What Is an Occupational Therapy Cognitive Assessment?

An Occupational Therapy Cognitive Assessment evaluates how a person's cognitive abilities influence their ability to participate safely and independently in everyday life.

Rather than focusing only on cognitive test scores, Occupational Therapists consider how thinking skills affect practical tasks within real-life environments.
For example, the assessment may explore how cognitive skills affect a person's ability to:
  • Follow daily routines
  • Remember appointments
  • Prepare meals safely
  • Manage medications
  • Organise household tasks
  • Follow multi-step instructions
  • Make decisions
  • Solve everyday problems
  • Manage finances
  • Participate at school or work
  • Drive or use public transport safely
  • Maintain independence at home
  • Engage in community activities

This functional approach helps identify strengths, support needs and practical strategies that may improve participation, safety and independence.

​Families preparing for an assessment may also find our What to Expect From an OT Assessment and Preparing for an OT Assessment resources helpful.
Why Are Cognitive Assessments Important?

Cognitive skills underpin many of the activities we complete every day without consciously thinking about them.
Even relatively small changes in memory, attention or executive functioning can have a significant impact on a person's ability to safely complete everyday tasks.

A cognitive assessment can help identify:
  • Functional strengths
  • Areas where additional support may be beneficial
  • Factors affecting everyday participation
  • Strategies that may improve independence
  • Environmental barriers
  • Safety considerations
  • Appropriate therapy goals
  • Equipment or environmental recommendations
  • Further assessment needs where appropriate

​Understanding how cognition affects everyday life allows Occupational Therapists to develop practical, person-centred recommendations tailored to the individual's goals and circumstances.
Functional Cognition - Looking Beyond Memory

Many people associate cognitive assessments with memory testing.
While memory is important, Occupational Therapy focuses on functional cognition - how thinking skills influence the ability to complete everyday activities.

Functional cognition considers questions such as:
  • Can this person safely prepare a meal?
  • Can they remember to take medication?
  • Can they organise appointments?
  • Can they manage household tasks?
  • Can they safely cross a busy road?
  • Can they follow a recipe?
  • Can they adapt when plans unexpectedly change?
  • Can they solve everyday problems?
  • Can they safely care for themselves or others?
This functional approach is one of the key differences between Occupational Therapy cognitive assessments and assessments that focus primarily on diagnosis or intelligence.

Where broader assessment of everyday function is required, your Occupational Therapist may also recommend a Functional Capacity Assessment or an Activities of Daily Living (ADL) Assessment to provide a more comprehensive understanding of functional abilities.
What Cognitive Skills May Be Assessed

Every assessment is tailored to the individual's goals, age and reason for referral. Depending on the referral, your Occupational Therapist may assess a range of cognitive skills that influence everyday participation.

Attention and Concentration
​Attention allows us to focus on tasks, manage distractions and maintain concentration over time.
Difficulties with attention may affect:
  • Following conversations
  • Completing schoolwork
  • Driving
  • Household tasks
  • Reading instructions
  • Workplace performance

Memory
Memory allows us to retain and recall information needed throughout everyday life.
Your Occupational Therapist may explore areas such as:
  • Short-term memory
  • Working memory
  • Long-term memory
  • Prospective memory (remembering to complete future tasks)
Memory difficulties may affect medication management, appointments, cooking, finances and completing daily routines.

Executive Function
Executive functioning refers to higher-level thinking skills that help us organise and manage complex activities.
This may include:
  • Planning
  • Organisation
  • Sequencing
  • Prioritising
  • Cognitive flexibility
  • Task initiation
  • Self-monitoring
  • Time management
  • Problem solving
Executive functioning plays an important role in school participation, employment, independent living and community access.

Processing Speed
Processing speed refers to how efficiently a person understands information, responds to situations and completes tasks.
Reduced processing speed may affect learning, communication, work performance and completing everyday activities within a reasonable timeframe.

