviewed annually, after any incident, or as needed with input from staff and stakeholders.
Code of Conduct
Grievance & Complaints Policy
WHS Risk Register
Confidentiality Policy
Joyful Journey Occupational Therapy (JJOT)
Policy: Equipment Cleaning & Safety Policy
Effective Date: 09/05/2025
Next Review: Annually
This policy outlines JJOT’s procedures for ensuring therapy equipment, resources, and tools are cleaned, maintained, and stored safely to protect the health, safety, and wellbeing of our clients, staff, and community.
This policy applies to all JJOT clinicians, students, and support staff who transport, use, or store therapy equipment and resources across all service settings (e.g. clinic, home, school, community).
Safety First: Equipment must be used and stored in a way that does not pose harm or risk.
Hygiene-Focused: Items are regularly cleaned to reduce infection transmission.
Developmentally Appropriate: Resources must be age- and ability-appropriate.
Dignity-Preserving: Equipment used with clients is clean, well-kept, and respectful.
Item Type: Hard toys (e.g., blocks, tools)
Cleaning Frequency: After each use
Recommended Method: Disinfectant wipe or soapy water & dry thoroughly depending on use in session
Item Type:Soft items (e.g., plush, fabric)
Cleaning Frequency: Weekly or if soiled
Recommended Method: Machine washable or remove from rotation
Item Type:Sensory toys/tools (e.g., putty)
Cleaning Frequency:Replace regularly
Recommended Method: Dispose if visibly dirty, sticky, or degraded
Item Type:Writing & craft tools
Cleaning Frequency: After session
Recommended Method: Wipe with disinfectant cloth
Item Type: Assessment tools
Cleaning Frequency: After each client
Recommended Method: As per publisher guidelines and infection control
Item Type: Electronic devices (e.g., iPad)
Cleaning Frequency: Daily or after use
Recommended Method: Alcohol wipe avoiding ports and screens
Clean hands before and after every session.
Disinfect high-touch equipment between clients.
Use gloves when cleaning items visibly soiled with bodily fluids.
Avoid shared food/play materials unless cleaned between clients.
Carry cleaning supplies in mobile kits (e.g., wipes, hand sanitiser, gloves).
Requirement: Regularly check for damage/wear
Responsibility: Clinician using the item
Requirement: Remove unsafe/broken items immediately
Responsibility: Clinician
Requirement: Report significant safety concerns
Responsibility: Notify Practice Manager
Requirement: Keep assessments in secure containers
Responsibility: Clinician
Requirement: Electrical items PAT tested annually
Responsibility: Admin / Practice Manager
Requirement: Follow safety ratings (e.g. choking hazard warnings)
Responsibility: Clinician
Equipment is transported in clean, secure tubs or bags.
Sharp, heavy, or messy items are stored separately.
Items are stored out of children’s reach when not supervised.
Trunk/boot kits are cleaned out and reorganised weekly.
School/home-based items are labelled and stored with consent if left on site.
Admin team may complete periodic equipment safety audits.
Outdated or damaged items are to be removed.
This policy is reviewed annually or:
After any infection control concern or outbreak
Following an incident involving unsafe equipment
In line with updates to health guidelines or NDIS requirements
Joyful Journey Occupational Therapy
Policy: Expectations and Booking of In-House Supervision
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To outline the expectations, responsibilities, and booking procedures for in-house clinical supervision at Joyful Journey Occupational Therapy (JJOT), supporting reflective practice, professional growth, and delivery of safe, evidence-based care.
2. Scope
This policy applies to all JJOT clinicians across all levels of experience. It aligns with AHPRA, OTA, and NDIS supervision guidelines.
3. Guiding Principles
Growth-Oriented: Supervision supports clinical confidence, reflective practice, and lifelong learning
Structured & Accessible: Supervision occurs regularly and is easy to book and prepare for
Responsive: Sessions are tailored to developmental stage, caseload, and individual learning goals
Safe & Respectful: All participants contribute to a psychologically safe environment for learning
Documented: Supervision is planned, recorded, and aligned with registration requirements
4. Supervision Expectations
New Graduate / Level 1
Weekly (min. 1 hr)
Individual, face-to-face or online
Level 2 or Early-Career
Fortnightly (min. 1 hr)
Individual or peer-based
Level 3+ / Senior OT
Monthly or as negotiated
Peer, leadership, or reflective supervision
Additional supervision is encouraged for complex cases, clinical skill development, or wellbeing support.
Group supervision or case conferencing may be offered periodically and counts toward supervision hours.
5. Booking Procedures
Standard Booking
Book supervision via the Splose calendar with an additional Teams message to confirm the time and a meeting link is required.
Clinicians are responsible for ensuring they meet their supervision frequency requirements.
Cancelling or Rescheduling
Where possible and practical, cancelled or missed sessions should be rescheduled within the same week for New Grad/Level 1 OT’s and within the same fortnight for Level 2 OT’s. Rebooking for Level 3 OT’s is to be negotiated between the mentee and mentor as applicable.
Emergency or On-the-Fly Supervision
Clinicians may request brief or urgent check-ins with the Senior OT or Clinical Lead as needed.
These do not replace formal supervision but may address immediate concerns.
6. Supervisor/Mentor and Supervisee/Mentee Responsibilities
Supervisee/Mentee Must:
✅ Come prepared with a reflection or focus area
✅ Submit any pre-readings or agenda items in advance
✅ Complete brief documentation or supervision record post-session
✅ Engage openly and respectfully
Supervisor/Mentor Must:
✅ Create a safe, non-judgemental space
✅ Tailor support to the clinician’s developmental level
✅ Provide clear, constructive feedback
✅ Maintain records of supervision in line with AHPRA/NDIS guidelines
7. Documentation
Each supervision session must be documented in the JJOT Supervision Agenda Template (template provided).
Records must include date, duration, focus, actions, and signatures.
Supervision documentation may be audited during registration, audits, or internal reviews.
8. Confidentiality & Escalation
Supervision is confidential unless issues arise involving:
Risk to client safety
Risk to clinician safety
Legal or ethical breaches
In such cases, issues will be escalated to the Practice Manager or Director per JJOT’s clinical governance framework.
9. Performance & Professional Development Link
Insights from supervision contribute to each clinician’s annual performance review.
Supervision also informs CPD planning, skill development, and readiness for progression.
10. Policy Review
This policy will be reviewed annually or when supervision structures change. Clinicians will be consulted as part of any major revisions.
Joyful Journey Occupational Therapy
Policy & Procedure: Group Development and Roll-Out Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines the process for designing, approving, marketing, and delivering group therapy programs at Joyful Journey OT. It ensures that all groups align with the clinic’s values, meet therapeutic goals, and maintain safety, inclusivity, and clinical rigour.
This policy applies to all Joyful Journey OT staff involved in proposing, planning, or running therapy groups, including OTs, therapy assistants, and students under supervision.
Joyful Journey OT encourages innovative, evidence-informed group programs that enhance client outcomes and community engagement. All groups must be approved by the Director or Senior OT and follow a consistent framework for planning, documentation, and evaluation.
All group programs must:
Be grounded in evidence-based or best-practice approaches
Target clearly defined therapeutic goals aligned with participant needs
Reflect Joyful Journey OT’s values
Include measurable outcomes
Be safe, accessible, and respectful of participants' physical, emotional, and sensory needs
Step 1: Proposal
Submit a Group Program Proposal to the Director or Senior OT including:
Group name, objectives, and target population
Clinical rationale and research base
Session structure and number of sessions
Required resources (venue, equipment, staff)
Risk considerations (e.g. sensory overload, peer conflict)
Cost per participant and staff time involved
Step 2: Review and Approval
Director or Senior OT reviews the proposal and:
Provides feedback and suggestions
Approves, declines, or requests revisions
Assesses resource and staffing feasibility
Step 3: Program Planning
Develop a detailed Session Outline or Facilitator Manual
Create risk assessments, group rules, and parent info packs
Plan and schedule sessions around staff capacity and room availability
Determine cancellation and make-up policies in line with already established cancellation policies at Joyful Journey OT
Submit marketing text/images for approval before distribution
Step 4: Marketing & Enrolment
Admin and/or marketing lead promotes the group via:
Website, social media, email campaigns, and in-clinic signage
Interested clients complete a Group Expression of Interest Form
Clinical team screens and confirms client suitability
Families are issued service agreements, consent forms, and payment info
Each group must:
Have two facilitators present where possible (clinician and assistant or student)
Include brief pre- and post-group check-ins for co-regulation and planning
Use inclusive, neurodiversity-affirming practices
Collect feedback from participants and families
Use outcome measures if relevant (e.g. pre/post self-regulation scale, parent goals)
Facilitators must:
Complete session notes that are collated and saved in each participant’s Splose file at the end of the group term
Record attendance and incidents
Upload group plans and reflections to the shared drive
Submit a group summary report at the end of the program to each participant
Following each group block:
A group debrief is held in supervision or team meetings
Parent and participant feedback is reviewed
Adjustments are made to improve future delivery
Programs may be archived, revised, or repeated as appropriate
Clinician: Propose and deliver group, screen participants, document care
Senior OT / Director: Approve programs, supervise planning, ensure quality
Admin Team: Support enrolment, billing, room booking, and communication
Therapy Assistants/Students: Assist with delivery and setup, document tasks as directed
This policy will be reviewed annually or when introducing a major new group service stream.
Joyful Journey Occupational Therapy
Policy & Procedure: Injury & Incident Reporting Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines procedures for responding to and documenting any injury, near-miss, or critical incident involving staff, clients, or visitors at Joyful Journey OT. It ensures compliance with work health and safety (WHS) obligations and fosters a proactive safety culture.
This policy applies to all staff, contractors, students, and visitors at Joyful Journey OT. It includes physical injuries, behavioural incidents, property damage, safety hazards, and critical client events.
Injury: Any physical harm sustained by a person on-site or during OT service delivery.
Incident: Any unplanned event that results in, or has the potential to result in, harm, damage, or disruption.
Near Miss: An event that could have led to an injury or incident but did not.
Critical Incident: A serious incident that involves risk to life, emergency response, or notifiable harm to a child or vulnerable person.
All staff must:
Respond immediately to ensure the safety of those involved
Notify the most senior staff member present
Complete an Staff Incident Report Form on the same day, or within 24 hours
Escalate any serious incidents to the Practice Manager or Director immediately
In the event of an injury or incident:
Ensure Safety – Attend to any injury or hazard and remove others from harm.
First Aid – Apply first aid if trained and required.
Seek Medical Attention – Call emergency services (000) if needed.
Inform Leadership – Notify the Practice Manager or Director as soon as possible.
Document the Incident – Complete the Incident Report Form and send to the Director or Practice Manager. The Director or Practice Manager will save the report in a dedicated incident folder.
The form must include:
Date, time, and location of incident
People involved or affected
Description of the incident and any injury
Action taken at the time
Recommendations for future prevention
Name of staff member completing the report
Forms are stored securely and confidentially, in line with privacy legislation.
All reports are reviewed by the Director and/or Practice Manager.
Appropriate follow-up may include:
Communication with affected individuals/families
Adjustments to policies, environments, or practices
Staff debrief or supervision
Mandatory notifications to external agencies (e.g., NDIS Commission, SafeWork)
Incidents are discussed anonymously in team meetings where learning may benefit the team.
Some incidents must be reported to external authorities. These may include:
Serious client injuries
Allegations of abuse or neglect
Dangerous workplace hazards
Significant behavioural incidents or client disclosures
The Director is responsible for determining and completing mandatory notifications.
Incident reports are confidential and only accessible to authorised personnel. Individuals involved are treated with respect, privacy, and support throughout the process.
All staff receive training on incident response and reporting as part of onboarding. Regular refreshers and WHS updates are provided annually or as required.
This policy is reviewed annually and after any critical incident to ensure best practice and compliance.
Joyful Journey Occupational Therapy
Policy: Team Member Leave (Planned & Unplanned)
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To outline the procedures for requesting, approving, and managing clinician leave at Joyful Journey Occupational Therapy (JJOT), balancing staff wellbeing with client care and operational needs.
2. Scope
This policy applies to all clinical team members, including employees and contractors, taking any form of leave (paid or unpaid), including annual, sick, personal, parental, study, or long service leave.
