Care routines guide how we structure sessions: steady rhythms, clear transitions and sensory materials chosen to match each child's pace. At our Lenasia centre in Johannesburg, work happens in small groups or one-on-one, using English and familiar activities so children feel safe and can engage. Therapists scaffold attention with short, art-based tasks, adapt responses to varied communication needs, and share practical strategies with caregivers between visits. Families seeking a calm, predictable setting for children with profound needs often find this approach supportive.