4.5.20.3 Arrange ADL (OT) assessment
ADL Activities of daily living assessments are performed by Occupational Therapists at the request of and for the use by an Agent to determine strategies to maximise a worker’s independence, assess a worker’s functional capacity and assess the necessity and appropriateness of the requested household services.
An Agent should review all information on file alongside the ready reckoner in Discover prior to arranging an ADL assessment.
If a worker does not have an entitlement to a service due to Policy or for other circumstances, an ADL is not required to make a claims decision.
All ADL referrals must be clear and state a clear purpose. If the worker has injuries or conditions that are not compensable or required to be reviewed, ensure it is clearly stipulated in the referral.
See: Arrange an ADL assessment
4.5.20.4 Review OT recommendations
Following receipt of an ADL (OT Occupational therapy is a client-centred health profession concerned with promoting health and well being through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to or are expected to do or by modifying the occupation or the environment to better support their occupational engagement .) assessment, the Agent must review the recommendations along with the following information to make a decision on whether liability should be accepted for household help services:
- information obtained from the worker and treating health practitioner
- housework tasks authorisation lists and cost/service guidelines
- gardening tasks authorisation lists and cost/service guidelines
- household help policy.
Where the OT has recommended adaptive household equipment in place of long term services, please
refer to the Equipment and related services policy.
Where the OT has recommended a ride on mower or like vehicle in place of long term gardening/mowing
services, please refer to section 4.5.12.9 Ride on mower supply.