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.

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

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