Background: Many children with cerebral palsy learn to use technology to access their environments and communicate; however, minimal research informs practice. Methods: A descriptive qualitative study with purposive sampling recruited 10 therapists (occupational, speech, and physiotherapists) from one early intervention service. Data were collected using semi-structured interviews and were analyzed thematically. Results: Four themes were derived: development of successful movement; positioning and equipment; access methodology and processes; and learning to communicate ("learning nonelectronic communication in parallel with electronic communication"). Conclusion: Practitioners described a multitude of skills and expertise to facilitate switch use in play and electronic communication devices in early childhood.