3. Guiding Principles
Prioritise clinician wellbeing and work-life balance
Maintain consistent, high-quality care for clients
Ensure transparent planning and communication
Comply with the Fair Work Act, Victorian Government Employment Regulations, WorkSafe Victoria, NES, and relevant contracts
4. Types of Leave
Annual Leave
Paid leave for rest and recreation
Full-time Employees: Full-time employees are entitled to 4 weeks of paid annual leave per year of service. This entitlement accrues progressively, meaning that employees earn a portion of their leave for each completed month of work.
Part-time Employees: Part-time employees are entitled to 4 weeks of annual leave, pro-rated based on their hours worked.
Casual Employees: Casual employees do not accrue annual leave. However, they are entitled to a casual loading of 25% on their hourly rate to compensate for not receiving paid leave.
Personal/Carer’s Leave
Paid leave when unwell or injured
Paid leave to care for a family/household member
Full-time and Part-time Employees: Employees are entitled to 10 days of paid personal/carer’s leave per year. This leave accrues progressively and carries over from year to year.
Casual Employees: Casual employees are not entitled to paid personal/carer’s leave.
Parental Leave
Unpaid/paid leave for birth or adoption of a child
Employees are entitled to unpaid parental leave under the Fair Work Act after 12 months of continuous service.
Parental leave can be taken for the birth or adoption of a child and must be taken in one continuous period (though split periods may be allowed with agreement).
Employees may be eligible for Government Paid Parental Leave through the Australian Government, which is separate from employer-provided leave.
Compassionate Leave
Paid leave for death/serious illness in family
Employees are entitled to 2 days of paid compassionate leave per occasion. This leave can be taken in the event of the death or serious illness of a close family member (e.g., parent, child, spouse, sibling, or other close relatives).
Study/PD Leave
Time off for training or study (approved case-by-case)
May be granted upon request and approval by the Director
Long Service Leave
After 7–10 years, in line with state legislation
Long Service Leave is provided to employees who have worked for the business for 7 years or more. The entitlement is generally 13 weeks of paid leave after 10 years of continuous service, pro-rated for those with 7 or more years of service.
Employees can take long service leave after 7 years of service, and it must be taken within a reasonable time frame as outlined by state regulations.
Unpaid Leave
May be granted upon request and approval subject to other leave types being exhausted.
Requests for leave without pay will be considered in extenuating circumstances on a case-by-case basis and must be approved by the Director.
WorkCover (Workers’ Compensation Leave)
In the event of an injury or illness sustained while at work, employees are entitled to workers' compensation under WorkSafe Victoria.
Employees who are injured at work are entitled to medical treatment and wage replacement if they cannot work.
Employees are entitled to paid leave for the duration of their recovery if the injury is covered by WorkSafe Victoria. However, this leave is often paid at a rate less than the employee’s normal salary, as outlined in the WorkSafe guidelines.
Reporting an Injury:
Any work-related injury or illness must be reported immediately to management and documented for WorkCover claims purposes.
Employees must follow all workplace health and safety protocols and complete any necessary forms for reporting incidents.
5. Planned Leave Process
Request Procedure
Submit planned leave via Quickbooks/Employee Hero at least 6 weeks in advance.
Include proposed dates and type of leave.
Discuss with the Director or mentor during supervision if relevant.
Approval Process
Leave is reviewed by the Practice Manager and approved by the Director (or delegate).
Approval is based on:
Client coverage
Team availability
Clinical and operational needs
Preparing for Leave
Once approved, clinicians must:
Notify clients at least 1-2 weeks in advance. This can be done in collaboration with reception and clinicians must keep receptionists updated on client's knowledge of their leave.
Arrange session rescheduling or temporary therapist coverage if possible.
Ensure all notes, reports, and handovers are up to date
Set out-of-office notifications and update the team re. availability
Notify admin of any sessions needing cancellation or flagging in calendar
6. Unplanned Leave (e.g. Sick or Emergency)
Notification
Notify the Director and admin team as soon as possible, ideally before 8:30am.
Use phone or text for urgent notice, followed by written confirmation.
Immediate Action
Admin will notify clients and cancel/reschedule appointments.
Clinician to apply for carers leave/sick leave on Employment Hero as soon as possible, ideally before 5:30pm.
Medical certificate required after 2 or more consecutive sick days and immediately preceding and following public holidays (or earlier if requested).
6a. Hybrid Unplanned Leave
To allow for flexibility for employees, Joyful Journey Occupational Therapy offers hybrid leave as an option for sick leave days.
This allows clinicians to complete 1:1 therapy services (e.g. telehealth sessions, client phone calls etc.) from home.
For hours worked (where revenue was generated), the clinician is not required to take sick leave.
For all hours where a revenue from 1:1 therapy services was not generated (i.e. clients declined a telehealth service or no client was scheduled in that time), the clinician is required to apply for sick leave.
Clinicians are expected to rest and not be active/available online during non-face-to-face time. Time not spent generating revenue is expected to be taken as sick leave. Non-face-to-face billables are expected to be left to be completed during a non-hybrid/sick leave work day.
7. Extended Leave (e.g. parental, long service, study)
Discuss with the Director at least 3 months in advance if possible.
A formal handover plan must be developed for:
Client transitions
Team communication
Case summaries and documentation
For parental leave: refer also to JJOT’s separate Parental Leave Policy.
8. Caseload Management During Leave
JJOT aims to minimise disruption by:
Offering clients the choice to pause or see another therapist
Providing warm handovers and joint sessions when possible
Documenting key clinical strategies and client preferences in therapy plans
Prioritising continuity for high-risk or vulnerable clients
9. Leave Calendar & Planning
A shared leave calendar is maintained by leadership to track planned absences.
Clinicians are encouraged to plan annual leave early in the year to support equitable distribution and coverage.
10. Responsibility Overview
Clinician: Submit requests, plan ahead, communicate with clients, admin team and clinician team as appropriate.
Practice Manager: Manage scheduling and coverage
Admin Team: Manage cancellations, remind clients of cancellations (secondary to clinician), update calendar
Director: Approve leave, support wellbeing planning
11. Policy Review
This policy is reviewed annually or following significant staffing or operational changes.
An incident becomes reportable to the NDIS Commission when during the course of service, an NDIS participant:
• Dies
• Suffers a serious injury
• Is abused or neglected
• Is victim to unlawful sexual contact including grooming
• Is victim to unlawful physical contact including threats
• Has administered upon them an unauthorised restrictive practice
Deadlines for reporting are 24 hours, except for in cases of unauthorised restrictive practice, where the deadline for reporting is 5 days.
The authorised incident reporter is the General Manager. All reportable incidents must be reported using the incident management system and reported to the General Manager.
Joyful Journey Occupational Therapy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
This policy outlines the entitlements and procedures for parental leave at Joyful Journey Occupational Therapy (JJOT), ensuring a supportive, inclusive, and legally compliant process for team members becoming parents through birth, adoption, or surrogacy.
This policy applies to all permanent employees (full-time and part-time). Casual employees may be eligible for unpaid parental leave if they have regular and systematic service for at least 12 months.
Primary carer: The person with the main responsibility for the day-to-day care of the child.
Secondary carer: A supporting role in the care of the child.
Parental leave: Leave related to the birth, adoption, or arrival of a child into the employee’s care.
Continuous service: Unbroken employment with JJOT, including paid leave and some unpaid leave.
Employees with 12+ months continuous service are entitled to up to 12 months of unpaid parental leave, with the option to request an additional 12 months (total of 24 months).
This applies in the case of:
Birth of an employee’s child
Placement of a child through adoption, long-term foster care, or surrogacy
Eligible employees may access Parental Leave Pay and Dad and Partner Pay through Services Australia. JJOT will support employees in this process but is not responsible for payments or eligibility decisions.
Employees on unpaid parental leave may access up to 10 Keeping in Touch (KIT) days, allowing them to:
Attend training or planning meetings
Support client or team transitions
Ease return-to-work anxiety
These days are paid and arranged by mutual agreement. They cannot be used within the first 6 weeks following birth without employee request.
Employees must provide at least 12 weeks’ written notice of their intention to take parental leave. This should include:
Proposed start and end dates
Confirmation of primary or secondary carer status
Medical certificate or documentation (if applicable)
A Parental Leave Agreement Form will be provided for completion.
Employees wishing to extend beyond 12 months must provide at least 6 weeks’ notice. Requests for an early return must be discussed and approved based on business needs.
Employees returning from parental leave are entitled to their pre-leave position, or an equivalent role if the original role no longer exists.
JJOT welcomes requests for:
Reduced hours or part-time work
Remote administration or planning days
Gradual return-to-work plans
Requests will be considered in line with our Flexible Work Policy and Fair Work Act provisions.
A re-onboarding meeting will be held prior to return, to:
Review caseload or role updates
Clarify phased return or flexible needs
Reconnect with the team and workplace systems
JJOT will make reasonable adjustments during pregnancy, including:
Modified duties or breaks
Safer work reassignments if needed
Paid or unpaid special maternity leave for pregnancy-related illness or loss
The same entitlements apply to adoption or surrogacy arrangements. Additional documentation will be required confirming the placement date and carer status.
All conversations and documentation relating to parental leave are handled in accordance with JJOT’s Privacy and Confidential Information policies.
Employee: Provide timely notice and documentation, engage in planning.
Practice Manager / Director: Support transitions, assess flexible requests, ensure role continuity.
Admin Team: Coordinate pay entitlements, KIT day tracking, and government correspondence.
Leave Request - Submitted via EmploymentHero/Quickbooks portal
Flexible Work Policy - available from Director
Parental Leave Agreement Form - available from Director
Return-to-Work Planning Template - available from Director
Joyful Journey Occupational Therapy
Policy: Personal Phone Use for Client Communication Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy provides clear guidelines for the appropriate and limited use of personal mobile phones by clinicians to contact clients, in situations where the work phone is unavailable or impractical (e.g. extended calls over 5 minutes). The policy ensures client confidentiality, professional boundaries, and proper documentation of all client-related communication.
This policy applies to all clinical and administrative staff at Joyful Journey OT who may need to contact clients or caregivers by phone.
Joyful Journey OT prioritises professional boundaries and data protection. While the work phone should always be the primary tool for client communication, staff may occasionally use a personal phone to call clients only under the following conditions:
The work phone is unavailable, in use, or non-functional
The anticipated call duration exceeds 5 minutes and would interfere with others' access to the work phone
Immediate or time-sensitive contact is required
Personal phone use must always uphold confidentiality, maintain professionalism, and be clearly documented.
Staff may use their personal mobile phones to call clients or caregivers when:
The call is essential to service delivery (e.g. confirming or cancelling sessions, discussing care concerns)
The call cannot be delayed until the work phone is available
The staff member ensures that their personal number is hidden (by using “No Caller ID” or dialling #31# before the number)
The call does not compromise the staff member’s privacy or safety
The call is documented in the client’s notes, including:
Date and time of call
Reason for call
Summary of discussion
Method used (noting personal phone was used due to specific circumstance)
Staff must not:
Use personal phones for text messaging or casual/non-essential client communication
Save client contact details permanently in their personal phone
Use personal phones for client video calls or telehealth services unless specifically approved in writing by the Director or Practice Manager
Share their personal number with clients or suggest clients call or text their private number
Allow repeated use of personal phones to become routine (if so, an operational solution should be explored)
To reduce the need for personal phone use:
Schedule calls during office hours when the work phone is accessible
Use email communication when appropriate
Plan for high-call-volume tasks (e.g. intake follow-ups, care coordination) during time blocks when the work phone is likely available
Consider requesting a second work phone for overflow if this becomes a recurring issue
Always block caller ID when using a personal phone
Document the call in Splose immediately or as soon as practical
If a voicemail is left, record a brief summary of the message (without including client-sensitive information in the voicemail itself)
Staff will not be reimbursed for occasional personal phone use, unless agreed upon in writing for exceptional circumstances
Staff are encouraged to maintain strong personal-professional boundaries and report to the Practice Manager if they feel the use of personal phones is affecting their wellbeing or privacy
Any breach of this policy, including failure to protect privacy or repeated unapproved personal contact, will be addressed according to Joyful Journey OT’s Staff Conduct and Confidentiality Policies. Concerns about client boundary crossing or inappropriate contact should be escalated promptly to the Director.