Problem Solving and Judgement
Occupational Therapists assess how individuals respond to unfamiliar situations, identify solutions and make safe decisions in everyday life.
This may include considering how someone manages:
  • Unexpected changes
  • Household safety
  • Community situations
  • Financial decisions
  • Emergency responses

Insight and Self-Awareness
Insight refers to a person's understanding of their own abilities and support needs.
This area is particularly important when considering:
  • Independent living
  • Community safety
  • Return to work
  • Driving
  • Support planning
  • Rehabilitation goals

Visual Perception
Visual perceptual skills allow us to interpret and make sense of visual information.
Difficulties in this area may affect:
  • Reading
  • Writing
  • Navigating environments
  • Finding objects
  • Driving
  • Completing everyday tasks safely

Safety Awareness
Safe participation in everyday life requires individuals to recognise risks and respond appropriately.
Occupational Therapists may consider safety awareness across home, school, work and community environments to identify strategies that support greater independence while reducing unnecessary risks.
How Cognitive Changes Can Affect Everyday Life

Cognitive changes may present differently for every individual. Some people notice subtle changes in memory or concentration, while others may experience more significant difficulties managing everyday activities safely and independently.

An Occupational Therapy Cognitive Assessment focuses on understanding how these changes affect real-world participation rather than simply identifying whether cognitive abilities have changed.
​
Cognitive changes may affect many aspects of everyday life, including:

Managing Daily Routines
Everyday routines often require multiple cognitive skills working together.
Difficulties may include:
  • Forgetting appointments
  • Missing important deadlines
  • Difficulty following daily routines
  • Becoming overwhelmed by multiple tasks
  • Difficulty completing tasks from start to finish

Medication Management
Remembering medications requires attention, memory, planning and organisation.
An Occupational Therapist may assess whether cognitive changes are affecting a person's ability to:
  • Remember medication times
  • Follow dosage instructions
  • Organise medications safely
  • Recognise missed doses

Meal Preparation
Preparing meals safely involves much more than cooking skills.
Occupational Therapists may consider how cognition affects:
  • Planning meals
  • Following recipes
  • Sequencing tasks
  • Remembering ingredients
  • Using kitchen appliances safely
  • Recognising hazards such as leaving the stove on
If safety concerns are identified, recommendations may include environmental modifications, assistive technology or further Home Assessments.

Managing Finances
Everyday financial management relies on attention, executive functioning and problem-solving.
Difficulties may include:
  • Paying bills
  • Budgeting
  • Understanding banking
  • Managing online transactions
  • Recognising scams
  • Organising financial paperwork

Community Participation
Cognition also affects participation outside the home.
This may include:
  • Shopping independently
  • Using public transport
  • Attending appointments
  • Participating in recreation
  • Volunteering
  • Maintaining employment
  • Social interactions
Understanding these challenges helps Occupational Therapists recommend supports that promote participation rather than focusing solely on impairment.

Home Safety
Occupational Therapists assess how cognitive changes may influence safety within everyday environments.
This may include considering:
  • Falls risks
  • Leaving appliances on
  • Forgetting to lock doors
  • Wandering
  • Difficulty recognising hazards
  • Unsafe decision making
  • Emergency planning
Where home safety concerns are identified, a Home Safety Assessment, Falls Risk Assessment, or Assistive Technology Assessment may also be recommended.
Who May Benefit From an Occupational Therapy Cognitive Assessment?

Cognitive Assessments may benefit people of all ages when thinking skills are affecting everyday participation.
Every assessment is tailored to the individual's goals, life stage and functional needs.
​
Children
Children may benefit from a Cognitive Assessment where there are concerns regarding:
  • Attention and concentration
  • Executive functioning
  • Organisation
  • Planning
  • Working memory
  • Learning routines
  • Daily living skills
  • School participation
  • Autism
  • ADHD
  • Developmental delay
  • Acquired brain injury
Occupational Therapy focuses on how these cognitive skills affect participation at home, school and within the community.
Families may also find our ADL Assessments, Sensory Profile Assessments, Autism Support Hub, ADHD Resources, and Learning Difficulties Resources helpful.

Adolescents
Adolescence brings increasing expectations for independence.
Cognitive Assessments may assist teenagers experiencing challenges with:
  • Organisation
  • Time management
  • Study skills
  • Community access
  • Daily routines
  • Independent living skills
  • Transition planning
  • Employment preparation

​Adults
Adults may benefit from a Cognitive Assessment following:
  • Stroke
  • Acquired brain injury
  • Traumatic brain injury (TBI)
  • Neurological conditions
  • Multiple sclerosis
  • Parkinson's disease
  • Mental health conditions
  • Long COVID
  • Chronic medical conditions affecting cognition
  • Functional decline
The assessment helps identify practical strategies that support independence at home, work and within the community.

