What Does an Occupational Therapist Do Under the NDIS?

Occupational Therapy is one of the most widely used allied health services in the NDIS — but many families aren't entirely sure what an OT actually does, or how it differs from other therapies. This guide explains what NDIS-funded OT looks like in practice, who it helps, and how to access it through your plan.

What is Occupational Therapy?

Occupational therapy is a health profession focused on helping people participate in the activities of daily life — the things we all need or want to do, from getting dressed in the morning to cooking a meal, going to school, or taking part in the community. When a disability or health condition makes these activities difficult, an OT works with the person and their support network to find practical ways to improve independence and quality of life.

The word "occupation" in occupational therapy doesn't refer to a job — it refers to any meaningful activity that occupies a person's time and contributes to their identity and wellbeing.

What does an NDIS OT actually do?

Under the NDIS, occupational therapists provide a wide range of supports depending on the participant's goals and needs. Common OT services include:

Functional capacity assessments

A functional capacity assessment (FCA) is a detailed evaluation of a participant's ability to perform daily living tasks. It identifies what supports are needed and at what level, and is often used to justify NDIS funding requests or plan reviews. An FCA covers areas like self-care, mobility, communication, cognitive function, and community participation.

Daily living skills development

OTs work directly with participants to build skills in areas like dressing, grooming, meal preparation, household management, money management, using public transport, and other tasks of daily life. Sessions may take place at home, in the community, or in a clinic setting.

Sensory processing support

Many children and adults with autism, ADHD, and other neurodevelopmental conditions experience sensory processing differences that affect their ability to participate in daily activities. OTs assess sensory needs and develop strategies and environments that help the person regulate and engage more effectively.

Assistive technology assessment and prescription

OTs are often the professionals who assess for and prescribe assistive technology (AT) under the NDIS — from simple aids like adapted cutlery or shower chairs, to complex technology like powered wheelchairs, communication devices, or home modification equipment. An OT must assess and recommend AT before NDIS funding can be approved for most items.

Home modifications

Where a participant's disability makes their home environment unsafe or difficult to navigate, an OT can assess the home and recommend modifications — such as grab rails, ramps, widened doorways, or bathroom modifications. OT recommendations are generally required before NDIS-funded home modifications can be approved.

School and community participation

For children, OTs often work closely with schools to support participation in the classroom and playground — addressing handwriting, fine motor skills, sensory regulation, and participation in learning activities. For adults, OTs support participation in work, volunteering, and community activities.

Who can benefit from NDIS OT?

Occupational therapy is relevant across a wide range of disabilities and age groups. Participants who commonly benefit from OT include:

• Children and adults with autism spectrum disorder (ASD)
• Children with developmental delays or coordination difficulties
• People with acquired brain injuries
• People with cerebral palsy or other physical disabilities
• Adults and children with ADHD
• People with intellectual disabilities
• Older participants with age-related functional decline
• Anyone whose disability affects their ability to participate in daily activities

How is OT funded in an NDIS plan?

NDIS OT services are typically funded under the Capacity Building — Improved Daily Living support category (Support Category 15). This includes therapy, assessments, and skill-building activities. Some OT supports — such as assistive technology assessments or home modification recommendations — may be funded differently depending on the participant's plan.

Check your NDIS plan to confirm you have Capacity Building funding before engaging an OT. Your Support Coordinator or LAC can help clarify what funding is available and how to use it.

How to access OT through Aceso Therapy

Aceso Therapy provides occupational therapy services for NDIS participants across the Hills District and Greater Western Sydney. We work with participants of all ages and accept referrals from families, support coordinators, GPs, and other allied health professionals.