This policy will be reviewed annually or as technology, privacy regulations, or practice needs evolve.
Joyful Journey Occupational Therapy
Policy: Provision and Use of Clinician Resources
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
1. Purpose
To outline expectations for the responsible use, care, and access of Joyful Journey OT (JJOT) clinical resources, including therapy equipment, assessment tools, digital resources, and consumables.
2. Scope
This policy applies to all employees and contractors who access or use clinical resources for client care or professional development at JJOT locations, in the community, or when working remotely.
3. Definitions
Clinical Resources: Any physical or digital item provided by JJOT for use in therapy or related duties. Includes:
Assessment tools (e.g. Sensory Profile, BOT-2)
Therapy equipment (e.g. weighted items, toys, visuals)
Technology (e.g. iPad, laptops, chargers)
Digital resources (e.g. Splose templates, handouts, software licenses)
Stationery and consumables (e.g. stickers, paper, laminating sheets)
4. Allocation of Resources
✅ Clinicians are provided with appropriate resources for their role
✅ Resources may be shared among the team where feasible
✅ JJOT will supply essential assessment tools and therapy equipment for use in-clinic and in-home where needed
✅ Any clinician needing additional or specialised resources may request them via the Director/Practice Manager
5. Use of Resources
Clinicians must:
Use all resources for clinical or approved professional use only
Treat items with care and respect
Sanitise or clean items between clients as required
Ensure client confidentiality is protected when using shared tech or printed resources
Seek approval before using personal devices for client care (e.g. personal laptop)
6. Responsibility for Items
JJOT-owned physical items: Return in clean and functional condition; report any damage or loss
Technology (iPads/laptops): Password-protected use; avoid unauthorised apps or downloads
Digital documents/templates: Use current versions; do not share externally without permission
Personal items used in sessions: Must meet safety/cleanliness standards; not eligible for replacement by JJOT
Lost or damaged resources due to neglect may result in the clinician being asked to replace the item.
7. Resource Requests & Purchases
Submit requests to the Practice Manager or Director via Teams or email
Include purpose, urgency, and cost estimate if known
All purchases must be pre-approved unless part of an allocated budget
JJOT may reimburse clinicians for approved out-of-pocket purchases with a valid receipt
8. End of Employment or Extended Leave
All JJOT-owned resources must be returned prior to departure or maternity/parental leave
Digital access (e.g. Splose, Canva, email) will be deactivated or paused
Any non-returned resources may be recorded in the staff exit checklist
9. Breaches or Misuse
Misuse of resources may lead to:
Informal feedback or supervision
Formal warning (if repeated or intentional)
Repayment of costs (in cases of significant loss or damage)
10. Related Policies
Equipment Cleaning & Safety Policy
Client Privacy & Confidentiality Policy
Clinician Exit Checklist
Technology Use Policy
Joyful Journey Occupational Therapy
Policy: Responding to At-Risk Behaviour – Suicide & Self-Injury
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
1. Purpose
This policy outlines the process for identifying, assessing, and responding to risk of suicide, self-harm, or other high-risk behaviours in children, adolescents, or family members engaged with Joyful Journey OT (JJOT). It ensures responses are ethical, timely, legally compliant, and within the scope of occupational therapy.
2. Scope
This policy applies to all JJOT clinicians and staff who may identify or receive information about suicide or self-injury risk in clients or family members. It includes in-person, telehealth, or incidental disclosures during therapy or administrative interactions.
3. Definitions
At-Risk Behaviour: Any behaviour, thought, or expression suggesting intent to harm oneself or end one’s life.
Self-Injury: Intentional injury to one’s own body, often as a coping mechanism, without suicidal intent.
Suicidal Ideation: Thoughts or plans about ending one's life.
Immediate Risk: A person has current intent, means, and/or a plan to carry out self-harm or suicide.
4. Clinician Responsibilities
All clinicians must:
✅ Remain calm, non-judgemental, and responsive
✅ Prioritise safety over confidentiality when a life is at risk
✅ Seek support and supervision after managing a risk situation
✅ Stay within their professional scope and refer to mental health professionals when needed
5. Risk Identification
Risk may be identified by:
Verbal disclosure by client, sibling, or parent
Observed behaviour (e.g. scars, drawings, statements, drastic withdrawal)
Information shared by a teacher, support worker, or GP
Parent concerns regarding their child or themselves
6. Risk Assessment
Occupational therapists at JJOT are not expected to complete full psychiatric risk assessments. However, they must assess level of concern using the following questions:
Ask directly and sensitively:
“Have you been feeling really overwhelmed or hopeless?”
“Have you ever thought about hurting yourself or not wanting to be here?”
“Do you have a plan or have you done anything to hurt yourself?”
Determine risk level and the corresponding action:
IMMEDIATE RISK (e.g. current plan, means, intent)
Call 000 and request ambulance; do not leave the person alone
MODERATE RISK (e.g. passive thoughts, no plan)
Contact GP or local mental health team for urgent review
LOW RISK or HISTORICAL (e.g. non-recent self-injury, no current intent)
Monitor, document, inform caregivers, refer for support
7. Mandatory Notifications & Duty of Care
JJOT clinicians are mandated to report any concerns about a child’s safety or wellbeing to:
Child Protection / Department of Communities and Justice (DCJ)
Family’s GP or other treating health professionals (with or without consent if safety is at risk)
Where a parent discloses suicidal ideation, clinician duty of care may extend to referring them to emergency or mental health services.
8. Immediate Actions – Safety First
Situation: Client or parent is at immediate risk during session
Action: Call 000, keep them safe, and remain with them until help arrives
Situation: Client discloses risk outside of session
Action: Call family/carer immediately to conduct safety check or escalate to 000
Situation: Clinician feels unsure
Action: Call Director, Senior OT or local mental health crisis team for support
9. Documentation
All incidents must be:
Documented clearly, objectively, and without delay in Splose
Include what was said, observed, actions taken, who was informed, and any advice received
Logged in the Incident Register if emergency services or mandatory reporting were involved
10. Follow-Up and Support
The clinician involved will be offered a debrief session within 48 hours
Referrals to external supervision are encouraged
Director and Practice Manager will review the situation for any quality improvements or policy updates
11. Relevant Services for Referral
Emergency (000)
Lifeline – 13 11 14
Kids Helpline – 1800 55 1800
Local Child and Youth Mental Health Services (CYMHS)
Headspace
Client’s GP or Paediatrician
12. Related Policies
1. Purpose
Each participants accesses supports in a safe environment that is appropriate to their needs.
2. Policy
a) General Safety
Safety is important to everyone at Joyful Journey Occupational Therapy, clients and staff alike
Workplace hazards are to be rectified as soon as they are noticed, with consideration paid to their severity
All our support workers work one on one with clients and as such need to be known to the clients
Individual emails and business cards for all are available for all clinicians so they can all be identified and contacted easily
A 'home risk assessment tool' is used to ensure the home environment is safe for our clinicians to be in, and safe for service to be delivered in
b) Psychosocial Safety
Any factor or factors in the work design, system of work, management of work, carrying out of work or personal or work-related interactions that may cause an employee to experience one or more negative psychological responses that create a risk to their health and safety must be eliminated, or adequately managed
Where it cannot be eliminated as far as reasonably practicable, the risk must be reduced by either, or a combination of, altering the work environment, or using information, instruction or training
Training and instruction can include:
a. Mental Health First Aid
b. Burnout Prevention Training
c. Emotional Intelligence Training (ability to understand, use, and manage your own emotions in positive ways to relieve stress, communicate effectively, empathize with others, overcome challenges and defuse conflict)
If any of the following is identified as a risk, a written prevention plan is to be created to mitigate:
a. Aggression or Violence
b. Bullying
c. Exposure to Traumatic Content or Events
d. High Job Demands
e. Sexual Harassment
c) Client Safety
For the safety of our clients, JJOT holds the following:
a. Clients of primary school age or younger are not to be left at the office without an authorised guardian or career present in the building
b. The carer or guardian may elect to stay in the waiting area, however may not leave the building
c. In cases where the client is above primary school age, the clinician may request the carer or guardian remain present in the building if the clinician feels it is necessary
1. Purpose
To ensure all clients and staff are provided with a safe, sanitary and enjoyable environment.
2. Policy
Due to the often young or vulnerable nature of Joyful Journey OT’s clients, smoking (including vaping and e-cigarettes) is expressly forbidden on all company property.
Joyful Journey OT also strongly encourages that smoking does not occur near the front of the property to avoid second-hand smoke drifting onto the property.
Joyful Journey Occupational Therapy
Policy & Procedure: Social Media and Online Representation Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines the expectations for the responsible use of social media and online platforms by employees, contractors, students, and volunteers of Joyful Journey OT. It ensures that all public communication reflects the values, professionalism, and privacy standards of the practice.
This policy applies to all forms of online communication, including but not limited to:
Personal and professional use of social media (e.g. Facebook, Instagram, LinkedIn, TikTok, X/Twitter)
Blogs, forums, and podcasts
Professional networking or discussion groups
Comments or interactions under Joyful Journey OT's official content
Messaging apps when used in a professional context
It applies to all staff when:
Representing the business publicly
Referring to the business or work-related experiences
Posting content that could be linked to their role at Joyful Journey OT
Staff must represent Joyful Journey OT with integrity, respect, and professionalism online. Content must protect client confidentiality, align with the clinic’s values, and uphold the reputation of the profession and the organisation. Personal use of social media should not compromise the safety, trust, or image of the business.
✅ Appropriate Online Conduct
Speak positively and professionally about your work or team if publicly identifying as a Joyful Journey OT employee.
Maintain professional boundaries with clients and families online (e.g. do not add clients as friends or follow them from personal accounts).
Share or engage with clinic-approved posts on professional platforms like LinkedIn, if comfortable.
Direct all media enquiries or public interest to the Director or Practice Manager.
❌ Not Permitted
Posting any identifying or confidential client information or stories (even anonymously).
Sharing photos or videos from sessions without written, signed client consent and approval from management.
Making negative, critical, or inflammatory statements about clients, families, colleagues, or the organisation.
Engaging in online arguments or conduct that may reflect poorly on the profession or business.
Using the clinic’s name, logo, or resources in personal posts without approval.
Staff are free to maintain personal social media accounts, but must:
Avoid making public statements that could be linked to the business if controversial or unprofessional.
Include a disclaimer (on blogs, bios, or posts) if discussing industry topics publicly, e.g.:
“Opinions are my own and do not represent Joyful Journey OT.”
Avoid mentioning clients, families, or work incidents on personal platforms.
Posts and content on official Joyful Journey platforms will be:
Curated and scheduled by the Director or delegated admin/marketing team
Compliant with NDIS and AHPRA guidelines
Reviewed regularly for engagement, reach, and relevance
Team members may be invited to contribute to content creation (e.g. therapy tips, events, stories) but must obtain approval before publishing.
No images, videos, or stories involving clients are to be shared without:
Written and signed consent from the client or parent/guardian
Director approval of the post and its wording
Consent forms must specify social media use and be stored with client records.
Any withdrawal of consent must be immediately honoured and content removed.
Breaches will be treated seriously and may result in:
Removal of the offending content
Formal performance management processes
Disciplinary action, up to and including termination
Notification to AHPRA or professional bodies if required
Confidentiality Agreement
Professional Code of Conduct
Media and Marketing Policy (if applicable)
Client Consent for Media Use
This policy will be reviewed annually or as social media trends and professional standards evolve.
Joyful Journey Occupational Therapy (JJOT)
Policy: Technology Use Policy
Effective Date: 09/05/2025
Next Review: Annually
This policy outlines appropriate, secure, and ethical use of technology by staff at JJOT. It ensures that all digital and electronic resources are used in ways that support our clinical, administrative, and operational goals while protecting sensitive information and upholding professional standards.
This policy applies to all staff, contractors, and students engaged by JJOT, whether working on-site, remotely, or in the community.
JJOT devices (laptops, tablets, phones) are provided for business use only.
All client records must be stored in JJOT-approved platforms (e.g., Splose, OneDrive) — not on local hard drives or personal devices.
Passwords must be strong, never shared, and changed regularly.
