Carroll T. Fernstrom, OTR / L

Accessibility Consultant & Licensed Occupational Therapist
Raleigh, North Carolina

Experience as an Occupational Therapist

Carroll has over 25 years of experience as an occupational therapist (OT) working with adults and older adults with physical disabilities, disorders and injuries. She still works part time with a rehabilitation agency that provides OT and PT, focused on home safety and reducing risk of falls. Prior to 2002, she was self-employed, providing OT with Professional Occupational Therapy Services. She contracted with outpatient clinics, a medical center, home health & hospice organizations, and long term care and retirement communities.

As an Occupational Therapist, Carroll teaches clients adaptive techniques and use of assistive devices to increase safety and independence with Activities of Daily Living (ADL) and functional mobility. Goals of occupational therapy are to help clients learn to compensate for their limitations and build upon their strengths to improve their ability to function at their optimal level.

Carroll has specialized training and experience in physical rehabilitation for neurological conditions including Parkinson’s disease, ALS and MS, as well as stroke, arthritis, pulmonary diseases / COPD, hand and arm limitations, and memory impairments.

Experience as an Accessibility Consultant

With 20 years working part time as an Accessibility Consultant, Carroll’s expertise enable her to tailor home modifications to match client’s specific functional needs and goals. By combining training and experience in both healthcare and accessibility, her role is a key factor for incorporating accessible features and universal design into the home environment. Her unique skills enable recommendations that complement the client’s functional abilities and limitations. The result is maximum independence, safety and comfort in daily life for both current and future needs of the client, family and caregivers.

Carroll has renovated 3 of her own homes and built a custom home. She began incorporating accessible features and universal design in her own renovations, as her training and knowledge of home modification developed over the years. Carroll’s work ensures pleasing aesthetics and functionality are gracefully integrated into each project, which has always been a primary philosophy of hers.

Accessibility training for OTs by OTs

    • Improving Health & Participation of Older Adults through Home Modifications
      American Occupational Therapy Association, 2014
    • Occupational Therapy and Home Modification: Promoting Safety and Supporting Participation
      American Occupational Therapy Association, 2011
    • Accessibility Consultation and Environmental Modifications
      AOTSS, New Orleans, LA, 2008
    • Functional/Environmental Assessment and Home Modification
      AOTSS, Baltimore, MD, 1995
    • Degree in Occupational Therapy
      East Carolina University, Greenville, North Carolina


Professional associations and organizations

  • Home Modification Occupational Therapy Alliance
  • National Aging in Place Council
  • Global Network of Home Modification Professionals
  • American Occupational Therapy Association
  • National Board for Certification of Occupational Therapy
  • North Carolina Occupational Therapy Association