Older Adults
Older adults may experience changes in memory, attention or executive functioning for many reasons.
An Occupational Therapy Cognitive Assessment may be appropriate where there are concerns regarding:
  • Dementia
  • Mild cognitive impairment
  • Parkinson's disease
  • Stroke
  • Falls
  • Reduced confidence
  • Medication management
  • Home safety
  • Maintaining independence
The focus is not simply on identifying cognitive changes, but on understanding how those changes affect everyday life and identifying supports that may promote continued participation.
What Does a Cognitive Assessment Involve?

Each Cognitive Assessment is individualised to the person's goals and referral reason.
Depending on the assessment purpose, your Occupational Therapist may complete several components.

Background Information
Before formal assessment begins, your Occupational Therapist will gather information regarding:
  • Medical history
  • Current concerns
  • Functional goals
  • Daily routines
  • Home environment
  • Previous assessments
  • Support network
  • Changes in cognition over time
This information helps ensure the assessment reflects the person's real-life circumstances.

Clinical Interview
The Occupational Therapist will discuss how cognition affects everyday life.
Topics may include:
  • Memory
  • Organisation
  • Planning
  • Safety
  • Daily routines
  • Employment
  • Education
  • Community participation
  • Independent living
Where appropriate, family members, carers or support workers may also contribute valuable information.

Functional Observation
One of the greatest strengths of Occupational Therapy is observing cognition during meaningful everyday activities.
Rather than relying solely on paper-based testing, Occupational Therapists observe how thinking skills influence practical tasks.
This may include observing:
  • Meal preparation
  • Household organisation
  • Medication routines
  • Community tasks
  • Following instructions
  • Multi-step activities
  • Problem solving
  • Decision making
  • Safety awareness
Functional observation allows recommendations to be directly linked to everyday participation.

Standardised Cognitive Assessment Tools
Where appropriate, Occupational Therapists may use evidence-based assessment tools to provide additional information regarding cognitive functioning.
Examples may include:
  • Montreal Cognitive Assessment (MoCA)
  • Standardised Mini Mental State Examination (SMMSE)
  • Rowland Universal Dementia Assessment Scale (RUDAS)
  • WHODAS
  • Functional cognitive assessments
  • Clinical observation
  • Task-specific assessments
The assessment tools selected depend on the individual's age, goals and referral questions. Not every person requires every assessment tool.

Cognitive Assessment Report
Following the assessment, your Occupational Therapist may prepare a detailed report outlining:
  • Functional strengths
  • Areas requiring additional support
  • Clinical observations
  • Standardised assessment findings (where applicable)
  • Functional implications
  • Safety considerations
  • Practical recommendations
  • Therapy recommendations
  • Equipment recommendations
  • Environmental recommendations
  • Further assessment recommendations where appropriate
Depending on the referral purpose, reports may support therapy planning, NDIS evidence, rehabilitation planning, home safety recommendations and future service planning.
What the Cognitive Assessment Process May Involve
Cognitive assessments may involve several components depending on the individual's needs.

Background Information
The Occupational Therapist may gather information about:
  • medical history
  • daily routines
  • current concerns
  • changes in functioning

​Standardised Cognitive Screening Tools
The OT may use structured assessment tools to better understand cognitive functioning. Examples may include:
  • Montreal Cognitive Assessment (MoCA)
  • Standardised Mini Mental State Examination (SMMSE)
  • Rowland Universal Dementia Assessment Scale (RUDAS)
  • WHODAS functional measures
These tools help identify patterns in cognitive functioning.

Functional Observations
Occupational Therapists often observe how cognitive abilities affect everyday activities such as:
  • managing routines
  • problem-solving tasks
  • following instructions
  • planning or sequencing activities
This helps connect assessment findings to real-life participation.