Devices should be locked or logged out when unattended.
Internet access is to be used for work-related purposes.
Personal use is permitted in moderation, provided it does not interfere with work, violate policy, or risk data integrity.
Staff must not access or distribute inappropriate, offensive, or non-professional content.
Only JJOT-approved software, apps, and cloud services may be used for storing or sharing client information.
Staff must not download unauthorised software or store files on unapproved platforms (e.g., personal Dropbox, USBs).
Requests for new digital tools should be made to the Director or Practice Manager.
Staff must comply with the JJOT Confidential Information Policy and Australian Privacy Principles.
Client information must never be accessed, shared, or discussed on personal devices or social media.
Use secure Wi-Fi (not public or open networks) when working remotely.
Enable auto-sync and cloud backup where available (e.g. OneDrive, Google Drive).
Report device loss, theft, or breach of security immediately to the Practice Manager.
Do not email sensitive documents externally unless encrypted and with prior approval.
When working offsite, staff must ensure a private and secure environment for accessing client files.
Devices must be stored securely and transported with care.
Headphones must be used for telehealth or phone calls in shared environments.
Personal device use during work hours must not interfere with productivity or professionalism.
JJOT branding or imagery must not be shared without approval.
Social media interactions with clients or families are not permitted.
JJOT reserves the right to monitor use of its systems and devices where legally appropriate.
Non-compliance may lead to disciplinary action, including restriction of access, performance management, or termination.
Staff must:
Use technology in line with this policy.
Report suspected breaches or cyber incidents.
Keep devices and data secure.
JJOT Management will:
Provide secure systems and training.
Maintain software updates and data protection measures.
Respond to risks and breaches in a timely and proportionate manner.
Confidentiality Policy
Social Media and Online Representation Policy
Clinical Documentation Policy
Injury & Incident Reporting Policy (WHS and Risk Management)
Joyful Journey Occupational Therapy
Policy & Procedure: Therapy Dog Use Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines the safe, appropriate, and ethical integration of Delilah, Joyful Journey OT’s therapy dog, into clinical sessions. It ensures that Delilah’s involvement enhances therapeutic outcomes while maintaining safety, consent, hygiene, and professional standards.
This policy applies to all Joyful Journey OT staff, clients, families, and visitors when Delilah is present onsite or involved in therapy sessions.
Joyful Journey OT recognises the therapeutic benefits of animal-assisted therapy, including improved engagement, emotional regulation, and social connection. Delilah’s presence is used intentionally and only with informed consent. Her inclusion is guided by animal welfare standards, client needs, and a trauma-informed, neurodiversity-affirming approach.
Delilah attends Joyful Journey OT on selected days and is always accompanied by her primary handler (a Joyful Journey clinician or approved staff member).
Voluntary Participation: No client or staff member is required to interact with Delilah. Opt-out is always respected.
Informed Consent: Informed consent is obtained prior to any planned client interaction.
Animal Welfare: Delilah’s wellbeing is prioritised. She will not be overworked, mishandled, or exposed to distressing environments.
Hygiene and Safety: Infection control, allergies, and safety protocols are maintained.
Delilah may be included in sessions when:
The clinician deems it therapeutically beneficial
The client and/or guardian has provided consent
There are no known allergies, phobias, or cultural objections
Delilah is in good health and emotionally regulated
The session environment is appropriate (low noise, predictable transitions)
Prior to participation:
Families are ifnormed of Delilah's presence
Any concerns (e.g. past trauma, sensory sensitivities, allergies) are noted in the client's file
Clients may opt in to: passive presence, structured interaction, or light grooming/petting
Clients can opt out at any time with no impact on their care
Hannah Lees (owner): Ensures Delilah’s behaviour, hygiene, and safety; supervises interactions
Clinical Team: Determines suitability of Delilah’s involvement based on client profile; supervises interactions
Admin Team: Informs clients when Delilah is on-site
Families: Provide informed consent and notify of any relevant considerations
Interactions may include:
Greeting and co-regulating with Delilah at session start
Incorporating Delilah in play, emotional literacy, or sensory tasks
Practising gentle touch, boundaries, and empathy skills
Using Delilah as a "co-therapist" in narrative or goal-setting activities
All interactions must:
Be supervised at all times
Be calm and predictable (no loud yelling, chasing, or pulling fur)
Stop immediately if Delilah or the client shows distress
Delilah is up to date with vaccinations, grooming, and veterinary care
She is removed from any situation involving client aggression, high noise levels, or unpredictable behaviours
Sessions are adapted if Delilah is unwell or over-aroused
Allergies are checked at intake; signage is posted when Delilah is onsite
An incident report is completed if any unexpected reaction or safety concern occurs
Delilah’s attendance is not guaranteed and is based on her availability, health, and staffing.
Clients can request to book sessions on “Delilah days,” but the clinic cannot guarantee her presence.
Admin will inform families if Delilah is unavailable due to illness or handler absence.
Delilah’s involvement is noted in session documentation where relevant
Any incidents or behavioural concerns (from client or dog) are documented and reviewed
This policy is reviewed annually
Delilah’s health, temperament, and suitability for continued work are reassessed regularly
Family and client feedback is encouraged to guide ongoing use
Joyful Journey OT AI Usage Policy
1. Purpose
This policy outlines the responsible and ethical use of artificial intelligence (AI) within Joyful Journey OT. It ensures compliance with data protection regulations, maintains high standards of client confidentiality, and supports professional integrity in documentation and reporting.
AI can be defined as ‘computer systems able to perform tasks that normally require human intelligence, such as visual perception, speech recognition, decision making, and translation between languages’
2. Approved AI Tool
Joyful Journey OT mandates the use of Microsoft Copilot as the sole AI tool for professional and admin tasks. This decision is based on data protection requirements and the need for secure, compliant AI usage. With express permission from the buisness owner and/or practice manager, as well as written consent from clients and/or client nominees, note-taking AI software (e.g. Heidi Health) may be used to support progress note development.
No other AI tools, including free or publicly available generative AI models, are permitted for work-related purposes.
3. Data Privacy & Deidentification
Therapists must deidentify all client-related information before entering it into Microsoft Copilot. This includes:
Client names
School names
Addresses
Any other personally identifiable details
AI-generated content must never contain identifiable client information.
AI tools must not be used to store, process, or analyze sensitive health data beyond permitted use cases.
4. AI-Assisted Documentation & Proofreading
AI-generated text must not be copied and pasted directly into reports or client documentation without thorough proofreading and professional judgment.
Therapists must ensure that AI-generated content aligns with clinical best practices, ethical standards, and regulatory requirements.
AI should be used as a support tool, not a replacement for professional expertise.
5. Ethical & Professional Responsibilities
Therapists remain fully accountable for all content produced using AI.
AI-generated recommendations must be critically evaluated before being incorporated into clinical decision-making.
Transparency is required—clients should be informed if AI-assisted tools are used in their documentation or communication.
6. Compliance with Industry Standards
This policy aligns with Australian Health Practitioner Regulation Agency (Ahpra) guidelines on AI use in healthcare and the principles outlined within it.
Therapists must adhere to privacy laws, including the Australian Privacy Act and relevant health record legislation.
AI usage must comply with ethical principles, including avoiding bias, ensuring accuracy, and maintaining professional integrity.
7. Monitoring & Policy Updates
AI usage within Joyful Journey OT will be regularly reviewed to ensure compliance with evolving regulations and best practices.
Therapists will receive ongoing training on responsible AI use.
Any breaches of this policy may result in disciplinary action.
Policy Statement
At Joyful Journey Occupational Therapy, we prioritise the therapeutic relationships we build with our clients. Maintaining professionalism and respect for each therapist's established rapport is essential to providing effective care. This policy outlines the expectations for waiting room interactions to ensure a supportive and respectful environment for both clients and therapists.
Policy Guidelines
Respect Client Relationships
Therapists must respect the relationships other occupational therapists have established with clients. Engaging with a client in the waiting room should be approached with caution and sensitivity.
Limit Physical Contact
Physical contact, such as hugs, should be initiated and guided by the client and primary therapist. Other therapists should refrain from initiating hugs or physical affection with clients unless invited to do so.
Observe Professional Boundaries
Conversations in the waiting room should remain professional. Avoid discussing personal or sensitive topics related to the client’s treatment or circumstances.
Supportive Interactions
When engaging with clients, interactions should be brief and supportive, aimed at creating a welcoming environment without undermining the primary therapist's relationship.
Suggested Scripts
When Greeting Clients:
“Hi [Client’s Name], I hope you’re having a great day! Have fun in your session with [Primary OT’s Name].”
If a Client Approaches:
“It’s so nice to see you! [Primary OT’s Name] will be with you shortly.”
Implementation and Compliance
Training: All staff will receive training on this policy during onboarding and at annual professional development sessions.
Feedback: Staff are encouraged to provide feedback regarding the policy and its implementation.
Review: This policy will be reviewed annually to ensure its effectiveness and relevance to our practice.
Conclusion
By adhering to this waiting room etiquette policy, we can maintain a collaborative and respectful environment that prioritises the therapeutic relationships critical to our clients’ success. Thank you for your cooperation and commitment to creating a positive atmosphere at Joyful Journey Occupational Therapy.
1. Purpose
To outline the obligations of management and employees to comply with the Code of Conduct for Joyful Journey Occupational Therapy Pty Ltd (the Code of Conduct) and contribute to the achievement of a professional and productive work culture within the Allied Health industry, characterised by the absence of any form of unlawful or inappropriate behaviour.
2. Application
This policy applies to all employees and directors working for Joyful Journey Occupational Therapy Pty Ltd, including casual and contracted employees.
3. Code of Conduct
All employees must adhere to the:
National Code of Conduct for Health Care Workers
Code of Conduct for Unregistered Health Practitioners
Occupational Therapy Australia Code of Conduct (AHPRA)
In addition to this, all employees are expected to conduct their duties in a professional and positive manner. It is a non-negotiable that Joyful Journey Occupational Therapy Pty Ltd is an enjoyable place to be for both employees and clients and this can only be achieved if all employees ensure that Joyful Journey Occupational Therapy Pty Ltd is a functional, safe environment free from workplace bullying or violation of any of the aforementioned Codes of Conduct.
All team members at Joyful Journey Occupational Therapy must act with integrity and transparency in all professional interactions. A conflict of interest occurs when personal, financial, or other interests have the potential to influence—or appear to influence—a team member’s ability to make impartial decisions in the best interests of clients, families, or the organisation. Team members are expected to identify and disclose any actual, perceived, or potential conflicts of interest to the Director or Acting Practice Manager as soon as they arise. This includes, but is not limited to, dual relationships with clients, referrals involving family members, or personal gain from vendor relationships. Once disclosed, a plan will be developed to manage or eliminate the conflict, ensuring ethical and professional standards are maintained.
Team members at Joyful Journey Occupational Therapy must maintain professional boundaries and avoid situations where the acceptance of gifts or benefits could compromise, or be perceived to compromise, their professional judgment or create a conflict of interest. Small tokens of appreciation (e.g., handmade items or low-value gifts under $50) may be accepted with discretion and should be disclosed to the Director or Acting Practice Manager. Gifts of higher value or repeated gifting must be politely declined or referred to management for guidance. Under no circumstances should staff solicit gifts, accept cash, or provide preferential treatment in exchange for gifts or favours.
Breaches of Joyful Journey Occupational Therapy’s Code of Conduct are treated seriously and may result in disciplinary action. This includes, but is not limited to, breaches related to confidentiality, professional boundaries, misuse of organisational resources, unethical behaviour, or failure to disclose conflicts of interest. Disciplinary action will be proportionate to the nature and severity of the breach and may range from informal feedback and supervision to formal warnings, suspension, or termination of employment. In cases involving misconduct or legal breaches, referral to external regulatory bodies (e.g., AHPRA or the NDIS Commission) may be required.
All team members have a responsibility to contribute to a safe, respectful, and professional workplace. Any concerns about inappropriate behaviour—including bullying, harassment, discrimination, or professional misconduct—should be reported promptly to the Director or Acting Practice Manager. Reports can be made verbally or in writing and will be handled confidentially and in line with natural justice principles. An impartial investigation will be conducted, and all parties will be given the opportunity to respond. Joyful Journey Occupational Therapy is committed to supporting those who raise concerns in good faith and will ensure there is no victimisation or retaliation for reporting. Outcomes may include mediation, training, disciplinary action, or changes to workplace practices.
