Refugee children are at risk of developing psychosocial problems. Occupational therapy practitioners can address some of these problems. Focus groups were held with 17 occupational therapy participants to identify interventions promoting refugee children’s psychosocial wellbeing in middle childhood in high income countries. Four themes emerged: (1) Making the most with what you have, (2) The child in their various environments, (3) Occupational Therapy lens helping to build a bridge between old and new lives, and (4) Sensitivity matters/considerations. Findings indicate research is needed to identify intervention effectiveness and increase use of macro-level interventions. interventions. © 2023 Taylor & Francis Group, LLC.