Within the NDIS, occupational therapy assessment often focuses on how disability affects everyday function and what practical supports may help a participant work towards their goals. The exact assessment depends on the referral question.

At a glance

Key points

  • 01Occupational therapists provide clinical assessment and recommendations.
  • 02The NDIA decides eligibility, plan content and funding.
  • 03A clear referral question helps define the assessment scope and report.

What may an OT assess?

Occupational therapy may be involved in a number of NDIS-related questions.

  • Functional capacity and support needs
  • Assistive Technology and equipment
  • Home modifications and access
  • Home and Living questions
  • The functional impact of psychosocial disability
  • Everyday routines, safety, participation and environmental barriers

What makes evidence useful?

Useful evidence connects observations and reported information to everyday function. It explains the person’s current situation, strengths, barriers, support used, risks, goals and the clinical reasoning behind recommendations.

The report should also be clear about its purpose, information sources, limitations and any options or alternatives considered.

What an OT cannot decide

An occupational therapist does not decide whether a person is eligible for the NDIS or whether a support will be funded. They also cannot guarantee a planning, review, SIL, SDA, Assistive Technology or Home Modification outcome.

NDIS rules and guidance can change. Participants and referrers should use current NDIA information and speak with their my NDIS contact when they need scheme-specific advice.

Preparing a referral

Include the participant’s goals, the specific assessment requested, the decision the report needs to inform, relevant current supports, available background reports and any important timeframes.

If the exact service is unclear, begin with the everyday functional concern. The assessment scope can then be clarified before work starts.

Sources and further reading

Official guidance may change. Check the linked source for the most current information.