Home modifications support engage­ment and participation in the home and community. The need for home modifications arises when the fea­tures of the environment pose chal­lenges to occupants that can create an unsafe situation. This guideline addresses home modifications as an inter­vention to use when a person’s abilities are incompatible with environmental demands. That intervention includes identifying, developing, implementing, and training in the use of home modifications.

Using an evidence-based perspective and key concepts from the Occupational Therapy Practice Framework, this guideline provides an overview of the occupational therapy process and best practices for home modification interventions. Topics include service delivery concepts, team involvement, the home as a context for practice, and involving family members in the intervention.