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Hospital rehabilitation ends on a date. You go home, and every skill you practised in a gym or a therapy kitchen now has to work in your bathroom, on your back step, in the supermarket you actually use.
That handover is where progress most often stalls. The supervised program stops, nobody translates it into your house, and within a few weeks the gains start slipping. Families describe it as being discharged into a vacuum.
Neurological occupational therapy picks it up from there. We work in your home and your community, on your real tasks, using your equipment and your routine. Because the therapy happens in the environment, nothing has to be transferred from a clinic into real life afterwards. It is already there.
Occupational therapy after a neurological event is not general exercise, and it is not the same job as physiotherapy. Physiotherapy builds the underlying physical capacity. Occupational therapy takes whatever capacity you have and makes a real task possible again, by retraining the task, changing how it is done, or changing the environment around it.
In practice that means four strands of work, usually running together.
Practical rehabilitation after stroke, TIA and acquired or traumatic brain injury. Upper limb and hand function, everyday tasks, cognition, and the work of getting back to what you did before.
Showering, dressing, toileting, cooking, managing medication, transport and getting out into the community, retrained in your own environment rather than described in a handout.
Memory, attention, planning and problem solving, plus fatigue management and pacing built around your actual week. Fatigue after a neurological event is not ordinary tiredness, and it does not respond to simply pushing through.
Assistive technology and home modification assessment so your house works for the body you have now, with reports written to the evidence standard funding bodies require.
You do not need a confirmed diagnosis to be referred. If function has changed and nobody has yet worked out why, an assessment is still useful.
Refer for neurological occupational therapy when someone is coming home from hospital, when function has changed, when a carer is struggling, or when an NDIS or aged care plan review is coming up and the evidence needs to be current.
Call 000 immediately if you notice any of the following, which may indicate a stroke:
This applies even if the symptoms pass. A TIA resolves but is a warning of a stroke to come, and it needs emergency assessment on the day.
See your doctor the same day if:
Occupational therapy supports function and safety. It does not replace medical review, and we will say so plainly when something needs your doctor rather than us.
The first visit. Your occupational therapist comes to your home, usually for 60 to 90 minutes. They will watch how you manage now rather than ask you to describe it, because difficulty tends to show up in the doing. Bring a family member or carer if you would like to. It usually helps.
Goals in your words. We set goals the way you would say them, not in clinical language. Getting to the letterbox. Cooking dinner again. Two days a week back at work. A plan built around our priorities instead of yours does not get used.
Therapy where the task happens. Sessions run in your kitchen, your bathroom, your street, your workplace. That is the point of the service.
Review, evidence and honesty about the ceiling. We measure progress and write the reports your plan review or care team needs. We will also tell you when a goal is not realistic in the timeframe you are hoping for, and what the alternative is, rather than letting you find out months later.
On recovery, honestly: the fastest change usually happens in the first six to twelve months after a stroke or brain injury, but function can continue to improve well beyond that, particularly when therapy targets specific everyday tasks rather than general exercises. Late referral is worth making. With progressive conditions the goal shifts from recovering function to holding onto it for longer and staying safe as things change, which is a different kind of work but no less useful.
Occupational therapists across Victoria (Melbourne, Roxburgh Park and the northern suburbs), Queensland (Brisbane, Gold Coast, Sunshine Coast, Ipswich and Logan) and New South Wales (Sydney and Western Sydney).
Appointments are delivered in your own home, in residential aged care, in supported accommodation or in the community. Clinic appointments are available at Roxburgh Park where you prefer to come to us.
Simple Process
You, your family, a support coordinator, plan manager, GP, specialist or hospital discharge team can all refer. Call 1300 765 456 or submit a referral online.
Referrals go to an occupational therapist with experience in your condition, in your region.
At a time that suits, with family and carers welcome.
Agreed with you, with strategies to use between sessions rather than only during them.
Progress tracked, with reports for plan reviews, your GP or your care team.
Got Questions?
Ready to Book?
Contact inOne Healthcare on 1300 765 456, email info@inonehealthcare.com.au, or submit a referral online.
Monday to Saturday, 9:00am to 5:00pm. Closed Sunday.
Related: Assistive Technology Assessments · Home Modification Assessments · NDIS Vehicle Modifications · Stroke Recovery at Home · Parkinson's Disease · Multiple Sclerosis · Neurological Rehabilitation Physiotherapy
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This page provides general information only and is not a substitute for individual clinical advice.