Expertise for Home Safety Modification

Learn how home modifications support aging in place and why a collaborative, person-centered approach leads to safer, more effective outcomes for older adults.

Making Homes Safer and More Supportive for Older Adults

As many of us age, staying in our own homes becomes a priority — not just for comfort but for independence and dignity. Yet, the homes we live in often weren’t designed with the changing needs of older adults in mind. Simple daily tasks — like getting in and out of the shower or climbing a step — can become unsafe without thoughtful design and adaptation.

That’s where home modifications come in: adjustments ranging from grab bars in the bathroom to more tailored renovations that support mobility and reduce risk. But delivering the right modifications — ones that truly fit the person’s needs — isn’t always simple. That’s why experts are advocating for a team-based, strategic approach.

Why Home Modifications Matter

Home modifications can have a huge impact on the lives of older adults.

Having home modifications can:
  • Increase safety: Reducing fall risk and preventing injuries
  • Support daily living: Helping with mobility, bathing, cooking, and more
  • Promote independence: Allowing older adults to stay in their homes longer with confidence.

But getting the right modifications requires more than one person’s perspective — it needs a coordinated plan.

A Team Approach Makes All the Difference

The National Council on Aging (NCOA), in partnership with experts from USC’s Leonard Davis School of Gerontology, developed a Home Modification Service Delivery Model rooted in collaboration. This model encourages professionals across disciplines to work together — ensuring older adults receive the appropriate support at the right time.
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Who is on the team?
  • Occupational therapists
  • Physical therapists
  • Care managers
  • Contractors and architects
  • Handypersons
  • Primary care providers
  • Community organizations


Each professional brings a unique perspective — whether it’s assessing mobility challenges, designing accessible spaces, or installing safe features — and when coordinated, they help create a truly supportive environment.

A Better Process for Better Outcomes

Rather than reactive or emergency solutions, the model promotes:

  • Assessing a person’s needs thoroughly before making changes
  • Choosing modifications tailored to individual preferences, health conditions, and resources
  • Coordinating services so changes happen efficiently and safely
  • Providing access to information, funding, and training

This team-oriented method aims to close gaps in care — especially important for older adults with complex needs or limited support systems.

What This Means for You or Your Loved Ones

Whether you’re planning future modifications or currently considering changes, keep these principles in mind:

  • Think beyond quick fixes — look for solutions that fit the whole person, not just the immediate issue.
  • Engage a range of professionals — an occupational therapist and contractor together can provide both safe design and practical implementation.
  • Explore funding, programs, and resources — many communities offer support to help with costs and planning.
  • Be proactive — anticipating needs before a crisis leads to better outcomes.
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Home modifications are more than just practical adjustments — they’re investments in independence, safety, and quality of life. With the right team, plan, and support, older adults can live comfortably and confidently in the places they love.

Advance Your Career in Geriatric Care Management

Ready to take the next step in supporting older adults and their families?

Earn your Certified Professional Geriatric Care Manager (CPGCM) credential through our fully online, self-paced program. Gain the skills and expertise to coordinate care, improve quality of life, and advance your career in aging services.
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