Cognitive Assessment Report
Following the assessment, a report may be provided outlining:
  • cognitive strengths and challenges
  • how cognition may affect daily functioning
  • recommendations for supports or strategies
  • suggestions for environmental adjustments
How Occupational Therapy Can Help

Occupational Therapists do more than identify cognitive changes, they help people understand how those changes affect everyday life and develop practical strategies to support greater independence, participation and safety.

Following a Cognitive Assessment, recommendations may include:
  • Memory strategies and reminders
  • Visual schedules and checklists
  • Structured routines
  • Task simplification
  • Environmental modifications
  • Home safety recommendations
  • Assistive technology
  • Adaptive equipment
  • Executive functioning strategies
  • Fatigue management techniques
  • Goal setting
  • Occupational Therapy intervention
  • Support worker recommendations
  • Referral to other health professionals where appropriate
Every recommendation is tailored to the individual's strengths, goals, support network and everyday environment.
How Cognitive Assessments May Support NDIS Planning

For many NDIS participants, understanding how cognitive skills affect everyday function is an important part of planning appropriate supports.
A Cognitive Assessment may contribute valuable information regarding:
  • Functional capacity
  • Daily living skills
  • Self-management
  • Learning
  • Decision making
  • Community participation
  • Home safety
  • Risk management
  • Assistive technology requirements
  • Environmental modifications
  • Capacity building supports
Where broader evidence across multiple life domains is required, your Occupational Therapist may also recommend a Functional Capacity Assessment.

If the assessment identifies challenges managing everyday activities, an Activities of Daily Living (ADL) Assessment may provide additional information regarding functional independence.
Occupational Therapy Cognitive Assessments vs Psychology Cognitive Assessments

Many people are unsure whether they require an Occupational Therapy Cognitive Assessment or a Psychology Assessment.
Although both professions assess aspects of cognition, the purpose of the assessments is different.

Occupational Therapy Cognitive Assessments focus on:
  • Everyday functioning
  • Functional cognition
  • Independence
  • Daily living skills
  • Home safety
  • Community participation
  • Executive functioning in real-life situations
  • Environmental supports
  • Therapy recommendations
  • Practical strategies
Occupational Therapists assess how cognitive skills influence participation in meaningful everyday activities.


Clinical Psychology Cognitive Assessments focus on:
  • Cognitive ability (IQ)
  • Intellectual functioning
  • Learning profiles
  • Academic performance
  • Neurodevelopmental assessments
  • Diagnostic clarification
  • Educational recommendations
Clinical Psychologists use comprehensive standardised assessments to better understand cognitive abilities, learning strengths and challenges, and diagnostic presentations.

At Belong Health, our Clinical Psychologists also provide: These assessments may support educational planning, diagnostic clarification and understanding an individual's cognitive profile.
Can Occupational Therapy and Psychology Assessments Be Used Together?

Yes, in many situations, Occupational Therapy and Psychology assessments complement each other.
For example:
A Clinical Psychologist may assess:
  • Intellectual functioning
  • Academic skills
  • Diagnostic criteria
  • Learning profiles

While an Occupational Therapist assesses:
  • Functional cognition
  • Everyday participation
  • Daily living skills
  • Safety
  • Community access
  • Practical support needs
Together, these assessments provide a more complete understanding of how a person's cognitive abilities influence both testing environments and everyday life.
When Might Another Occupational Therapy Assessment Be Helpful?

Depending on your goals, your Occupational Therapist may recommend additional assessments.

Functional Capacity Assessment (FCA)
If cognitive changes affect multiple areas of everyday life, a Functional Capacity Assessment may provide broader evidence regarding mobility, communication, self-care, learning, social participation and support needs.

Activities of Daily Living (ADL) Assessment
If daily routines, personal care or household tasks are becoming increasingly difficult, an Activities of Daily Living Assessment may provide a detailed understanding of functional independence.

Falls Risk Assessment
If cognitive changes are affecting balance, judgement or home safety, a Falls Risk Assessment may help identify strategies that reduce falls risk and support safe mobility.

Home Assessment
If safety concerns are identified within the home environment, a Home Safety Assessment may recommend environmental modifications, equipment or home changes that promote independence.

Assistive Technology Assessment
Where specialised equipment may improve participation or safety, an Assistive Technology Assessment may provide detailed recommendations and supporting evidence for funding applications.
Why Choose Belong Health?

