Intervention Hierarchy for the Home Environment

This practical framework supports occupational therapists to organise and prioritise environmental interventions within the home — from simple, low-cost strategies through to complex, high-cost solutions.

It provides a clear structure for progressing intervention options in real-world contexts, supporting decisions that are proportionate, cost-effective, and aligned with client goals.

• A clear, visual intervention hierarchy for home environments 
• Key principles to guide clinical reasoning 
• Decision-making prompts for real-world application 
• A case study activity to apply the framework in practice 
• Guidance to support defensible, evidence-informed recommendations

• Occupational therapists working in home modifications or assistive technology 
• Clinicians working within NDIS or community settings 
• Early career therapists developing clinical reasoning 
• Experienced clinicians wanting a structured approach to complex decisions