In-Home OT Assessment

An In-Home OT Assessment is often the first step in the client's return to pre-accident function. The assessment includes an objective physical assessment of the client (strength, range of motion, tolerances), a functional assessment of the client's current abilities to manage their activities of daily living, a determination of the client's pre-accident essential tasks as well as their medical, social and vocational history. An Assessment of attendant care needs (form1) can be included if requested by the referrer.

The resulting report is a clear, well-documented baseline of the client's current abilities, their pre-accident essential tasks as well as specific, time-limited recommendations to assist the client in returning to their pre-accident status.

The In-Home OT Assessment can be completed as an Insurer's Exam (Bill 59, Section 42) if desired.

In-Home OT Treatment

OT Treatment is the implementation of the recommendations of the In-Home OT Assessment. Upon approval from the referrer, the OT will work with the client in their home, to actively implement strategies that will allow the client to overcome barriers to function.

Typically these strategies include:

• Educating the client about their injuries and the impact on the daily function.
• Education on the concept of hurt versus harm.
• Training in proper body mechanics.
• Development and training of alternate techniques to complete essential tasks.
• Provision of strategies to improve strength, range of motion and physical tolerances.
• Prescription of and education in the use of low-cost assertive devices that promote independence.

The goal of OT treatment is the client's resumption of pre-accident essential tasks. Upon discharge, the client will be independent in these tasks and not reliant on external services. If this is not possible, the OT will provide a professional opinion on the client's status and possible courses of action.