Belong Health provides Occupational Therapy Cognitive Assessments for children, adolescents, adults and older adults throughout Perth, Mandurah, Rockingham, the Peel Region and wider Western Australia.

Our Occupational Therapists focus on understanding how cognition affects real-life participation rather than relying solely on assessment scores.
We provide:
  • Home visits
  • School visits
  • Community visits
  • Clinic appointments
  • Telehealth appointments where clinically appropriate

Our assessments are person-centred, evidence-informed and tailored to the individual's goals, strengths and support needs.
Not Sure Which Assessment Is Right?

Choosing the right assessment can sometimes feel confusing.
Depending on your goals, you may benefit from:
  • Occupational Therapy Cognitive Assessment
  • Functional Capacity Assessment
  • Activities of Daily Living Assessment
  • Falls Risk Assessment
  • Home Safety Assessment
  • Intellectual Assessment
  • Specific Learning Disorder Assessment
  • Autism Assessment
  • ADHD Assessment
Our team can help determine which assessment is most appropriate based on your concerns, functional needs, funding pathway and long-term goals.
Next Steps
​
If you or someone you support is experiencing changes in memory, attention, executive functioning or everyday problem solving, an Occupational Therapy Cognitive Assessment may help identify practical strategies that support greater independence and participation.

Belong Health provides Occupational Therapy Cognitive Assessments across Perth, Mandurah, Rockingham, the Peel Region and wider Western Australia.

Whether you are seeking support for the NDIS, rehabilitation, ageing in place, neurological conditions or everyday functional challenges, our team is here to help.

​Contact our friendly team today to discuss your goals and determine the most appropriate assessment pathway.
Our friendly team are happy to help call us on 08 9586 3934 or send us a message
Related Resources

​Occupational Therapy Assessments Psychology Assessments Helpful Resources
Frequently Asked Questions - OT Cognitive Assessments

What is a Cognitive Assessment?
A Cognitive Assessment evaluates thinking skills such as memory, attention, executive functioning, problem solving, judgement and processing speed, while considering how these abilities affect everyday activities, independence and participation.

Can an Occupational Therapist perform a Cognitive Assessment?
Yes. Occupational Therapists are trained to assess how cognitive abilities affect everyday functioning. They combine clinical observations, interviews and standardised assessment tools to understand how thinking skills influence daily life.

What is an Occupational Therapy Cognitive Assessment?
An Occupational Therapy Cognitive Assessment examines how cognitive skills affect everyday activities such as self-care, cooking, managing medications, finances, driving, work, school and community participation. The assessment focuses on real-world function rather than diagnosis alone.

What is the difference between an Occupational Therapy Cognitive Assessment and a Psychology Cognitive Assessment?
Occupational Therapy focuses on how cognition affects everyday function, independence and participation.
Psychology cognitive assessments focus on intellectual functioning, learning profiles, cognitive ability and diagnostic clarification. The two assessments often complement one another.

What cognitive skills are assessed?
Depending on the referral, an Occupational Therapist may assess:
  • Attention
  • Memory
  • Executive functioning
  • Processing speed
  • Problem solving
  • Judgement
  • Safety awareness
  • Planning
  • Organisation
  • Cognitive flexibility
  • Working memory
  • Insight

What assessment tools may be used?
Assessment tools may include:
  • Montreal Cognitive Assessment (MoCA)
  • Standardised Mini Mental State Examination (SMMSE)
  • Rowland Universal Dementia Assessment Scale (RUDAS)
  • WHODAS
  • Functional cognitive assessments
The assessments used depend on the individual's age, goals and reason for referral.

What is the MoCA Cognitive Assessment?
The Montreal Cognitive Assessment (MoCA) is a widely used screening tool that helps identify possible cognitive changes affecting areas such as memory, attention, executive functioning, language and visuospatial skills.

What is the difference between the MoCA and MMSE?
Both are cognitive screening tools. The MoCA generally assesses a broader range of cognitive abilities, particularly executive functioning and mild cognitive changes, while the MMSE is commonly used to screen more established cognitive impairment. Your Occupational Therapist will select the most appropriate assessment.

Who may benefit from a Cognitive Assessment?
Children, adolescents, adults and older adults experiencing changes in memory, attention, executive functioning, neurological conditions, developmental differences or everyday functioning may benefit from a Cognitive Assessment.

