Right State. Right Support. Right Time.

Paediatric occupational therapists

Access your FREE Regulation Hourglass™ resource

Explore professional learning

Right Support. Right Time. Right State.

Welcome, POTCA 2026 delegates!

Thank you for visiting The Regulation Hourglass™ at POTCA.

As paediatric occupational therapists, we know that a child's ability to participate can change from moment to moment. The challenge is recognising what is happening, understanding what support is needed, and knowing when to step in or step back.

The Regulation Hourglass™ makes that clinical reasoning visible.

Developed through more than three decades of paediatric occupational therapy practice, this dynamic framework helps therapists interpret changing regulation capacity and match their support to the child's needs in the moment.

Because regulation is not the final goal.

Participation is.

Take something useful back into practice

Explore our free professional resource introducing The Regulation Hourglass™ and how regulation capacity influences participation.

Access your FREE Resource

Continue your professional learning

Regulation in the Moment Masterclass (RIMM)

A practical introduction to recognising regulation needs and responding with greater confidence.

Beyond the Moment (BTM): Co-regulation Deep Dive

A deeper exploration of co-regulation, adult support and building capacity for participation.

Explore Professional Learning

Coming in 2027 —

The Regulation Hourglass™ in Practice

A professional learning experience designed to help occupational therapists apply The Regulation Hourglass™ clinical reasoning framework to intervention decisions and everyday practice.

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Meet the founder

Beryl Smith has been working with children since 1991, an experienced paediatric occupational therapist and founder of Sensory SMART OT, The Regulation Hourglass™ brings together decades of clinical experience, contemporary evidence and practical reasoning.