Why Goal Setting Matters in Therapy: How Children and Parents Play a Central Role

Written By Hanna Corfield
 

At OAK Family Therapy, we believe that every child is one of a kind—and their goals should be too. That’s why goal setting isn’t just a procedural step in our therapy process; it’s the heart of it. Done well, goal setting is empowering, collaborative, and deeply meaningful. It becomes the compass that guides therapy, the measure of progress, and, importantly, a reflection of what matters most to the child and their family. 

The Power of Meaningful Goals 

Research has consistently shown that goal setting is a key contributor to successful therapeutic outcomes. When families participate in creating goals, therapy becomes more engaging, purposeful, and effective. Goals help everyone—therapist, child, and parents—know what they’re working toward. They also foster motivation, confidence, and a sense of ownership over the therapy journey. 

According to studies such as those by Bovend’Eerdt et al. (2009), clearly defined, functional, and measurable goals lead to better progress in therapy. In paediatric settings, especially, aligning goals with family priorities significantly increases participation and long-term generalisation of skills into everyday life. 

How We Set Goals at OAK 

At OAK, our goal setting process is a collaborative conversation between the child, family and your occupational therapist. We take the time to listen—really listen—to what the child and their caregivers are hoping for. Then, we shape goals that are: 

  • Functional: The goal must be something the child will be able to do. Whether it’s dressing independently, joining in play with peers, or managing big feelings, goals are about real-world function, not just ticking boxes. 

  • Measurable: We define what success looks like in clear terms—so we can say, yes, this is happening now or not yet. This clarity is important not just for tracking progress but for celebrating success. 

  • Person-Specific: Each goal is carefully considered—who needs to make the change? Sometimes it's about a new skill for the child. Other times, it's about the parent shifting a routine or strategy to support development more effectively. Both are equally important. 

Once we’ve set the main goal, we break it down into smaller, achievable steps. These become our therapy block goals—each one a step toward what’s most important to the child and their family. 

Participation Is Essential 

When children are included in setting their own goals—especially older children or those who can express their preferences—their engagement increases. They feel seen and heard. And when parents contribute their insights and priorities, the therapy is grounded in the context of their everyday lives where change needs to happen. 

We might ask: 

  • What’s something your child wishes they could do that feels hard right now? 

  • What would make the biggest difference in your family’s everyday life? 

These questions lead us to meaningful OT goals. And that’s what makes therapy effective. 

The Bigger Picture 

Goal setting is more than a starting point. It shapes the direction of therapy, helps us reflect on progress, and builds a shared vision between the child, family, and therapist. At OAK, we don’t just work on goals—we work with families to choose the right goals, and then we walk alongside them as they move toward them, step by step. 

Because when a goal truly matters to a child and their family, it becomes more than a goal. It becomes a shared path—and that’s where the progress happens. 

If you have any questions or want to chat with our paediatric occupational therapists, please don’t hesitate to get in touch. 

 
Hanna Corfield