On-Site Occupational Therapy (OT)

What it is

ADL and function-focused rehabilitation delivered in secure settings—helping people dress, transfer, work, and participate safely and independently.

Who it’s for

• ADL limitations, post-injury/post-op function, UE/hand rehab

• Cognitive/behavioral barriers affecting safe participation and self-care

• Aging adults, neurologic involvement (mild/moderate), or deconditioning

How it works

• Evaluation (45–60 min): Functional history, ADL screen, UE/hand assessment, environment needs

• Plan of care: Goal-driven interventions (ADL training, joint protection, energy conservation, fine-motor retraining)

• Environment fit: Activity and space modifications that respect custody rules

• Coordination: Align with nursing/medical, case managers, and work-assignment leads

What to expect

• Practical, carry-over friendly strategies (safe transfers, grooming, workstation setup)

• Hand/wrist protocols for repetitive tasks (kitchen, laundry, maintenance)

• Clear milestones and return-to-duty guidance where applicable

• Documentation in your EHR, with QA and progress summaries

Facility requirements

• Small, consistent treatment space; table/chair access; permission for portable kits

Benefits

• Safer, more independent ADLs and fewer injury flare-ups

• Reduced grievances tied to functional limitations

• Audit-ready documentation aligned with NCCHC/ACA expectations

Getting started

Begin with a focused caseload (e.g., UE/hand + ADLs), then expand to additional units based on outcomes.