
Compassionate guidance & consultancy for the families of children and young people navigating neurodiversity and additional needs
Working in partnership with families to build confidence, understanding and practical skills to support your child.
✦ FREE 20-minute discovery call · No obligation
How I Can Help
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Initial assessments & planning
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Home visits & nursery/school observations
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Practical strategies for behaviour, routines, play & engagement
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Detailed reports to support referrals
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Pre & post-diagnosis support
40 Years NHS Experience
Clinical Nurse Specialist
Neurodevelopment Specialist
Early Support & Real Understanding

ABOUT ME
Developmental Nurse Specialist based in South Wales
I've worked for many years as a Clinical Nurse Specialist for Children with Additional Needs, across neurodevelopment, neurodiversity and other childhood health and developmental needs. This work has always been something I'm really passionate about.
I offer private independent services and consultancy, working in partnership with families who may be worried about their child's needs or feeling unsure where to turn.
Support for children and young people who are autistic, have ADHD, medical conditions or additional learning needs, while empowering the families who care for them
SUPPORT & SERVICES
Practical support, tailored for your child
Every family is different. I work with you to develop strategies that fit your child's unique strengths and needs.
Home Visits
I come to you, observing your child in their natural environment to better understand their needs and daily routines.
Individual Healthcare Plans
Detailed, personalised IHPs that ensure your child's medical and developmental needs are met consistently across all settings.
Nursery & School Observations
Observing your child in their educational setting to understand how they cope and where they need additional support.
Reports & Referral Support
Comprehensive written reports to support differential diagnostic referrals, IDPs and communication with nurseries, schools or other professionals.
Practical Strategies
Tailored strategies for behaviour, engagement, toileting, routines & transitions, sleep, sensory needs and play that actually work in everyday life.
Ongoing Support
Short-term or longer-term packages of support, follow-up sessions, personalised plans and email/WhatsApp contact between sessions.
WHO I SUPPORT
Here for families at every stage
Whether you've just noticed something feels different, or you're navigating life after a diagnosis — I'm here.
Parents and families who want support and guidance navigating their child's needs
Families concerned about their child's development and unsure where to start
Pre-diagnosis support, helping you prepare, gather evidence and navigate the referral pathway
Post-diagnosis support, making sense of a new diagnosis and building practical strategies
Without this wonderful lady supporting my family we wouldn’t have had the support we did. Any family would be blessed to have you supporting them. X
— Michelle G
Absolutely amazing lady so passionate, kind and caring and amazing at what she does... Helen is so conscientious and left no stone unturned in trying to find the best solution. She is one of the best I have ever encountered in my 24 years of being a parent of a child with additional needs.
— Bev M
Also working directly with Nurseries & Schools
PROFESSIONAL SERVICES
Alongside supporting families directly, I also partner with educational settings to help staff better understand and support children with additional and developmental needs.
Not sure where to start?
Let's have a chat.
For any enquiries or to book a discovery call, please fill out the contact form and I will get back to you as soon as possible.
I aim to respond to all enquiries within 2–3 working days.
For more information on initial consultations and ongoing support packages, visit my Services.
You can also find me on social media:
Frequently Asked Questions about Helen O'Keefe Developmental Nurse Specialist
As a Developmental Nurse Specialist, I provide specialist support for the families of children and young people with developmental, neurodevelopmental and additional needs. I provide independent developmental nurse support to families across South Wales, helping parents understand their child's individual strengths and needs and develop practical strategies for everyday life.
I support children and young people with a range of developmental and additional needs, including autism, ADHD, medical conditions and additional learning needs. Support is individual to each child and family, whether you are looking for help before, during or after a diagnosis.
No. You do not need a formal diagnosis to access support. I work with families who have concerns about their child's development or neurodevelopment, including families who are waiting for an assessment or are unsure what support their child may need.
Yes. I provide pre-diagnosis support for families who are concerned that their child may be autistic, have ADHD or medical or additional needs. This can include helping you understand your concerns, gather relevant information, navigate the referral process and identify practical strategies to support your child while you are waiting for assessment.
I provide post-diagnosis support to help families understand their child's needs and what the diagnosis may mean for everyday life. Together, we can develop practical strategies specific to your child's individual needs, strengths and circumstances.
I provide independent developmental and neurodevelopmental support, including pre- and post-diagnosis support and reports that can support differential diagnostic referrals. I'm currently not offering diagnostic assessments but if you are looking for a formal autism or ADHD diagnosis, I can discuss your circumstances and help you understand the appropriate referral pathway.
Yes. Home visits allow me to understand your child's needs within their natural home environment and see how they manage everyday routines and activities. This can help identify practical strategies that are realistic for your family.
Yes. I provide nursery and school observations to help understand how your child manages within an educational environment and identify areas where additional support may be helpful.
Yes. I provide detailed written reports that can support differential diagnostic referrals and communication with schools, nurseries and other professionals. Reports can help provide a clear picture of your child's development, strengths and individual needs.
I provide independent developmental nurse support to families across South Wales. Please get in touch to discuss your location and the type of support you are looking for.
You do not need to know exactly what you need before contacting me. A free 20-minute discovery call gives us an opportunity to discuss your concerns, your child's needs and what you would like help with, so we can identify the most appropriate next steps.