Home Modifications Decision Prompt Tool

 This resource is designed to support occupational therapists to think clearly before formal recommendation writing in home modifications practice.

The Home Modifications Decision Prompt Tool helps clinicians work through the key questions that shape intervention decisions, including the occupational problem, what is driving intervention, factors influencing the decision, and which options are most viable in context.

It provides a practical structure to support clearer reasoning, more proportionate decision-making, and recommendations that are grounded in function, safety, context, and real-world feasibility.

• A structured clinical decision prompt tool
• Guided questions to support reasoning before recommendation writing
• Sections to identify intervention drivers, constraints, and non-negotiables
• A practical framework for comparing viable options
• Final prompts to support focused and proportionate recommendations 

• Occupational therapists working in home modifications
• Clinicians working in NDIS, community, hospital, or rehabilitation settings
• Therapists who want a more structured approach to complex environmental decisions
• OTs looking for practical tools to support clinical reasoning and documentation