Joyful Journey Occupational Therapy
Policy & Procedure: Workplace Dress Code and Demeanour Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines expectations for professional attire at Joyful Journey OT to ensure staff present in a way that promotes trust, comfort, and credibility with clients, while maintaining safety and practicality for a paediatric therapy environment.
This policy applies to all employees, contractors, students, and volunteers representing Joyful Journey OT during client-facing work, in the clinic, in the community, or while attending professional events on behalf of the practice.
Staff at Joyful Journey OT are expected to maintain a professional, neat, and practical appearance. Attire should reflect the values of safety, inclusiveness, and professionalism, while allowing for comfort and flexibility when working with children.
✅ Acceptable Attire
Clean, neat, and well-maintained clothing appropriate for physical activity (e.g. kneeling, crawling, lifting therapy equipment)
Modest tops (no low-cut or midriff-revealing shirts)
Professional-looking pants or tailored jeans (no rips or distressed styles)
Knee-length or longer skirts and dresses, if worn, must allow safe movement
Closed-toe shoes or supportive sandals (must be suitable for active play)
Branded Joyful Journey polo shirts, fleeces, or name badges (if provided)
Cultural or religious dress items are welcomed and respected
❌ Not Permitted
Activewear (e.g. gym tights without a long top, sports crop tops)
Ripped, faded, or distressed clothing
Excessively casual items such as pyjamas, trackpants (unless uniformed), or thongs
Clothing with offensive, political, or inappropriate text or graphics
High heels or footwear unsuitable for safe movement or play
Excessive or dangling jewellery that may pose a hazard when working with children
🧒 Child-Friendly Presentation
Clothing should be appropriate for working at eye-level with children and participating in floor-based or sensory play.
Keep in mind that some children may be sensitive to strong perfumes or scents.
🧼 Hygiene
Personal hygiene must be maintained at all times.
Clothes should be clean and odour-free.
Hair should be neat and tied back if long, particularly during sessions.
🛠️ Environmental Context
Dress should be adapted to the setting: for example, sturdy outdoor clothing for nature-based therapy sessions or appropriate attire for home visits.
Where PPE is required (e.g. for infection control or medical client needs), it must be worn as instructed.
When representing Joyful Journey OT externally, staff are expected to wear smart casual or professional attire in line with the event expectations, maintaining a polished and respectful appearance.
If attire is not aligned with this policy:
The Practice Manager or Director may have a discreet conversation with the staff member.
Staff may be asked to return home to change if attire is deemed unsafe or inappropriate for client interaction.
Repeat issues will be addressed through supervision or performance discussions.
Staff at Joyful Journey Occupational Therapy Pty Ltd are expected to converse with clients in an inclusive, positive and uplifting manner.
Joyful Journey Occupational Therapy Pty Ltd prefer that this demeanour be genuine. If personal circumstances apply pressure on an individual causing the positive demeanour to be staged, management encourage the staff to be forthwith in the event that Joyful Journey Occupational Therapy Pty Ltd can support in any way.
This policy will be reviewed annually, or earlier if uniform options or clinic environments change.
Joyful Journey Occupational Therapy
Date of Last Review: 23/02/2023
Next Review: Annually
Joyful Journey Occupational Therapy is committed to maintaining a safe, healthy, and secure environment for all employees, contractors, clients, and visitors. Workplace health, safety, and welfare are integral to our operations and decision-making. Through consultation, continuous improvement, and shared responsibility, we aim to minimise risks and promote a culture of safety across all aspects of our business.
This policy is designed to:
Assist managers and employees in understanding WHS responsibilities.
Ensure compliance with relevant legislation, codes of practice, and recognised WHS standards.
Provide guidance for proactive hazard and risk management.
Promote a culture where all individuals can reasonably expect to be free from injury or illness.
Joyful Journey Occupational Therapy operates under the VIC – Occupational Health and Safety Act 2004 and related legislation.
Continuously improve WHS systems and standards for all staff, contractors, clients, and visitors.
Provide a safe and healthy workplace.
Increase awareness of personal responsibility in WHS.
Reinforce a culture of safe working practices.
Reduce or eliminate workplace incidents and injuries.
Facilitate early and safe return to work for injured employees.
Minimise costs associated with workplace accidents.
Promote employee welfare and wellbeing.
Consult employees on WHS issues.
Hannah Lees is responsible for WHS across the organisation. Responsibilities include:
Ensuring adequate staff training and resources for WHS.
Maintaining safe buildings, facilities, and equipment.
Conducting risk assessments and corrective actions.
Ensuring compliance with relevant legislation and standards.
Observing statutory and organisational WHS standards.
Maintaining a safe workplace and access.
Developing and improving safe work systems.
Monitoring occupational health factors.
Recording and investigating incidents and implementing corrective actions.
Employees must take reasonable care of their own health and safety and that of others. Responsibilities include:
Performing work safely and following WHS procedures.
Reporting hazards, incidents, and injuries promptly.
Participating in rehabilitation programs as required.
Completing incident reports within 24 hours.
Hazard Identification: Workplace inspections, incident reports, observation, and consultation.
Risk Assessment: Evaluating likelihood, exposure, and consequence of hazards.
Risk Control: Using the hierarchy of control—elimination, substitution, engineering controls, administrative controls, and PPE.
Monitor and Review: Regularly review control measures to ensure ongoing effectiveness.
Employees must follow safe lifting techniques, use equipment appropriately, and perform movements smoothly to avoid strain or injury. Risk assessments must be conducted before lifting.
Identify, assess, and control chemicals or substances in the workplace.
Follow procedures for handling, storage, and disposal.
Provide PPE and training where appropriate.
First Aid Officer: Hannah Lees.
First aid kits are located in the staff room.
Employees must follow immediate treatment and reporting procedures for injuries, blood exposure, or infections.
Fire Warden: Hannah Lees.
Evacuation drills and debriefings conducted regularly.
Specific arrangements in place for mobility-impaired persons.
Conducted at least every six months or as required.
Aim to identify hazards, assess controls, and prevent incidents.
Employees must follow safe practices when using vehicles, computers, tablets, and laptops.
Report any faults or hazards immediately.
Employees must wear clothing, footwear, and accessories suitable for their role and compliant with WHS guidelines.
Employees working remotely must complete a safety and wellbeing checklist prior to approval.
Hazards at home should be identified, assessed, and managed according to WHS standards.
All incidents, injuries, and near misses must be reported on the Incident Report Form.
Serious incidents must be reported to the relevant statutory authority.
Employees may be entitled to workers’ compensation.
Joyful Journey Occupational Therapy supports rehabilitation and return to work programs.
This policy will be reviewed annually in consultation with employees and updated as needed to reflect legislative changes, organisational changes, or WHS best practices.
Joyful Journey Occupational Therapy
Policy & Procedure: Application of Cancellation and No-Show Fees
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines the expectations, responsibilities, and procedures related to the application of cancellation and no-show fees for clients of Joyful Journey Occupational Therapy (JJOT). It ensures fairness, supports business sustainability, and promotes client accountability in attending scheduled appointments.
This policy applies to all clients receiving NDIS-funded services through Joyful Journey OT. It is relevant to all staff responsible for scheduling and service delivery, including administrative and clinical personnel.
Sessions cancelled for Medicare-funded clients should be rescheduled where applicable. No cancellation fee applies.
Sessions cancelled for private-paying clients have no cancellation fee until a frequent pattern of cancellations is identified and communicated to the Practice Manager or Director. At this time, a $50 late-cancellation fee may be enfored for ongoing cancellations.
Joyful Journey OT reserves scheduled session times exclusively for each client. Late cancellations and non-attendance directly impact access to services for other clients and result in unrecoverable costs for the business.
To protect clinical time and support service equity, cancellation and no-show fees will be applied in accordance with the guidelines below. The following policy aligns with the NDIS Price Guide 2024-2025.
Late Cancellation: Cancellation of a scheduled appointment with less than two (2) full business days notice.
No-Show: When a client fails to attend a scheduled session without any prior notice.
Exceptional Circumstances: Circumstances outside a client’s control, such as medical emergencies, bereavement, or natural disasters.
Notice Period: More than two (2) full business days notice
Fee Charged: No fee
Notes: Session rescheduled without charge or a replacement service is offered.
Notice Period: Less than two (2) full business days notice
Fee Charged: 100% of session fee
Notes: Includes in-home, clinic and telehealth sessions. Travel typically charge will not be charged if no travelling is completed. Planning and prep charges are also not applied as the completed planning and prep will apply to the next applicable session.
Notice Period: No show
Fee Charged: 100% of session fee
Notes: Includes in-home, clinic and telehealth sessions. Travel completed by the clinician due to a client/caregiver not providing notice will be charged one-way. Planning and prep charges are not applied as the completed planning and prep will apply to the next applicable session.
6.1. Client Onboarding
Clients are informed of this policy during their intake process (verbally and in writing).
Policy is included in the Consent and Service Agreement.
6.2. Managing a Cancellation
Clients must notify JJOT as soon as possible if they cannot attend.
If cancellation is made less than 2 business days before the session, admin staff or the clinician records the reason and applies the appropriate fee. Sessions are marked as 'Did Not Arrive' in Splose.
Admin sends a cancellation invoice, noting the policy as applicable.
6.3. No-Show Management
Clinician to wait 10 minutes for client to arrive or log on (for telehealth).
Clinician or admin to attempt to contact the client, first by phone-call, and then by text if required.
If no contact is received, the session is considered a no-show.
Admin notifies clinician; full session fee is charged.
6.4. Exceptional Circumstances
Clients may request a cancellation fee be waived due to unforeseen or compassionate reasons.
The Director or Practice Manager will review and decide on a case-by-case basis.
Examples that may warrant waiver: hospitalisation, emergencies, unexpected transport failure, family crisis.
6.5. Repeat Cancellations or No-Shows
After three consecutive unexplained cancellations or no-shows, or 4 sessions out of 6 sessions are cancelled without explanaion or no-shows, the client’s ongoing booking is reviewed.
A 'warning' call is first provided, including a reminder of the above cancellation policy and a collaborative effort to support therapy engagement. A second phone call may result in a client being moved back to the waitlist until a more suitable time is found for therapy.
Clinician may consider a change in service delivery mode, frequency, or discharge with notice to family.
Review is documented in Splose.
Client/Carer: Notify JJOT promptly if they cannot attend a session.
Clinician: Document cancellations/no-shows and notify admin.
Admin: Apply fees, invoice accurately, and maintain records.
Director/Practice Manager: Approve fee waivers, contact clients/caregivers following frequent cancellations, and support policy implementation.
This policy is accessible on the JJOT website and provided to all clients upon commencement of services. Regular reminders may be issued via email or SMS, especially if a pattern of cancellations arises.
This policy will be reviewed annually or earlier if required due to changes in funding rules (e.g., NDIS Pricing Arrangements) or business needs.
Joyful Journey Occupational Therapy
Policy & Procedure: Cancellation List & Waitlist Management Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy establishes clear procedures and responsibilities for managing cancellation lists and waitlists at Joyful Journey Occupational Therapy (JJOT), ensuring timely access to services, equitable allocation of available appointments, and transparency for families and staff.
This policy applies to all JJOT administrative staff and clinicians involved in client intake, scheduling, and ongoing service delivery.
Waitlist: A list of prospective clients who have completed an enquiry or referral process but are awaiting initial service availability.
Cancellation List: A list of current, ongoing clients who wish to be offered additional appointments or a change in time if another client cancels.
Active Client: A client with sessions booked or recently attended within the last 8 weeks.
Inactive Client: A client who has not engaged in service for more than 8 weeks without documented reason.
JJOT aims to provide timely and equitable access to occupational therapy services. The waitlist and cancellation list are managed to prioritise clinical need while ensuring efficient use of clinician time and minimising gaps in service delivery.
5.1 Waitlist Management (New Clients)
New clients are added to the waitlist upon completion of a Waitlist Screener Form either by calling the clinic or completing the form embedded in the Joyful Journey OT website.
