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An Occupational Therapist’s Guide to Home Modification Practice, 2ed

Older people and people with a disability have a right to be included in all aspects of home and community life, and yet, environmental barriers continue to exist in the built environment.  There are concerns about how well homes can support older people and people with a disability over time as their needs change.

Occupational therapists are well suited to determining the most appropriate home modification solutions to address environmental barriers. They possess the knowledge and skills necessary to evaluate people’s current and future needs in the context of the nature and use of the environment and can work collaboratively with design and construction professionals to develop solutions.

To be comprehensive and effective in their approach, occupational therapists need to understand not only the individual’s requirements, but also, the ethical and legal contexts for practice, the technical aspects of the built environment, the relevance and intent of access standards and design approaches, and the application of a range of products and finishes.

An Occupational Therapist’s Guide to Home Modification Practice, Second Edition by Elizabeth Ainsworth and Desleigh de Jonge and their team of expert contributors provides comprehensive information to inform occupational therapists about current practice and research. This includes the authors using a transactional approach to examine the person-occupation-environment interaction and providing occupational therapists with a detailed understanding of the various dimensions of the home environment that can impact on client’s home modification decisions.

New material has been provided relating to research and practice issues, such as an overview of the latest home modification outcome research findings as documented in literature; an update on outcome evaluation; new research information about the dimensions of the home impacting on decision making; additional information grabrail and ramp prescription; and the inclusion of new case studies illustrating minor and major modification solutions for clients who present with diverse needs.

In the Second Edition you’ll find:

• A detailed understanding of aspects of the home environment that impact home modification decisions
• A review of legislative environment and funding systems that facilitate service delivery
• An overview of home modification services, as well as future trends
• A range of comprehensive case studies — illustrated by photographs
• Additional theory to inform knowledge, and skill development,  that can be used in home modification practice worldwide

Contents

Chapter 1 The Home Environment
Chapter 2 Approaches to Service Delivery
Chapter 3 Models of Occupational Therapy
Chapter 4 Legislation, Regulations, Codes, and Standards Influencing Home Modification Practice
Chapter 5 The Home Modification Process
Chapter 6 Evaluating Clients’ Home Modification Needs and Priorities
Chapter 7 Measuring the Person and the Home Environment
Chapter 8 Drawing the Built Environment
Chapter 9 Developing and Tailoring Interventions
Chapter 10 Sourcing and Evaluating Products and Designs
Chapter 11 Access Standards and Their Role in Guiding Interventions
Chapter 12 Ethical, Legal, and Reporting Variables: Pathways to Best Practice
Chapter 13 Evaluating Outcomes
Chapter 14 Literature Review: Home Modification Outcomes for Older Adults and Adults With Disabilities
Chapter 15 Case Studies
Appendix A Minor Modifications: It’s Not as Simple as “Do It Yourself” (DIY)
Appendix B Outline of Shapes and Occupied Wheelchairs
Appendix C Fundamental Types of Compact Turns
Appendix D Ramp Installation Considerations
Appendix E Home Modification Practice Resources
Appendix F Access Standards Resources
Appendix G Home Visit Checklist
Appendix H Home Modification Report Template
Appendix I Example of an Occupational Therapy Report