Medico-Legal

Living to the Max Occupational Therapy Services specialise in medico-legal assessments to determine the impact of an injury or incapacity on a person’s life. The assessment analyses a client’s functional performance in the areas of personal self-care and general activities in and around the home and in the community.  Detailed assessments and reports can be done for any form of incapacity in relation to a wide range of issues or circumstances.  These include:

  • Motor accidents
  • Professional negligence
  • Public liability
  • Work-related injury or illness claims
  • Immigration requirements

Managing Director and Senior OT, Tracie McInnes, will meet with the client at their home at an agreed time in order to review their usual living activities.  This is commonly referred to as an Activities of Daily Living (ADL) assessment.  Where able, the client may be asked to demonstrate how they undertake a range of tasks commonly performed in and around the home. This will identify whether there is scope for improvement and enhanced performance by modifying the way the task is executed or if special equipment is required.  A detailed account of the client’s pre-injury function will also be obtained.

The Assessment

In summary, the assessment identifies the client’s:

  • Level of independence
  • Pre-injury and post-injury status
  • Ability to perform tasks
  • Capacity to fulfill pre-injury roles
  • Any requirements for care
  • Any requirements for assistive aids, equipment or home modifications

The status of the client is assessed through:

  • Observation of performance of selected activities
  • Assessment of the environment (eg. home, work, school)
  • Interview with the client (and carer/s where possible)
  • Available medical opinion, including medical records 

The Report

The Occupational Therapy Assessment report addresses the questions posed in the referral instructions and analysis of function in areas such as:

  • Personal care
  • Domestic duties
  • Need for referral relating to vocational ability, education and/or training needs
  • Capacity to care for others (eg. dependents, children)
  • Community access ( eg. driving, transport, shopping, attending medical appointments and participating in community activites)
  • Living skills (eg. ability to manage own affairs)
  • Ability to engage in social activities

Consideration is also given to past and/or future requirements.

Our medico-legal reports are based on sound methodology, with clear rationale and in accordance with the Expert Witness Code of Conduct and principles of Evidence-Based Practice.

The Recommendations

Recommendations are aimed at maximising a person’s level of functional independence. Recommendations may include:

  • Future therapy, treatment and/or rehabilitation needs
  • Assistive aids or equipment including type, cost, supply and maintenance
  • Home modifications to enhance independence, mobility and access or alternative accommodation options
  • Vehicle modifications and requirements, transport funding or licensing
  • Care requirements including domestic assistance, attendant care, nursing care etc

We welcome your enquiry to discuss your medico-legal requirements.  Please contact us here