Clients are triaged by the Director or the Senior OT based on presenting need, availability, and service fit.
Waitlist order is determined by date of enquiry and is contacted by availability and clinician-suitability. Clients requiring immediate assessment only (e.g. an FCA) may be prioritised if clinician availability allows.
Admin will contact families at regular intervals (e.g. every 6-12 months) to confirm ongoing interest.
After three unanswered contact attempts or no response within 14 days, the client is marked inactive on the waitlist.
Inactive waitlisted clients are archived and must re-enquire if seeking services again.
5.2 Cancellation List Management (Current Clients)
Active clients can request to be placed on the cancellation list to access earlier appointments.
The cancellation list is managed by admin in consultation with clinicians.
When a session becomes available due to another client cancellation, admin will offer the space to cancellation list clients based on:
Fit for the available time (e.g. home visit route, clinician match)
Clinical urgency
Date of cancellation list request
If a client consistently declines short-notice offers, they may be removed from the list.
5.3 Clinician Involvement
Clinicians are encouraged to identify clients who would benefit from earlier access and refer them to the cancellation list.
Clinicians must inform admin of their capacity by keeping their splose calendars updated with available slots marked in purple each week and notify promptly of any cancellations or planned leave.
Admin Staff: Maintain and update waitlist and cancellation list records. Monitor availability and contact clients accordingly.
Clinicians: Notify admin of cancellations. Identify high-priority clients for cancellation list. Maintain updated capacity status.
Director/Senior OT: Oversee waitlist triaging and approve prioritisation decisions in complex cases. Conduct audits of waitlist processes.
Waitlisted clients are given an estimated timeframe and advised of likely delays.
Clients are encouraged to explore other service options if immediate therapy is required.
Cancellation list clients are informed of the nature of short-notice appointments and may be removed from the list upon request.
Waitlist and cancellation list are maintained securely in Splose or other approved systems.
All client communications are logged, including dates of contact attempts, notes of discussions, and status changes.
Monthly audits of the waitlist will be conducted by admin and reviewed by the Practice Manager.
This policy will be reviewed annually or in response to changes in service demand, staffing levels, or intake capacity.
Joyful Journey Occupational Therapy
Policy & Procedure: Inactive Client Management Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines the process for identifying, documenting, and managing clients who are inactive or disengaged from services. It ensures professional communication, ethical service closure, and efficient waitlist and caseload management.
This policy applies to all clients of Joyful Journey Occupational Therapy and all clinicians and administrative staff involved in scheduling, communication, and record-keeping.
Inactive Client: A client who has not attended or scheduled any services for a period of 8 weeks or more, without prior agreement or planned break.
Disengaged Client: A client or family who is not responding to contact, cancelling repeatedly, or demonstrating an unclear commitment to ongoing service.
Service Discharge: A planned or unplanned closure of services due to inactivity, disengagement, or achievement of goals.
Joyful Journey OT is committed to providing consistent, responsive services. When clients become inactive or disengaged, proactive communication and appropriate case closure procedures are used to uphold service standards and manage resources effectively.
Clients will be considered inactive if they:
Have not attended a session for 8 weeks or more, and
Have not confirmed a future booking, care plan, or agreed break in services
Clinicians are responsible for identifying inactive clients during regular caseload reviews.
Step 1: Initial Contact (Week 6–8 of inactivity)
Clinician or admin sends a polite check-in via phone, email, or SMS.
Message includes:
Acknowledgement of the gap in service
Offer to reschedule or discuss goals
Timeframe for response (e.g. 7 days)
Step 2: Second Attempt (If no response)
A second message is sent after 7–10 days.
If clinically appropriate, the clinician may note this in the client’s file and consult with the Practice Manager.
Step 3: Closure Notice (If still no response)
After two failed contact attempts and no session in 10+ weeks, a formal closure notice is sent by email or post.
This includes:
A summary of service history
An invitation to re-engage in future if needed
Any final reports or summaries (if required)
Once closed, the client is removed from the active caseload and any internal waitlist.
If the client contacts the service in future, they may need to re-join the waitlist unless capacity allows earlier rebooking.
Exceptions may apply for clients on agreed breaks (e.g. surgery, family leave, seasonal availability).
For clients with frequent cancellations, no-shows, or unclear engagement:
Clinicians should raise the concern in supervision
A collaborative review with the family should be attempted, actioned by the Practice Manager
If disengagement continues, a formal closure email is sent
Any safeguarding concerns must be escalated appropriately (e.g. child protection)
All actions must be clearly documented in the client file, including:
Dates and methods of attempted contact
Copies of closure communication
Clinical reasoning for closure
Any handover notes or summaries
Whether the discharge was planned or unplanned
Clients on planned breaks, palliative journeys, or extended medical leave are not considered inactive. These cases should be flagged clearly in Splose and reviewed periodically.
This policy will be reviewed annually or in response to systemic delays, waitlist issues, or clinician feedback.
Joyful Journey Occupational Therapy
Policy & Procedure: Reduced Fee (Financial Hardship) Program
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
To provide a fair, confidential, and flexible process for offering financial support to clients experiencing genuine financial hardship, while maintaining sustainable practice operations.
This policy applies to all privately funded and NDIS self-managed or plan-managed clients at Joyful Journey OT. It does not override NDIS pricing limits or Medicare rules, nor does it apply to third-party-funded clients unless approved by the Director.
Equity & Compassion – Supporting families without stigma
Flexibility – Options may include shorter sessions or waived prep time
Sustainability – Discounts are balanced against operational costs
Transparency & Confidentiality – Clear criteria and private handling
JJOT may offer the following options based on client needs and funding limitations:
a) Shorter Sessions
Families may request a shorter session (e.g. 45 minutes instead of 60 minutes) to reduce costs.
May also be suggested by reception or clinicians if financial hardship is mentioned.
The shorter session must still meet clinical needs and goals.
b) Waiving the 10-Minute Planning & Prep Charge
Available only where:
The client/family is NDIS-funded but their budget cannot accommodate the additional prep charge, and
The waiver is approved by the Director.
This waiver must be documented in the client’s admin notes.
c) Payment Plans
Available for any outstanding balances owed to JJOT.
Must be supported by a signed Payment Plan Contract (contract available on Splose under Forms).
Payment Plan Type: ≤ $1000
Approval Required: Reception/Admin
Max Duration: Up to 6 months
Payment Plan Type: > $1000 or > 6 months
Approval Required: Director or Practice Manager
Max Duration: Case-by-case
Support may be accessed via either of the following:
Option A: Client-Initiated Request
Client contacts admin or clinician to request assistance
Admin sends a Reduced Fee/Payment Plan Request Form
Client returns completed form and supporting info within 5 business days
Admin or Practice Manager processes request and responds within 5 business days
Option B: JJOT-Initiated Offer
Clinician or admin identifies signs of financial stress
Admin or clinician offers options (e.g. shorter sessions or payment plan)
If client agrees, details are documented and signed off as required
Action: Shorter session time arrangement
Responsible Party: Clinician and family (notified to Admin)
Action: Waiving planning/prep time
Responsible Party: Director or practice manager
Action: Waiving travel fee
Responsible Party: Director or practice manager
Action: Payment plan ≤ $1000 & ≤ 6 months
Responsible Party: Reception/Admin
Action: Payment plan > $1000 or > 6 months
Responsible Party: Director or Practice Manager
All approved arrangements must be documented in Splose (Confidential Admin notes).
Client/Admin
Submit form or request; sign Payment Plan Contract
Reception/Admin
Identify hardship, offer options, process ≤ $1000 plans
Clinician
Identify client needs; discuss session-length options
Practice Manager
Approve complex plans, waived charges, review policy implementation
Director
Approve waived charges; review significant requests
Shorter session or waived prep-time arrangements are typically reviewed upon renewal of NDIS plans or annually for non-NDIS participants.
Payment plans have fixed durations (max 6 months unless otherwise approved).
Families may reapply if circumstances persist.
All related forms and correspondence are stored in the client’s confidential Forms or Files section in Splose.
Discussions are handled privately, and clinicians are not involved in fee decisions beyond initial identification and clinical adjustments (e.g., session length).
Missed payments without communication may result in:
Pause of services
Referral to Practice Manager
Cancellation of payment plan
Non-attendance or late cancellations are still subject to the standard policy.
Fee Waiver Approval Note (Internal Use)
Client:
Requested By: (Client, Admin, Clinician)
Date:
Type of Waiver:
☐ 10-minute planning & prep charge
☐ Travel Fee
☐ Other:
Reason for Waiver:
Approved By: Director (mandatory)
Date of Approval:
Alert Added in Splose: Yes/No
Shorter Session Approved
[Client Name] has requested / been offered a shorter OT session due to financial hardship.
Session duration updated to ___ minutes, effective from [start date].
Duration reviewed at plan renewal/annually.
Clinician: [Name]
Admin updated calendar booking.
For forms and additional complaints information, please click here.
Joyful Journey Occupational Therapy
Policy & Procedure: Complaints Management Policy and Procedure
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy outlines Joyful Journey OT’s commitment to managing complaints in a respectful, transparent, and timely manner. It ensures clients, families, staff, and stakeholders feel safe to raise concerns and are confident these will be handled appropriately and without fear of retribution.
This policy applies to all Joyful Journey OT clients, families, support coordinators, referrers, staff, contractors, and students.
Joyful Journey OT values feedback and views complaints as opportunities for service improvement. We are committed to:
Listening to and respecting all concerns
Investigating and resolving complaints fairly and promptly
Keeping complainants informed throughout the process
Maintaining confidentiality
Meeting all NDIS Quality and Safeguards Commission requirements
Complaint: An expression of dissatisfaction about any aspect of service delivery, communication, facilities, policies, fees, or staff conduct.
Feedback: General suggestions or comments that may not require formal investigation but still guide service improvement.
Serious Complaint: Complaints involving safety concerns, misconduct, breach of confidentiality, or potential reportable incidents.
Anyone can make a complaint verbally, in writing, or anonymously.
Channels for complaints:
In-person to any staff member
Phone: 0422 755 004
Email: hannah.lees@jjot.com.au
Written feedback
If the complainant prefers, they may request to speak with someone other than their regular therapist or contact the Practice Manager directly.
Step 1: Receive
Staff must listen respectfully and acknowledge the concern without defensiveness.
If the issue is minor, it may be resolved immediately (e.g. scheduling error or room preference).
For more serious or unresolved matters, document the concern using the Feedback Form.
Step 2: Document
Record the complaint date, summary, names of people involved, and the desired resolution.
Store securely in the complaints register, accessible only by the Practice Manager and Director.
Step 3: Acknowledge
A written or verbal acknowledgment should be given to the complainant within 2 business days.
Reassure the complainant that the issue will be handled respectfully and confidentially.
Step 4: Investigate
The Director or Practice Manager will:
Gather relevant information from involved parties
Review policies and records
Assess risk and urgency
Complaints are categorised as low, moderate, or high risk.
Step 5: Respond
A resolution or update should be provided within 10 business days, unless otherwise advised.
Responses may include:
Explanation or apology
Staff coaching or supervision
Process changes
Referral to external supports or escalation to NDIS Commission (if relevant)
Step 6: Follow-Up
The complainant is contacted after resolution to check satisfaction with the outcome.
If unresolved, the complainant is advised of their right to escalate (see below).
If the issue is not resolved internally, complainants may contact:
NDIS Quality and Safeguards Commission
Phone: 1800 035 544
Online: www.ndiscommission.gov.au
Health Care Complaints Commission (NSW)
Phone: 1800 043 159
Website: www.hccc.nsw.gov.au
AHPRA (for OT conduct concerns)
Phone: 1300 419 495
Website: www.ahpra.gov.au
All Staff: Respond calmly to feedback, escalate complaints appropriately
Practice Manager: Document, investigate, resolve, and record all complaints
Director: Oversee serious complaints, ensure policy compliance, support staff
Admin Team: Forward feedback to appropriate parties, track follow-up steps
All complaints are treated confidentially.
Files are stored securely and separately from clinical notes.
Staff and clients will not be victimised for raising concerns.
Where required, the Director will involve external legal or safeguarding support.
