It's made by our health professionals. A core assessment is undertaken, usually through a registered nurse, and then there are branching assessments. In a case like that we would have physiotherapists, occupational therapists, registered nurses--any specialist required--fully assess the situation to ensure that an appropriate modification would assist the person to remain in their own home safely and securely for a period of time. In the VIP, we make the decisions in the end, but they are made in very close consultation with veterans, their families, and those most concerned about them.
On May 11th, 2009. See this statement in context.