Can children have a Cognitive Assessment?
Yes. Occupational Therapy Cognitive Assessments can help understand how thinking skills affect participation at home, school and within the community.

Can older adults have a Cognitive Assessment?
Yes. Older adults experiencing changes in memory, cognition or everyday functioning may benefit from a Cognitive Assessment to identify practical supports that promote independence, safety and ageing in place.

Can a Cognitive Assessment help identify dementia?
A Cognitive Assessment may identify cognitive changes that warrant further medical investigation. Occupational Therapists do not diagnose dementia, but assessment findings can assist GPs, geriatricians and specialists when considering diagnosis and support planning.

Can a Cognitive Assessment support the NDIS?
Yes. A Cognitive Assessment may contribute evidence regarding functional capacity, daily living skills, community participation, home safety and support needs. It may also form part of a broader Functional Capacity Assessment.

Can a Cognitive Assessment be used for My Aged Care?
Yes. Cognitive Assessments can provide valuable information about a person's functional abilities, safety, independence and support needs, helping inform aged care planning and recommendations.

What happens during a Cognitive Assessment?
Your Occupational Therapist will discuss your goals, medical history and current concerns before completing interviews, observations and appropriate assessment tools. Functional activities may also be observed to understand how cognition affects everyday life.

How long does a Cognitive Assessment take?
The length of the assessment depends on the complexity of the referral and the areas being assessed. Some assessments are completed in one appointment, while others require multiple appointments, observations and report writing.

What happens after the assessment?
Following the assessment, your Occupational Therapist will prepare a comprehensive report outlining findings, functional strengths, areas of support need and recommendations. Recommendations may include therapy, assistive technology, environmental modifications or referral for further assessment.

Do you complete Cognitive Assessments at home?
Yes. Where appropriate, assessments may be completed in the home, school, community, clinic or via telehealth to better understand cognition within real-life environments.

Can Cognitive Assessments be completed via telehealth?
Some components of a Cognitive Assessment may be completed via telehealth where clinically appropriate. Suitability depends on the person's goals, presentation and assessment requirements.

Who can refer for a Cognitive Assessment?
Referrals may come from individuals, parents, carers, General Practitioners, specialists, hospitals, Support Coordinators, Plan Managers, schools, aged care providers and other allied health professionals. Private clients and NDIS participants are welcome.
​
Does Belong Health provide Cognitive Assessments across Western Australia?
Yes. Belong Health provides Occupational Therapy Cognitive Assessments throughout Perth, Mandurah, Rockingham, the Peel Region and surrounding areas of Western Australia. Assessments may be completed in the home, clinic, school, community or via telehealth where clinically appropriate.
​Referrals to Belong Health
We are Medicare and Private Health fund registered for Occupational Therapy and Speech Pathology.

EPC/Team care arrangements/Chronic disease (CDM) or GP management plans and self-referrals are all acceptable.

WA NDIS Registered Provider  
Medicare
You can get a referral from your/your child’s GP for OT on a Chronic Disease Management (CDM) plan this gives you 5 sessions for OT per calendar year with a $53 rebate available on each session or a Helping Children with Autism/PDD/ or an eligible disability package (20 sessions between allied health professionals, as set up by a Paediatrician/Psychiatrist) which gives your child under 16 years a $75 rebate per session for the 20 sessions, you can use up to 10 sessions per Health Professional (up to 10 for OT) and you will need a separate referral letter from your child’s Paediatrician for each Allied Health Professional you are seeking services from. 
Private Health
Your Private Health fund may cover up to 75% of the cost of OT sessions if this is included in your cover, be sure to call them or check your policy for details.

No referral or self referral
You do not require a referral for accessing OT
NDIS Registered Provider
We are an NDIS Registered Provider
Whether you or your child have NDIS funding that is NDIS Managed, Third Party Plan Managed or you are Self-Managing your funds, you are able to use your funding to cover the full cost of therapy services plus travel costs. You will need provide us with your/your child’s NDIS number and plan details ahead of your first session. Once you have booked a session or contacted us, our team will be in touch to discuss our service agreement and provide you with our services price list. 

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