Complaints and feedback are reviewed quarterly by the leadership team to identify themes, trends, and training needs. Changes may include:
Policy or process adjustments
Staff development
Updates to communication materials
This policy is reviewed annually or after any major incident or regulatory change.
Joyful Journey Occupational Therapy
Policy: Conclusion Process & Checklist for Departing Clinicians
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To ensure a smooth, professional, and ethical transition when an occupational therapist or allied health clinician departs from Joyful Journey Occupational Therapy (JJOT), maintaining continuity of care for clients, secure handling of records, and clear internal communication.
2. Scope
This policy applies to all clinicians (employees or contractors) ceasing employment or engagement with JJOT, including due to resignation, maternity leave, end of contract, or termination.
3. Guiding Principles
Prioritise client wellbeing and continuity of care
Maintain clear and respectful communication
Protect privacy and maintain records securely
Preserve team cohesion and uphold professional reputation
4. Notice & Communication Process
Notice Period
Clinicians are required to give notice as per their contract.
Upon receiving notice, the Director or Practice Manager will schedule an exit planning meeting.
Internal Communication
The team will be informed at an appropriate time, respecting confidentiality.
Handover responsibilities and timelines will be shared clearly with relevant staff.
Client Communication
A tailored message will be provided to families, jointly agreed upon by the clinician and Practice Manager/Director.
Clients will be informed in writing at least 2–4 weeks before the final session, with:
Date of final session
Reassurance of continuity of care
Introduction to the new clinician (if applicable)
Invitation to discuss concerns
5. Clinical Handover Requirements
Departing clinicians must:
✅ Finalise all clinical notes and documentation up to date
✅ Complete handover notes for each active client, including:
Therapy goals and progress
Strategies used and what’s working/not working
Key clinical insights or considerations
Next recommended steps
✅ Upload all necessary documents to Splose
✅ Attend clinical handover meetings with the incoming therapist or Senior OT if required
✅ Support families during the transition, including warm introductions when possible
6. Operational & Administrative Exit Checklist
Client-Related
Finalise all session notes, goal reviews, and reports
Archive inactive files appropriately
Flag clients who may require immediate reallocation
Identify high-risk or sensitive transitions
Systems & Accounts
Return all physical items (e.g., iPad, test kits, keys, uniform)
Remove access to:
Splose
Teams
Emails
Shared drives and password managers
Redirect email or set auto-responder if required
HR and Admin
Conduct an exit interview
Final payslip and entitlements processed
Update professional references if agreed
Provide opportunity to share feedback or farewell message
Update records with AHPRA (if applicable)
7. Responsibility Overview
Departing Clinician: Complete handovers, documentation, and support transition
Practice Manager: Coordinate exit timeline, communication, access changes
Director: Oversee process and ensure client and team wellbeing, manage systems access, property returns, and payroll closure
8. Policy Review
This policy will be reviewed annually or after the departure of a clinician to identify process improvements.
Joyful Journey Occupational Therapy – Confidentiality Policy
Effective Date: 09/05/2025
Review Date: Annually
Approved by: Hannah Lees, Director, Joyful Journey OT
1. Purpose
This policy outlines Joyful Journey Occupational Therapy’s commitment to protecting the privacy and confidentiality of all personal and sensitive information collected in the course of delivering occupational therapy services. It ensures compliance with the Privacy Act 1988 (Cth), the Australian Privacy Principles (APPs), and the Occupational Therapy Code of Conduct (AHPRA).
2. Scope
This policy applies to all Joyful Journey OT team members, including occupational therapists, therapy assistants, administrative staff, students, volunteers, and contractors.
3. Definitions
Confidential Information: Any information that identifies or could reasonably identify a client, including but not limited to name, address, health information, family circumstances, and therapy reports.
Client: Any individual receiving occupational therapy services, including children and their families or guardians.
Sensitive Information: Information about a person’s health, disability, cultural background, beliefs, or other protected attributes.
4. Policy Statement
Joyful Journey Occupational Therapy values the trust clients place in us and upholds strict standards for confidentiality. All client information is collected, used, stored, and disclosed only for purposes directly related to the provision of high-quality occupational therapy services, with informed consent and in line with relevant laws and professional obligations.
5. Collection and Use of Information
Client information is collected through assessment, therapy sessions, communication with families, schools, and other professionals.
Information is used for:
Planning and delivering therapy services.
Communicating with relevant stakeholders (e.g., educators, health providers) with consent.
Meeting legal and funding requirements (e.g., NDIS reports).
Only information necessary for the client’s care or for organisational functions will be collected.
6. Informed Consent
Clients (and/or their parent/guardian) will be informed about:
What information is collected and why.
How information is stored and who may access it.
Their right to refuse or withdraw consent at any time.
Written consent will be obtained before:
Sharing information with external parties.
Using case examples for training or professional development (with full de-identification).
Recording sessions (audio/visual) for supervision or quality assurance.
7. Storage and Security
Client records are stored securely in digital practice management software (e.g., Splose) with appropriate encryption and access control.
Physical documents (if used) are stored in locked filing systems.
Access is restricted to authorised team members only.
8. Disclosure of Information
Information may be shared with third parties only:
With written consent from the client or guardian.
When legally required (e.g., mandatory reporting of child protection concerns).
To prevent serious and imminent risk to a person’s life, health, or safety.
All disclosures are documented.
9. Client Access to Information
Clients have the right to request access to their records and request corrections if inaccurate.
Requests should be made in writing and will be responded to within 30 days.
10. Breach of Confidentiality
Any actual or suspected breach must be reported immediately to the Director or Practice Manager.
A formal investigation will be conducted.
Breaches may result in disciplinary action and, if required, notification to relevant authorities and the affected individual.
11. Staff Responsibilities
All team members must:
Read and acknowledge the present confidentiality policy.
Complete privacy and confidentiality training during induction and annually.
Use only approved, secure communication platforms (e.g., Splose, Microsoft Teams, encrypted email).
Avoid discussing client information in public, non-secure or shared spaces.
Share information only with authorised persons and with consent.
Ensure documents involving confidential information are stored securely (e.g. not leaving documents or laptops in cars overnight etc.)
12. Policy Review
This policy will be reviewed annually or sooner if legislation or practice standards change.
Approved by:
Hannah Lees
Director, Joyful Journey Occupational Therapy
Joyful Journey Occupational Therapy
Policy: Data Breach Response
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To outline the process for identifying, responding to, and reporting a data breach at Joyful Journey Occupational Therapy (JJOT), ensuring the privacy of client and staff information is protected in accordance with legal obligations and ethical standards.
2. Scope
This policy applies to all staff, contractors, and representatives of JJOT who have access to personal, sensitive, or health information as part of their role.
3. Definitions
Data Breach: Unauthorised access to, disclosure of, or loss of personal information that is held by JJOT.
Eligible Data Breach: A breach that is likely to result in serious harm to any of the individuals to whom the information relates.
Personal Information: Any information about an identifiable individual, including health records, contact details, and client notes.
4. Examples of a Data Breach
Lost or stolen laptop, USB, or paper files containing client information
Email sent to the wrong recipient containing sensitive data
Hacking of digital systems or unauthorised access to Splose
Improper disposal of client records
Inappropriate sharing of client information (verbal or written)
5. Guiding Principles
Act quickly to contain and assess any data breach
Prioritise client confidentiality and transparency
Comply with the Notifiable Data Breach (NDB) scheme
Learn from incidents and improve systems
6. Immediate Response Steps (Within 24–48 Hours)
Identify: Any staff member who suspects a data breach must report it immediately to the Director or Practice Manager
Contain: Take immediate steps to stop or limit the breach (e.g. disable account, recover email, restrict access)
Assess: Director will lead a preliminary assessment to determine:
- What happened
- What data was affected
- Who is impacted
- Likelihood of serious harm
Record: All suspected or actual breaches must be logged in the JJOT Data Breach Register
7. Notification and Reporting
Internal Communication
Notify relevant staff (e.g. director, admin, supervisor) as needed for support and containment.
External Notification (if breach is eligible)
If serious harm is likely, JJOT must:
Notify the Office of the Australian Information Commissioner (OAIC)
Notify affected individuals directly, including:
Nature of the breach
Information involved
Recommended steps they can take
Contact details for further support
Exceptions
If immediate remedial action prevents harm, JJOT may not be required to notify under the NDB scheme.
8. Remediation & Review
Following containment and notification:
✅ Offer support to affected individuals (e.g. identity protection advice, apology)
✅ Investigate root cause of the breach
✅ Implement changes to systems, processes, or training to prevent recurrence
✅ Document lessons learned and update this policy if needed
9. Staff Responsibilities
All Staff: Immediately report any suspected data breach
Practice Manager: Support containment and documentation
Director: Lead breach assessment and notification, liaise with OAIC; Coordinate/Organise/Support technical containment and system security
10. Training & Awareness
All staff must complete induction and refresher training on privacy and data protection.
This policy is reviewed annually and shared with all staff.
11. Related Policies
Privacy & Confidentiality Policy
Paperless Client Files Policy
Client Records & Subpoenas Policy
Digital Systems & Security Policy
Joyful Journey Occupational Therapy
Policy: Client File Audits
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To ensure client records at Joyful Journey Occupational Therapy (JJOT) are complete, accurate, timely, and compliant with legal, ethical, and professional standards through regular and systematic file audits.
2. Scope
This policy applies to all clinicians (employees and contractors) who document in client files and to any staff members involved in auditing processes. It applies to all client records managed in Splose or any related documentation systems.
3. Objectives
Ensure clinical documentation meets NDIS, AHPRA, and JJOT standards
Promote reflective, ethical, and person-centred record keeping
Identify areas for improvement in documentation or practice
Reduce clinical and legal risk through early detection of issues
4. Audit Frequency & Sample
New Graduate / Level 1: Quarterly 2–3 files per quarter
Level 2+ / Experienced Clinicians: Biannually 1–2 files per audit cycle
Entire Team: Annual random audit 10–15% of active caseloads
Additional audits may be scheduled if:
A complaint or incident occurs
Quality concerns are raised
A clinician is new to the team or returns from extended leave
5. Audit Criteria
Audits will check for the following elements:
✅ Signed consent and intake forms
✅ Up-to-date client goals
✅ Timely and objective progress notes
✅ Clear links between goals, interventions, and outcomes
✅ Reports and assessments appropriately stored and signed
✅ NDIS documentation requirements met (e.g. service agreements, review reports)
✅ Appropriate use of Splose categories, tags, and client flags
✅ Respectful, non-judgemental, person-first language
✅ Confidentiality maintained in notes and uploads
✅ Any follow-up actions clearly recorded
6. Audit Process
Files selected by the Practice Manager or Senior OT
Audit conducted using the JJOT File Audit Template
Feedback provided to clinician in supervision or via secure written format
Clinician response includes corrections or reflections (if applicable)
Follow-up review scheduled if significant concerns are found
7. Outcomes & Follow-Up
Clinicians will receive constructive feedback and may be asked to:
Correct documentation
Attend targeted training
Reflect on note-writing practices
Patterns or system-wide issues will be used to guide future training, templates, or system improvements
8. Confidentiality & Storage
Audit results are:
Shared only with the clinician and relevant supervisor
Stored securely and separately from client files
Used for quality assurance, not performance punishment
9. Responsibilities
Clinicians: Maintain accurate, up-to-date files
Practice Manager / Senior OT: Conduct audits, provide feedback, support improvements
Director: Oversee audit schedule, address systemic issues, support compliance
10. Related Documents
JJOT Clinical Documentation Guidelines
JJOT Supervision & Performance Review Policy
Splose Documentation Training
Privacy & Confidentiality Policy
11. Review
This policy will be reviewed annually, or following changes in legislation, clinical risk indicators, or organisational systems.
Joyful Journey Occupational Therapy
Date of Last Amendment: 12/09/2025
Joyful Journey Occupational Therapy (JJOT) is committed to supporting the professional growth, clinical competence, and wellbeing of all employees. This policy outlines the framework for performance management, professional development, and ongoing support to ensure staff can deliver high-quality, evidence-informed occupational therapy services.
The objectives of this policy are to:
Support clinicians in achieving and maintaining high standards of clinical practice.
Encourage reflective practice, learning, and skill development.
Identify and recognise individual strengths and areas for growth.
Ensure accountability to clients, families, and the organisation.
