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A Parent’s Guide to Decision-Making for Children with Disability, Autism, or Additional Needs in Australia

14 May 2025

Parenting is filled with decisions—some small, some life-changing. For parents of children with disability, autism, or other additional needs, these decisions can be even more complex. Whether it’s choosing a school, selecting therapies, or navigating the National Disability Insurance Scheme (NDIS), the stakes often feel high.

This guide offers a practical, compassionate framework to help you make confident, informed decisions that support your child’s wellbeing and development. It’s based on a four-step process: clarify, gather information, decide, and review—and it encourages involving your child in the process wherever possible.


Why Decision-Making Can Feel Overwhelming

When your child has additional needs, you may face decisions that touch every part of their life—education, health, social inclusion, and independence. These decisions often involve:

  • Multiple options with no clear “right” answer
  • Conflicting advice from professionals, family, or friends
  • Emotional weight, especially when outcomes are uncertain
  • Time pressure, particularly during transitions (e.g., starting school)

It’s normal to feel unsure or anxious. But with a structured approach, you can make decisions that reflect your child’s needs and your family’s values.


Step 1: Clarify the Decision and Your Options

Start by clearly defining the decision you need to make. This might sound simple, but it’s a powerful first step. Ask yourself:

  • What exactly am I deciding?
  • What are the options available?
  • What are the potential outcomes of each option?

Examples:

  • Which school should my child attend?
    • Options: local mainstream school, special school, independent school, home-schooling.
  • Which therapy approach is best?
    • Options: speech therapy, occupational therapy, behavioural therapy, or a combination.
  • How should we manage NDIS funding?
    • Options: agency-managed, plan-managed, or self-managed.

Writing down your options can help you see them more clearly and reduce the emotional load.


Step 2: Gather the Information You Need

Once you’ve clarified the decision, it’s time to gather relevant information. This might include:

  • Professional advice from therapists, educators, or medical specialists
  • NDIS resources and guidelines
  • Feedback from other parents who’ve faced similar decisions
  • Your child’s preferences, if they’re able to express them

Tips for Gathering Information:

  • Ask for written reports or summaries from professionals.
  • Use reputable sources like the Raising Children Network.
  • Attend information sessions or webinars.
  • Visit schools or service providers in person if possible.

Keep in mind that no one knows your child better than you do. Use your knowledge of their strengths, challenges, and personality to interpret the information you receive.


Step 3: Make the Decision and Take Action

After gathering information, it’s time to make your decision. This can be the hardest part—but remember, no decision is set in stone.

Consider:

  • What aligns best with your child’s needs and goals?
  • What fits with your family’s values, culture, and lifestyle?
  • What feels manageable and sustainable?

Once you decide, take the necessary steps to put the decision into action. This might involve:

  • Enrolling your child in a program
  • Booking appointments
  • Informing your NDIS planner or support coordinator
  • Talking to your child about what’s happening

Even if you’re still unsure, taking action can bring clarity. You’ll learn more by trying something than by staying stuck in indecision.


Step 4: Review and Reflect

After some time has passed, reflect on how the decision is working out. Ask yourself:

  • Is my child benefiting from this choice?
  • Are there any unexpected challenges?
  • Do we need to adjust anything?

It’s okay to change your mind. In fact, being willing to adapt is a sign of strong parenting. Children grow, circumstances change, and what worked six months ago might not work now.

Example:

You might have chosen a therapy that seemed ideal, but your child isn’t engaging with it. After a few months, you decide to try a different approach—and that’s perfectly okay.


Involving Your Child in the Process

Even young children can and should be involved in decisions that affect them. This helps them:

  • Feel respected and heard
  • Develop decision-making skills
  • Build confidence and independence

How to Involve Your Child:

  • Offer choices: “Would you like to go to swimming or music group?”
  • Use visuals: Show pictures of schools or therapists.
  • Talk through feelings: “How did you feel about that session?”
  • Respect their input: If your child says they’re uncomfortable, take it seriously.

For older children and teens, involve them in discussions about goals, services, and transitions. This sets the foundation for self-advocacy and future independence.


Common Decision-Making Moments

Here are some key times when you might need to use this decision-making process:

1. After a Diagnosis

You may need to decide on early intervention, therapy types, or whether to apply for NDIS funding.

2. Starting Preschool or School

You’ll consider school types, support needs, and how to prepare your child for the transition.

3. Choosing Therapies

You might explore different approaches, such as play-based therapy, Applied Behaviour Analysis (ABA), or developmental therapies.

4. Managing NDIS Plans

You’ll decide how to manage funds, choose providers, and set goals.

5. During Adolescence

You may face decisions about puberty education, social skills programs, or vocational training.


Working with Others

You don’t have to make decisions alone. In fact, involving others can make the process easier and more balanced.

Who to Involve:

  • Your partner or co-parent
  • Extended family or trusted friends
  • Therapists, educators, and support workers
  • Support coordinators or NDIS planners

Try to keep communication open and respectful, especially if you and your partner have different views. Focus on what’s best for your child, and seek mediation or counselling if needed.


When Decisions Are Difficult

Some decisions are especially tough—like whether to pursue a diagnosis, change schools, or try medication. In these cases:

  • Take your time if possible.
  • Talk to professionals you trust.
  • Write down pros and cons.
  • Consider your child’s long-term wellbeing.

And remember: you’re doing your best. There’s no such thing as a perfect decision—only the best decision you can make with the information you have.


Real Stories from Parents

“When our son was diagnosed with autism, we were overwhelmed. We followed the four-step process—clarify, gather, decide, review—and it helped us feel more in control.”

“We chose a school that didn’t work out. It was hard to admit, but we changed schools and it made a huge difference.”

“Involving our daughter in choosing her therapy gave her a sense of ownership. She’s more engaged now.”


Final Thoughts

Making decisions for a child with disability, autism, or additional needs is a journey. It’s okay to feel uncertain. What matters most is that you approach decisions with care, curiosity, and a willingness to adapt.

By following the four steps—clarify, gather, decide, and review—you can make thoughtful choices that support your child’s growth and happiness.

And always remember: you are your child’s best advocate. Trust yourself, seek support when needed, and celebrate the progress you make—one decision at a time.


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