Over the past 5 years there has been an enormous expansion of products and resources in patient accessibility, assessment tools, and home modification options. With the expansion of accessibility products there are a greater number of individuals remaining in their homes, as they "age in place" or desire to remain at home with a disability. The growing fields of home modifications and "safe patient handling" are an increasingly more pertinent discipline and resource that distinguish physical and occupational therapists from other health care professionals. A therapist's knowledge base of the medical and functional perspectives, as well as ADLs and mobility requirements, uniquely qualify them as the experts for effective and intelligent accessible modifications for the home and community.