Promote staff engagement, career progression, and wellbeing.
This policy applies to all clinical and administrative staff employed by JJOT, including permanent, part-time, and casual employees.
Professional Development (PD): Activities or learning experiences that enhance skills, knowledge, or professional competence.
Performance Management: A structured process for reviewing and supporting employee performance against role expectations and organisational values.
Capability Framework: JJOT’s framework that outlines expected competencies, skills, and behaviours at different levels of clinical practice. (Please Note: at the time of this policy's publication, the Capability Framework is still in the editing phase and will be rolled out accordingly).
Mini Roles: Defined responsibilities or leadership opportunities that support career progression within JJOT.
PD Planning:
All staff engage in annual PD planning as part of their performance review.
PD should align with JJOT goals, individual capability development, and professional registration requirements.
Supervision as PD:
Supervision supports ongoing skill development, reflective practice, and professional growth.
Frequency:
New graduates / Level 1 clinicians: weekly (45–60 mins)
Level 2 clinicians: fortnightly (45 mins)
Senior clinicians / leadership: monthly, with additional ad hoc support as needed
Responsibilities:
Supervisor: Provides guidance, constructive feedback, and mentoring to support PD goals.
Employee: Actively participates, implements strategies, and reflects on learning.
PD Activities:
Courses, workshops, or webinars
Peer observation or mentoring
Research, project work, or evidence-based practice initiatives
Attendance at professional conferences
Frequency:
Formal performance review biannually for all staff.
Interim review may occur after probation or following role changes.
Performance Review Components:
Review of clinical competencies, professional standards, and adherence to JJOT practices.
Assessment of organisational behaviours, teamwork, and communication.
Evaluation against role-specific objectives and the Capability Framework.
Discussion of professional development goals and future career pathways.
Process:
Employee completes self-assessment using the Performance & PD Template.
Supervisor assessment and feedback discussion.
Collaborative creation of a professional development plan, including PD activities and potential Mini Roles.
Documentation stored securely in employee records.
Outcomes:
Identification of strengths and areas for growth.
Recognition of achievements and high performance.
Measurable goals and PD activities for the next review period.
Alignment of professional development with career progression pathways.
JJOT supports a clear career pathway for clinicians, linked to the Capability Framework and Mini Roles.
Performance and PD outcomes inform promotions, role advancement, or salary adjustments. Salary adjustments are only completed following biannual performance reviews. CPI raises are applied at the change of a new Financial Year.
Opportunities for leadership, mentoring, or advanced clinical responsibilities are considered in line with performance outcomes and organisational needs.
All performance reviews, supervision notes, and PD plans are confidential.
Records are securely stored and accessible only to the employee, supervisor, and relevant management.
Documentation may be used for professional accreditation, compliance, and HR purposes.
This policy will be reviewed annually to ensure it remains aligned with best practice, legislative requirements, and JJOT’s operational needs.
Joyful Journey Occupational Therapy
Policy: Paperless Client Files
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To outline the procedures and principles for maintaining secure, accurate, and legally compliant paperless client records within Joyful Journey Occupational Therapy (JJOT), ensuring continuity of care, privacy, and professional integrity.
2. Scope
This policy applies to all JJOT staff, including therapists, administrative personnel, contractors, students, and volunteers who access or manage client information using digital systems.
3. Guiding Principles
Security: All client records must be stored securely in digital format using approved systems.
Accuracy: Client files must be complete, timely, and reflect the client’s occupational therapy journey.
Confidentiality: Client data is protected under the Privacy Act 1988 (Cth), Health Records Act (state-specific), and NDIS Practice Standards.
Accessibility: Records are readily accessible to authorised personnel for clinical and administrative purposes.
Sustainability: Reducing paper supports environmental responsibility and administrative efficiency.
4. Digital Recordkeeping System
JJOT uses Splose as the practice management software. Splose is a secure, cloud-based platform, and all forms and reports are to be created, managed, and stored within it. Additionally, resources can also be stored on the secure OneDrive system.
4.1 Features of the system include:
Secure log-in with two-factor authentication
Daily backups
Audit logs
Role-based access controls
5. Client File Requirements
Each client’s digital file must include:
Consent and Service Agreement forms
Assessment reports and clinical notes
Session notes and progress summaries
Correspondence with other providers (with consent)
Uploaded documents (e.g., reports, drawings, referrals) (if applicable)
Goal tracking and outcome measures
Invoices and funding documentation (if applicable)
6. Documentation Standards
Notes must be entered within 48 hours of service delivery.
All entries must be professional, objective, and written in line with JJOT documentation guidelines and AHPRA standards.
Use approved templates where applicable.
Avoid duplicating information across multiple locations in the system.
Do not use emojis or abbreviations that could be misinterpreted.
7. Handling Hard Copy Documents
Any hard copy documents (e.g., hand-drawn assessments or signed forms) must be scanned and uploaded to the client’s digital file.
Originals may be returned to the family (if requested) or securely shredded once uploaded, unless legally required to retain.
Temporary paper notes must be destroyed within 24 hours after secure upload.
8. Access & Security
Staff must use secure passwords and log out of systems when not in use.
Files are only accessible to staff directly involved in client care or authorised administration roles.
Sharing of login credentials is strictly prohibited.
Any suspected breaches must be reported immediately to the Practice Manager.
9. Data Retention & Archiving
Files are retained for a minimum of 7 years after the last service or until the client turns 25 years of age, whichever is longer, in line with legal requirements.
Inactive client files are archived within the digital system and remain securely stored.
Records will be permanently deleted only once retention obligations have been met and under director approval.
10. Contingency Planning
The digital system must have backup and recovery protocols.
In the event of system downtime, paper-based notes may be used temporarily and uploaded when access is restored.
All temporary notes must be transferred and destroyed once uploaded.
11. Staff Responsibilities
All Team Members: Maintain accurate, timely, and secure digital documentation.
Practice Manager: Oversee system access, staff training, and ensure compliance with policy.
Director: Ensure appropriate systems are in place and legal requirements are met.
12. Policy Review & Training
This policy will be reviewed annually or in response to legislative, technological, or operational changes.
All staff must be trained on this policy at induction and annually thereafter.
Joyful Journey Occupational Therapy
Policy & Procedure: Requests for Diary Changes / Consulting Days Policy
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey OT
Review Date: Annually
This policy provides a clear process for clinicians to request changes to their consulting days, weekly availability, or standing diary arrangements. It aims to ensure minimal disruption to client care and team operations while supporting staff flexibility and wellbeing.
This policy applies to all occupational therapists, therapy assistants, and students providing clinical services at Joyful Journey OT.
Joyful Journey OT recognises that clinician needs and circumstances may change over time. Requests to adjust consulting days or rosters are considered thoughtfully, with attention to the impact on clients, team scheduling, and clinic operations. All changes must be pre-approved and planned in advance.
Consulting Days: Regular, pre-agreed days on which a clinician provides client services.
Diary Change: Any shift to a clinician's usual pattern of working hours or days (temporary or ongoing).
Rostered Hours: Hours confirmed in an employee’s contract or working agreement.
Client needs and continuity are prioritised.
The service will be maintained at operational capacity.
Changes are collaborative, timely, and communicated clearly.
Fairness and transparency are upheld across the team.
Any approved changes are documented and updated in relevant systems.
Type of Change: Temporary Change
Examples: Covering a personal appointment or family need for 1–2 weeks
Notice Period: ≥ 2 weeks' notice preferred
Type of Change: Ongoing Change
Examples: Shifting permanent consulting days or reducing/increasing weekly hours
Notice Period: ≥ 6 weeks' notice
Type of Change: One-off Change
Examples: Swapping a day with another team member
Notice Period: ≥ 1 week’s notice and team agreement required
A. Submit Request in Writing
Clinician emails the Practice Manager and Director with:
Requested change
Reason for the change
Duration (temporary or permanent)
Any client impacts foreseen
Preferred start date
B. Consideration and Discussion
Management will review:
Impact on clients and team availability
Waitlist, room availability, admin schedules
Alignment with employment agreements
Whether a transition period is needed
A discussion may occur in supervision or a roster planning meeting.
C. Decision and Documentation
The Practice Manager or Director will respond within 1–2 weeks.
If approved, the change will be:
Confirmed in writing
Noted in the shared team calendar
Updated in the clinician’s HR file and any rosters/scheduling systems (e.g. Splose)
Clinicians must:
Provide adequate notice
Minimise client disruption
Communicate clearly with admin if changes are approved
Practice Manager/Director must:
Consider all requests fairly and promptly
Seek team input if needed
Support clear implementation and transition
Admin Team will:
Adjust calendars and bookings
Notify affected clients if needed
Support waitlist reshuffling if relevant
If a diary change is needed urgently (e.g. illness, emergency), clinicians must:
Notify the Director/Practice Manager and reception as early as possible
Clearly outline who needs to be contacted or rescheduled
Reschedule or liaise with clients if able
Roster patterns are reviewed annually as part of caseload and service planning. This ensures equity across the team and responsiveness to client demand and clinician capacity.
Joyful Journey Occupational Therapy
Policy: Responding to Requests for Confidential Information, Transfer of Records, Subpoenas & Other Legal Requests
Effective Date: 09/05/2025
Approved by: Director, Joyful Journey Occupational Therapy
Review Date: Annually
1. Purpose
To ensure all requests for client information are managed in compliance with legal and ethical obligations under the Privacy Act 1988 (Cth), the Health Records Act 2001 (Vic) (or other state equivalents), the National Disability Insurance Scheme (NDIS) Practice Standards, and the requirements of the Australian Health Practitioner Regulation Agency (AHPRA).
2. Scope
This policy applies to all Joyful Journey Occupational Therapy (JJOT) staff, including employees, contractors, students, and volunteers involved in client care or handling client information.
3. Guiding Principles
Respect for client privacy and autonomy.
Compliance with legal obligations.
Transparency and timely communication with clients/carers.
Maintenance of accurate and secure records.
4. Responding to Requests for Confidential Information
Internal Requests
Only authorised team members directly involved in a client’s care may access their records. Access must align with the minimum necessary principle.
External Requests (Non-Legal)
External requests (e.g., other health providers, schools, support coordinators) must:
Be accompanied by informed written consent from the client or legal guardian.
Be documented in the client’s file, including who requested the information, what was released, and why.
Be reviewed by the treating therapist and Director or Practice Manager before release.
5. Transfer of Records
JJOT supports continuity of care and will facilitate record transfers when:
A valid, signed Authority to Release Confidential Information is provided.
Records are released in a timely manner (within 7–14 days).
A summary letter may be included if appropriate to assist in client handover.
Records are sent securely (e.g., encrypted email, password-protected PDF, secure file-sharing).
We do not charge a fee for transferring records unless excessive or administrative in nature, in which case a fair fee may apply in line with state guidelines.
6. Subpoenas, Court Orders & Legal Requests
Receipt of Legal Documents
All subpoenas, summons, or legal requests must be immediately forwarded to the Director or Practice Manager.
JJOT will seek legal advice if the request is unclear or scope is disputed.
Responding to Subpoenas
We will comply with valid court orders and subpoenas, ensuring the information provided is accurate and limited to what is requested.
Affected clients (or their guardians) will be notified unless prohibited by law.
Records will be provided in the required format by the specified deadline.
Staff may be required to attend court. Support and guidance will be provided.
7. Refusal of Requests
JJOT reserves the right to decline requests when:
Consent is not provided.
Disclosure would pose a risk of serious harm.
The request is overly broad or unjustified.
The request is not compliant with legal or ethical obligations.
All refusals must be documented with justification.
8. Record Keeping & Documentation
A copy of all requests, consents, and released documents must be saved in the client’s file.
A request log will be maintained by the Director.
9. Staff Responsibilities
OT/Clinician: Obtain valid consent, document appropriately, seek advice if unsure.
Practice Manager/Director: Review and authorise release, ensure legal compliance, manage subpoenas.
Director: Final decision-making on complex or high-risk requests.
10. Policy Breaches
Any breach of this policy may result in disciplinary action and must be reported immediately to the Practice Manager or Director. Incidents will be reviewed and addressed in line with JJOT’s incident management framework.
11. Review
This policy will be reviewed annually or earlier if there are legislative changes.