Senior Mental Health Occupational Therapist – Perth Metro  

Flexible hours | Full-time or 4 days | Leadership pathways

We're seeking an experienced Senior Mental Health Occupational Therapist to join our team. Candidates must have demonstrated experience in mental health OT and trauma-informed care. This role best suits OTs with a few years’ clinical experience, though we value depth of practice over number of years alone.

This role is ideal for an OT who values autonomy, clinical integrity, and doing meaningful work with complex presentations...without the burnout of inflexible hospital and government hours or unachievable KPIs.

At Bespoke OT, our niche is in working not just with individuals, but closely with their families and wider systems to create meaningful, lasting change. Our practice is highly relational and evidence-based, involving families, schools, GPs, teachers, support coordinators, and support teams to achieve realistic, sustainable outcomes.  

The Details

  • This is a Senior Mental Health OT role mostly in the NDIS space. This role comes with potential to step into leadership and management if you seek career progression. You may also explore the opportunity to join our medicolegal wing.

    As a Senior Mental Health OT, you'll work with adults and young people experiencing complex psychosocial disability and mental health needs, delivering high-quality OT services including:

    • Functional Capacity Assessments (NDIS required documents)

    • Ongoing therapeutic intervention in the community

    • Capacity building and recovery-oriented practice

    • Collaboration with families, support coordinators, and broader systems including justice system, hospitals, mental health teams

    You'll be trusted to manage your caseload thoughtfully, with flexibility around hours, location, and how you work best. Your work-life balance is encouraged.  

    • Provide trauma-informed, client-centred OT services across a diverse caseload.

    • Work collaboratively with support coordinators, families, schools, support workers, GPs, and other stakeholders; upholding Bespoke OT’s person-centred philosophy.

    • Deliver interventions which foster independence, progression toward goals, and long-term impact.

    • Maintain high-quality documentation and reporting including provision of top-notch comprehensive functional capacity assessments.

    • Contribute to our supportive team culture, bringing positivity and resilience balanced with authenticity.

    • Work closely with our OT Assistant to support delivery of therapeutic interventions.

    • Degree in Occupational Therapy and full AHPRA registration.

    • Rights to live and work in Australia.

    • WWCC & NDIS screening check.

    • Very strong interpersonal and communication skills, with warm, approachable demeanour.

    • Very strong organisational and time management skills, and accountability to set your own schedule.

    • A growth mindset with the tendency to persevere (we don’t give up on clients who are reluctant, complex, or hard to engage…we persist thoughtfully).

    • Ability to work collaboratively within a multidisciplinary environment whilst enjoying autonomy over your caseload.

    • Valid driver's licence and access to reliable vehicle.

    • Additional qualifications or training in mental health or trauma-informed care (desirable rather than essential).

    • Full-time caseload ready to go. 4 days per week negotiable.

    • Clear growth opportunities for leadership and management.

    • New clinical opportunities as we expand into exciting new ventures beyond NDIS, including possibility of wellness work in private schools.

    • Opportunity to influence the strategic direction of Bespoke OT.

    • A chance to create lasting change across whole communities.

    • A collaborative team culture with genuine support.

    • Flexibility that actually works for you.

    • No crazy KPIs.

    • Niche work in medicolegal reporting if this is in your wheelhouse.  

A different kind of place to do OT

Bespoke OT is a warm, boutique Occupational Therapy practice across Perth, Bunbury and Busselton. We're OT-led and small by choice, and we believe great clinicians do their best work when they're trusted, supported and given room to be great.

That means realistic billables, genuine flexibility, varied and interesting work, and an experienced OT behind you when you need one. Autonomy, without working alone.

The people who thrive here

Our values, Integrity, Compassion and Excellence, aren't just words on a website. They're how we work, and how we treat each other.

We look for OTs who are warm, clinically curious, reliable, and happy to work independently while still asking for another view when it helps. People who understand that good OT starts with genuine connection.

You don't need to fit a mould to belong here.

Reach out

If you believe you can make a difference in the lives of our clients and contribute to our growing team, we’d love to hear from you! Send your CV and a cover letter to introduce yourself.