Adapting Environments: Small Changes, Big Impact 

This Occupational Therapy Week, we’re celebrating the power of small changes. Because when it comes to everyday life, even the simplest adjustment can make a world of difference.

At Back to Basics Health Group, our Occupational Therapists (OTs) look beyond the person. We examine the spaces and environments people live, learn, and work in. The right environment can help people do more of what matters most. It allows them to cook a meal safely. They can move around with confidence. Or they can simply enjoy time with family.

Quick Guide

Use the quick guide below to jump to the section you’re most interested in:

Why environments matter in occupational therapy

Occupational therapy is built on the understanding that the environment shapes how people take part in daily life. One of the key frameworks OTs use is the Person–Environment–Occupation (PEO) model, which recognises that meaningful participation happens when there’s a good “fit” between:

  • the person’s abilities and goals,
  • the activities they want or need to do, and
  • the environment where those activities take place.

When the environment isn’t supportive, it can limit independence and confidence. Poor lighting can hinder independence and confidence. Low furniture can also be a factor. Additionally, too much clutter can limit these aspects. OTs can make the environment more accessible by reducing barriers so people can do what’s important to them. This is done safely and comfortably.

OTs collaborate closely with individuals, families, and support networks. They identify what’s getting in the way and find creative, realistic ways to adapt environments. Research shows that even simple environmental changes can significantly reduce falls, fatigue, and frustration in daily routines.

Shaping spaces to fit real lives

A well-designed space can remove barriers and unlock independence. Whether it’s rearranging furniture for easier access, adjusting the height of a chair, or improving lighting to reduce strain. These small tweaks can transform daily routines. 

For example:

  • Kitchen setup: Placing commonly used items within easy reach can prevent strain and make meal preparation safer.
  • Seating: A supportive chair with arms can make standing up easier for older adults or those with mobility challenges.
  • Lighting: Adjustable lighting can support people with sensory sensitivities. Dimmer lights may reduce overstimulation. Brighter lighting can help others see more clearly.
  • Visual supports: Labels, contrasting colours, or pictorial cues can help people with memory or cognitive challenges navigate tasks more easily.
  • Purposeful room use: Review how each space is used. Ensure it supports the individual’s daily needs. It should function effectively for their level of ability.

Every environment tells a story

Occupational therapy doesn’t stop at home, it extends to every setting where people live, learn, and participate.

At home:
Small changes can make a big difference to safety and independence.

  • Installing grab rails or non-slip mats in the bathroom.
  • Rearranging furniture to create clear walkways.
  • Using contrasting colours on steps or benchtops to make edges easier to see.
  • Introducing practical strategies to support greater independence in daily activities.
  • Keeping routines and setups consistent across all environments to build confidence and reduce confusion.

At school:
For students, the classroom environment can greatly influence learning, focus, and comfort.

  • Using adjustable seating or desk heights supports posture and concentration.
  • Offering flexible lighting helps students who are sensitive to glare or brightness.
  • Adding visual timetables and clear labelling promotes independence and reduces anxiety during transitions.

In the community:
Simple adaptations in community spaces help people participate more fully.

  • Lever-style door handles instead of knobs improve accessibility.
  • Clear signage and well-lit pathways reduce confusion and risk of falls.
  • Public areas with seating or quiet zones make outings more manageable for people with fatigue or sensory needs.
  • Applying inclusive design principles across community settings helps individuals take part confidently and feel valued as members of their community.

In aged care or supported living settings:
Small, tailored changes can boost confidence and quality of life.

  • Ensuring chairs are at the right height for transfers.
  • Placing personal items within easy reach.
  • Reducing visual clutter to make navigation safer and simpler.

Five easy adjustments anyone can try

Not sure where to start? Here are a few easy ways to start thinking like an OT at home, school, or work.

  1. Add non-slip mats in key areas like the bathroom or kitchen.
  2. Use lighting with adjustable brightness to meet sensory and visual needs.
  3. Label drawers and cupboards with words or pictures to support independence.
  4. Adjust chair or table heights for comfort and posture.
  5. Reduce background noise and distractions where possible to support focus and calm.

