Household help services needs assessment

What it contains

This form must be used by the assessing occupational therapist (OT) when conducting a Household help services needs assessment (HHSNA).

This form must not be used for assessments relating to home or car modifications, personal care or attendant care, childcare, community access, or any equipment other than adaptive household equipment.

The purpose of a HHSNA is to evaluate a worker’s ability to manage cleaning and gardening responsibilities at home after their work-related injury or illness. It will identify strategies to maximise and maintain their independence. These may include recommendations related to adaptive household equipment or household help services.

WorkSafe anticipates the type and frequency of services provided will reduce as the worker recovers. Services should be considered an interim or short-term arrangement, unless the worker has long-term needs due to the nature of their injury or illness.

This form is designed to lead OTs in their clinical thinking to the most suitable recommendation within WorkCover guidelines. The form must be completed in its entirety. This will result in the return of quality reports, avoid delays, and prevent additional questions from agents and self-insurers.

Further instructions for completion of this form, and associated fees for conducting a HHSNA and related equipment trial, can be found in the form's instructions and guidance.