OT in the Home: Foundations of Assistive Tech and Equipment

Presented by Krista Covell-Pierson

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Video Runtime: 57 Minutes; Learning Assessment Time: 46 Minutes

With the rapid evolution of assistive technology (AT), occupational therapy practitioners must be equipped to integrate both high- and low-tech solutions into home-based care. This course introduces foundational concepts in AT and durable medical equipment (DME) relevant to home settings, guiding clinicians through the process of evaluation, selection, funding, implementation, and collaboration with suppliers. Through the lens of occupational therapy frameworks such as PEO and MOHO, learners will explore how to address common challenges related to mobility, cognition, home management, and safety using a range of supportive technologies. The course provides clinical reasoning tools, real-world treatment examples, and guidance on goal writing to ensure successful and meaningful outcomes for clients. This course is intended for occupational therapy practitioners working in home health, community-based practice, or outpatient services where home safety and function are a priority.

Learning Objectives
  • Identify at least three categories of assistive technology and equipment commonly used in home-based occupational therapy practice
  • Recognize key factors in evaluating a client's home environment to determine appropriate low-tech and high-tech supports
  • List important considerations for collaborating with suppliers, vendors, and Assistive Technology Professionals (ATPs) in the selection and provision of assistive devices
  • Select assistive technology solutions that support participation in occupations such as bathing, dressing, communication, and meal preparation within the home environment

Meet your instructor

A smiling woman with long blonde hair and a necklace stands against a pink background, representing medbridge's compassionate approach to healthcare education.

Krista Covell-Pierson

Krista Covell-Pierson is the owner and founder of Covell Care and Rehabilitation, an innovative mobile outpatient practice designed to help adults and older adults live safer, more independent, and engaged lives at home and in their communities. She developed this one-of-a-kind model from the ground up, integrating…

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Chapters & learning objectives

Why Should OTPs Consider Assistive Technology Recommendations at Home?

1. Why Should OTPs Consider Assistive Technology Recommendations at Home?

This chapter introduces the scope and evolution of AT and the growing expectations for OT involvement in its recommendation and training. It explores how AT supports participation across life areas and diagnoses and why its integration into home-based care is essential. Key frameworks are introduced to support a holistic, client-centered approach.

Where to Start With AT at Home?

2. Where to Start With AT at Home?

This chapter reviews categories of AT across functional domains including self-care, mobility, cognition, and fatigue management, highlighting both high-tech and low-tech solutions. Practical guidance is provided for evaluating the home, modifying the OT toolkit, and identifying funding sources. Clinicians are encouraged to ask targeted questions to align interventions with client priorities and available resources.

Assessments to Use in the Home

3. Assessments to Use in the Home

In this chapter, learners are introduced to assessment tools such as the Matching Person & Technology Model and Functional Mobility Assessment, which align with WHO’s ICF framework. These tools help guide clinical decision-making for AT and DME use. The chapter also outlines key steps for collaborating with suppliers and determining fit, funding, and functional outcomes.

Treatment Interventions for Safety and Implementation

4. Treatment Interventions for Safety and Implementation

This chapter presents a practical approach to integrating AT into treatment, including strategies for clinical reasoning, documentation, and training. Through detailed case examples, learners will examine how to scale interventions from low to high tech across mobility, cognition, and complex seating. The chapter also clarifies the roles of OTPs versus suppliers to support efficient, client-focused care.

Where Do We Go From Here?

5. Where Do We Go From Here?

The final chapter focuses on discharge planning, client education, and continuity of care. Learners will explore how to leave patients with clear guidance on device use, maintenance, and follow-up. The chapter also emphasizes professional growth, interprofessional collaboration, and staying current in the fast-moving field of assistive technology.