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Beyond the One-and-Done: Why Home Modifications Require Ongoing OT Expertise
This episode is an audio version of our blog, “Beyond the One-and-Done: Why Home Modifications Require Ongoing OT Expertise.” Sue Doyle, PhD, OTR/L walks through why assess-and-go home modification models fall short and how a longitudinal, relationship-based approach supports better outcomes, ethics, and business stability for occupational therapists.
This episode is an audio version of our blog, “Beyond the One-and-Done: Why Home Modifications Require Ongoing OT Expertise.” Sue Doyle, PhD, OTR/L walks through why assess-and-go home modification models fall short and how a longitudinal, relationship-based approach supports better outcomes, ethics, and business stability for occupational therapists.
In this episode, we cover:
- Why the “one-and-done” home modification model is so appealing to burned-out therapists—and the ethical, functional, and clinical pitfalls it creates for clients and for our profession.
- What the research tells us about short-term versus long-term outcomes of home modifications, and how clients’ needs and environmental barriers evolve over time.
- How to reframe your role as an OT from one-time assessor to ongoing home and life design partner, including a phased, longitudinal service model that is both client-centered and financially sustainable.
Read the full blog and see visuals:
- Read the article: https://thehomeaccessibilitytherapist.blog/2026/02/04/beyond-the-one-and-done-why-home-modifications-require-ongoing-occupational-therapy-expertise/
- View any photos, diagrams, or checklists mentioned in this episode on the blog.
Related trainings and courses:
- Certified Home Accessibility Therapist (CHAT): https://www.thehomeaccessibilitytherapist.com/CHAT
- All Courses: https://www.thehomeaccessibilitytherapist.com/courses
Stay connected:
- Website: https://www.thehomeaccessibilitytherapist.com/
- Blog: https://thehomeaccessibilitytherapist.blog/
- Join the newsletter: https://www.thehomeaccessibilitytherapist.com/Newsletter
- Join our Facebook Group: https://www.facebook.com/groups/homeaccessibilitysafety
- Follow on LinkedIn: www.linkedin.com/in/susan-doyle-38bba3178
Creators and Guests
What is The Home Accessibility Therapist Podcast?
The Home Accessibility Therapist Podcast delivers tips, training, and interviews for therapists who are changing lives at home. Each episode turns real-world home modification challenges—like falls, hoarding, and disaster preparedness—into clear, practical strategies you can use on your next visit. You’ll hear Therapist Thursday interviews, research-based blog-to-audio episodes, and “Office Hours” Q&A focused on evaluations, documentation, and funding. The podcast’s goal is to build your confidence and skills as a home accessibility therapist so your recommendations are safer, more effective, and more likely to be implemented.