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Health, therapy & assessments

Disability Occupational Therapy: A Practical Guide for Australians

Last updated 26 October 2026 · 7 min read · By Sarah M., Support Coordinator
In short

Disability occupational therapy helps people with disability do the everyday things that matter to them, such as dressing, cooking, getting around, working and joining in at school or in the community. An occupational therapist (OT) looks at the person, the task and the environment, then suggests practical changes, equipment and skill-building.

This guide explains what OTs do, how a functional capacity assessment fits in and what NDIS price limits apply. It sits within our guide to allied health for people with disability.

Key points

  • An OT helps with daily activities, equipment, home set-up and routines, working with the person’s own goals.
  • From 24 September 2026, the national hourly price limit for direct therapy by an occupational therapist is $193.99.
  • An OT may complete a functional capacity assessment (FCA), which can be used as evidence of how disability affects daily life.
  • OT is one part of a wider team, so ask how it fits with physiotherapy, speech pathology and support workers.
Disability occupational therapy at a glance
What it isAllied health support that builds skills and adapts tasks, equipment and spaces so daily life works better
Who provides itOccupational therapists, who are health professionals; ask any OT about their registration and experience
NDIS price limit$193.99 per hour for direct therapy by an occupational therapist from 24 September 2026
Common reportsFunctional capacity assessment, equipment recommendations and home modification reports
NDIS relevanceTherapy is funded only if you meet the NDIS access requirements and it is in your plan
Official sourceNDIS Pricing Schedule for 2026 to 2027

What is disability occupational therapy

The word “occupation” here means the activities that fill your day, not just paid work. An OT works with you on the things you want or need to do.

  • Breaking a task such as showering, meal preparation or getting dressed into steps that work with your body and energy.
  • Recommending equipment, such as seating, bathroom aids or tools that make daily tasks easier and safer.
  • Assessing your home, school or workplace and suggesting changes to the space or routine.
  • Supporting sensory, attention and organisation needs through strategies you can use at home and out in the community.
  • Training family members and support workers so that everyone uses the same approach each day.
  • Writing reports that describe how disability affects your daily life, in your words and with your goals front and centre.

Occupational therapy for people with disability: where it helps

OT looks different across ages and settings, so the table below shows common examples.

SettingExamples of OT support
HomePersonal care routines, kitchen set-up, safe bathroom use, equipment trials and home modification advice
School and early yearsHandwriting, classroom set-up, play skills, self-care and transitions between activities
Work and studyWorkplace adjustments, task planning, travel to work and managing fatigue
CommunityUsing public transport, shopping, social activities and building confidence outside the home
TeamsWorking with physiotherapists, speech pathologists, psychologists and support workers

Read how OTs work with specific groups in our guides to occupational therapy for cerebral palsy and occupational therapy for autistic children.

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

FCA disability: the functional capacity assessment

An FCA is an assessment, usually by an OT, of how a person’s disability affects what they can do each day. It can give the NDIA or your planner a clear picture to work from.

  1. Ask who needs the assessment. Check with the NDIA or your support coordinator whether an FCA is needed, and what it must cover.
  2. Choose an OT with relevant experience. Ask whether they have completed FCAs for people with your type of disability.
  3. Bring your goals and examples. Write down tasks that are hard, how long they take and what help you use now.
  4. Take part in the assessment. The OT may observe daily tasks, ask questions and talk to family, carers or support workers with your agreement.
  5. Read the report before it is sent. Check that it describes you accurately and in respectful language, and ask for changes if not.

A checklist you find online cannot replace a professional assessment.

Disability OT and NDIS price limits

If you meet the NDIS access requirements, therapy can be funded through your plan. The NDIA sets maximum hourly prices for direct therapy (NDIS Pricing Schedule for 2026 to 2027).

TherapistNational hourly price limit from 24 September 2026
Occupational therapist$193.99
Speech pathologist$193.99
Physiotherapist$183.99
Psychologist$252.99
Exercise physiologist$161.99
Dietitian$178.99
Podiatrist$188.99

These are maximums, not guaranteed charges, so ask your provider for a quote and check the current schedule. See our guides on physiotherapists for people with disability and speech pathology and speech disability.

How OT fits with other disability support

OT is usually one part of a wider set of supports, so it helps when everyone around the person knows the plan.

  • Share OT recommendations with your support workers so strategies and equipment are used the same way every day.
  • If the person has a positive behaviour support plan, ask how OT goals and strategies connect with it.
  • Ask your OT how their work connects with your wider disability health care, including your GP and specialists.
  • Think about long-term goals in disability and rehabilitation, such as returning to activities after an injury or illness.
  • Review the plan regularly, as needs, equipment and routines can change over time.

When to talk to a GP or specialist

Talk to a health professional when the following come up. Support workers and this guide cannot diagnose or treat.

  • Everyday tasks have become harder or less safe, and you are not sure why.
  • You or your child has lost a skill that was previously well established.
  • You want a referral to an OT or another allied health professional, or a report for an NDIS access request.
  • Equipment such as a wheelchair, shower chair or splint is causing pain or no longer fits.
  • A carer is struggling to keep up with the physical demands of daily support.

Call 000 in an emergency.

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

Next step: practical support alongside therapy

Therapy sets the strategies; support workers help you use them day to day. TQN Care provides personal care, community access, respite and help around the home across Sydney, Melbourne, Newcastle, Wollongong and Geelong, following the plans your therapists write. See our NDIS services or send a referral, and we will call you back.

SM
Sarah M., Support CoordinatorTQN Care is a registered NDIS provider supporting people across Sydney, Melbourne and surrounding areas (NSW & VIC).
Common questions

FAQs about disability occupational therapy

What does a disability OT do? +

A disability OT helps you do daily activities more easily and safely. They assess tasks and spaces, recommend equipment, teach strategies and write reports. Their work is built around your goals, not a standard program.

What is an FCA in disability? +

An FCA, or functional capacity assessment, describes how disability affects a person’s daily activities. It is often completed by an OT. Ask the NDIA or your support coordinator whether one is needed for your situation.

How much can an OT charge under the NDIS? +

From 24 September 2026, the national hourly price limit for direct therapy by an occupational therapist is $193.99. This is a maximum, so ask your provider for a quote and check the current NDIS Pricing Schedule.

Is occupational therapy for people with disability only for children? +

No. OTs support children, adults and older people in many settings, including home, school, work and the community. The focus changes with age, but the aim of making daily life work better stays the same.

References

Sources

  1. NDIS Pricing Schedule 2026-27 (PDF) — National Disability Insurance Agency
  2. Sensory integration — Raising Children Network
  3. Parent guide to therapies: how to use the guide — Raising Children Network
  4. Am I eligible — National Disability Insurance Agency
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