NDIS Functional Capacity Assessment vs Occupational Therapy Assessment: What Is the Difference?

The terms Functional Capacity Assessment, functional assessment and occupational therapy assessment are sometimes used interchangeably, but they can refer to different purposes and scopes of assessment.
What is a Functional Capacity Assessment?
An FCA focuses specifically on understanding functional capacity and how disability affects everyday activities and participation.
What is an occupational therapy assessment?
Occupational therapy assessments can cover a broad range of functional areas. The exact scope depends on the person's needs and the clinical question being addressed.
Key difference
A Functional Capacity Assessment is generally structured around understanding a person's functional capacity across relevant areas, while an occupational therapy assessment may focus on a particular problem such as equipment, home safety, self-care, sensory needs, mobility or daily living.
When might you need an FCA?
An FCA may be useful when detailed information about functional capacity and support requirements is needed.
When might you need another OT assessment?
A targeted occupational therapy assessment may be appropriate when the main question relates to a specific activity, environment, equipment need or intervention.
Examples
Example 1: NDIS functional evidence
A participant may need comprehensive evidence explaining how their disability affects everyday functioning.
Example 2: Bathroom safety
A person may require an occupational therapist to assess their bathroom and recommend accessibility modifications.
Example 3: Assistive technology
A participant may need an assessment to determine whether specific equipment could improve functional independence.
Which assessment is right for me?
The right assessment depends on the purpose, the person's needs and the information required. Walnut Occupational Therapy can help identify an appropriate occupational therapy assessment pathway based on the participant's circumstances.
Frequently Asked Questions
Is an FCA the same as an OT assessment?
Not necessarily. An FCA has a specific focus on functional capacity, while OT assessments can address many different functional and environmental questions.
Can one occupational therapist provide both?
An occupational therapist may provide different types of assessments depending on their qualifications, experience and scope of practice.
Can Walnut OT help me decide what assessment I need?
Walnut Occupational Therapy can discuss your goals and circumstances and identify the most appropriate occupational therapy assessment pathway.