These adjustments are simple but powerful — and can make daily activities safer, more enjoyable, and less tiring.

Everyday tools that make life easier

Sometimes, the smallest tools can make the biggest difference in daily life. Adaptive equipment (also called assistive technology) includes devices and products designed to make everyday activities safer, easier, or more comfortable.

Occupational Therapists can recommend, trial, and guide you in using equipment that fits your goals, routines, and environment. These items are often simple, affordable, and easy to integrate into daily life. They can have a major impact on independence and confidence.

Common examples include:

  • Kitchen tools: easy-grip utensils, non-slip mats, jar openers, or kettle tippers.
  • Bathroom aids: shower chairs, handheld showers, long-handled sponges, and raised toilet seats.
  • Mobility supports: walking frames, bed poles, and grab rails.
  • Daily living aids: reachers, dressing sticks, button hooks, and sock aids.

Your OT can also help you explore funding options through the NDIS, My Aged Care, or private health providers.

When joined with thoughtful environmental changes, adaptive equipment helps people do more for themselves safely, comfortably, and confidently.

Safety, comfort, and independence

When people have access to environments that work with them, they can take part more fully in everyday life. They can also engage confidently in various activities. OTs often see improvements in:

  • Safety (fewer falls or accidents)
  • Comfort (less pain or fatigue during activities)
  • Independence (being capable of doing more with less help)

That’s the heart of occupational therapy: helping people live life their way, with comfort and confidence.

The role of your OT

Our OTs work with families, carers, and support workers to find practical solutions that make daily life easier. Through assessment and collaboration, we identify what’s getting in the way. We design changes that work for the person and their environment.

If you’d like to learn more about how OT can help, visit our Occupational Therapy services page. You can also explore Occupational Therapy Australia for more resources.

When to ask for an environmental assessment

Sometimes, the best way to make life easier isn’t a new gadget or routine, it’s looking closely at your environment.

An environmental assessment occurs when an Occupational Therapist reviews your home, school, or community space. The therapist assesses how it supports your safety, comfort, and independence.

You might benefit from an assessment if you or someone you support:

  • Has had a fall or near miss at home
  • Finds it difficult to move safely around furniture or stairs
  • Feels sore, tired, or unsteady doing daily tasks
  • Is returning home after hospital or recovering from an injury
  • Struggles with lighting, noise, or sensory sensitivities
  • Is moving into a new environment, like supported living or a new school

An OT can identify barriers, suggest simple low-cost changes, and recommend assistive equipment if needed.
It’s a proactive way to make sure your environment continues to work with you, not against you.

To learn more, download our When to Ask for an Environmental Assessment fact sheet.

Practical resources for families, carers, and support workers

We’ve created a series of practical, easy-to-use fact sheets. They are designed to help families, carers, and support teams. These sheets will help them in applying the ideas discussed in this article.

1. Make Your Space Work for You Quick Guide
Discover easy ways to enhance safety at home. Implement affordable changes to boost comfort and independence.

2. When to Ask for an Environmental Assessment
Find out when you should review your space with an OT. Learn when it might be time to review your space with an OT. It is important to recognize when reviewing your space could be beneficial. Understand what to expect during an assessment.

3. Creating Supportive School Environments Tip Sheet
These practical strategies help teachers and support staff. They make classrooms more accessible, organized, and inclusive for all learners.

Make your space work for you

Take a look around your home, school, workplace, or community space. Are there small changes that could make life easier or safer?


If you’re unsure where to start, speak to a qualified Occupational Therapist. They can provide tailored advice and practical solutions that fit your needs and goals. Every change (no matter how small) can make a difference. This OT Week, let’s celebrate the everyday environments that support independence, comfort, and joy.

This article provides general information only and does not replace professional or medical advice. Please consult a qualified Occupational Therapist for personalised recommendations

Learn more

If you’d like to learn more about how OT can help, visit our Occupational Therapy services page. You can also call us on 03 9763 7613 and chat to one of our admin team.