Occupational therapist supporting an adult wheelchair user to access a Changing Places accessible bathroom facility in the community.

MLAK Keys and Accessible Toilets: A Practical Guide for OTs, Carers, and Adults Living With Disability

Lisa | Founder & Principal Occupational Therapist Avatar

This was one of those supports I honestly didn’t know about and you might not either.

For many people, access to a suitable bathroom determines whether they can comfortably attend appointments, spend time with family, go shopping, travel, participate in the community, or simply stay out for more than a short period of time.

One practical support we as Occupational Therapists are able to help with is getting access to a MLAK key.

What Is an MLAK Key?

MLAK stands for Master Locksmiths Access Key.

It’s a universal key used across Australia to open accessible public facilities that are locked to help reduce misuse, vandalism, or damage.

An MLAK key may provide access to:

  • Accessible public toilets
  • Changing Places facilities
  • Liberty swings
  • Adult change facilities
  • Selected council-operated accessible amenities

The system is used across many public spaces including shopping centres, parks, council facilities, transport hubs, and community spaces.

In Queensland, MLAK-supported facilities are becoming more common across Greater Brisbane, Logan, Ipswich, Redlands, Moreton Bay, and surrounding areas.

You can read more about MLAK access in Queensland here:

https://www.moretonbay.qld.gov.au/Services/Disability-Access-and-Inclusion/MLAK-Public-Facility-Access

What Are Changing Places Toilets?

Some standard accessible bathrooms don’t safely or comfortably meet everyone’s needs.

For some people, a standard accessible toilet still doesn’t provide enough space for transfers, mobility equipment, personal care support, or changing routines.

Changing Places facilities are larger, higher-support bathrooms designed for people with profound disability, complex physical support needs, or high personal care requirements.

These facilities may include:

  • Ceiling hoists
  • Adult-sized change tables
  • Additional circulation space
  • Automatic doors
  • Space for carers or support workers
  • Peninsular toilets

For some people, access to a Changing Places facility is what makes longer outings or community participation manageable in the first place.

Without them, people are often forced to cut outings short, avoid certain environments entirely, or return home much earlier than planned.

You can search for Changing Places locations across Australia here:

https://changingplaces.org.au/find

The People I See Benefit From This Most

People Using Wheelchairs or Mobility Equipment

This commonly includes people who:

Need additional space for mobility equipment or carers

  • Use manual or powered wheelchairs
  • Use mobility scooters
  • Require hoists or transfer assistance
  • Fatigue easily during outings

People Requiring Support With Personal Care

Some people require support with:

  • Continence management
  • Catheter care
  • Changing routines
  • Personal care during outings
  • Positioning or pressure care needs

Standard public bathrooms often don’t safely support these routines.

People Living With Neurological or Progressive Conditions

Conditions such as:

  • Multiple sclerosis
  • Motor neurone disease
  • Parkinson’s disease
  • Acquired brain injury
  • Cerebral palsy
  • Spinal cord injury

Conditions which can significantly impact transfers, endurance, continence, mobility, and bathroom accessibility needs.

Families and Carers Supporting Community Access

This is a big one.

Sometimes the person most impacted day-to-day by inaccessible bathrooms is actually the family member, carer, or support worker trying to support safe outings.

I’ve worked with families who plan their entire day around bathroom access.

Others avoid unfamiliar places completely because they’re unsure whether appropriate facilities exist.

That constant planning and uncertainty adds up.

Why This Matters More Than People Realise

Bathroom access can sound like a small issue on paper.

In real life, it often shapes someone’s confidence, independence, social participation, fatigue levels, and willingness to leave the house.

I think this is one of those barriers that slowly shrinks someone’s world over time.

People stop attending events.

They shorten outings.

They avoid certain shopping centres or public spaces.

Appointments become stressful.

Support workers spend significant time trying to locate suitable facilities.

Families become anxious about going somewhere unfamiliar.

Then over time, participation quietly reduces.

This is often where OT support becomes really valuable because sometimes a practical environmental solution creates far more freedom than people expect.

How OTs Can Help

Identifying Functional Need

An OT can help identify whether someone’s disability impacts:

  • Community access
  • Toileting routines
  • Transfers
  • Fatigue during outings
  • Personal care support needs
  • Equipment access requirements
  • Safety and participation in public environments

These conversations often naturally come up during:

  • Functional Capacity Assessments
  • Assistive technology assessments
  • Home modification discussions
  • Community participation goal-setting
  • Mobility or wheelchair prescription

Supporting Applications and Documentation

Depending on the situation, an OT may assist by:

  • Providing supporting documentation
  • Explaining functional impacts
  • Clarifying transfer or care needs
  • Linking recommendations back to safety and participation goals

For some people, especially those newer to disability supports, simply understanding that MLAK access exists can already reduce stress.

Supporting Community Participation

A huge part of OT is helping people participate in the environments that matter to them.

Sometimes that means major home modifications or complex assistive technology.

Other times it’s practical supports like identifying accessible bathrooms, planning outings differently, or helping someone feel more confident leaving the house again.

That’s still meaningful OT work.

You may also find How Occupational Therapy Can Help Adults Stay Independent at Home helpful if you’re looking at the broader picture of independence and participation.

If You’re a Carer or Support Person

If community outings have started feeling stressful due to bathroom access, you’re definitely not alone.

A few practical things that can help include:

  • Looking up Changing Places locations before outings
  • Keeping the MLAK key attached to mobility equipment or support bags
  • Planning longer outings around accessible bathroom locations
  • Discussing bathroom access needs with an OT
  • Asking venues ahead of time what facilities are available

Sometimes reducing uncertainty alone can make community access feel much more manageable.

Small Things That Make MLAK Easier Day-To-Day

A few small practical habits can make MLAK access much easier in everyday life.

Some ideas that work well include:

  • Keeping the key attached to a wheelchair, mobility aid, or support bag
  • Checking Changing Places locations before longer outings or appointments
  • Using the National Public Toilet Map when travelling
  • Keeping a spare key with a trusted support worker or family member if needed
  • Saving commonly used accessible locations in your phone maps

Sometimes it’s these small pieces of planning that make community access feel less overwhelming and more achievable.

How To Apply for an MLAK Key in Queensland

MLAK applications are generally completed through the Master Locksmiths Association.

Most people will need some form of supporting documentation to apply. This may be a short letter from an OT, GP, disability organisation, or another treating health professional outlining why accessible facility access is required.

Eligibility generally applies to people with disability or medical conditions requiring access to accessible facilities.

At the time of writing, the key costs approximately $64 plus GST.

The key itself is usually purchased once approved and can then be used nationally at participating locations.

Some people may also be able to claim the key through disability-related funding supports depending on their circumstances.

It’s worth knowing that not every accessible bathroom uses MLAK, and uptake can vary between councils and locations.

For many people, having independent access without needing to locate staff or explain personal care needs makes community access feel far less stressful.

MLAK is a national system, but implementation varies between councils and locations.

Useful MLAK and Accessible Bathroom Resources

Official MLAK Information and Ordering

The Master Locksmiths Association is the main official source for MLAK applications, ordering, eligibility information, and supporting documentation requirements.

https://masterlocksmiths.com.au/mlak/

Find Changing Places Facilities Across Australia

Changing Places Australia provides a national map of Changing Places facilities, including information about bathroom setup, accessibility features, photos, and MLAK access requirements.

https://changingplaces.org.au/find

National Public Toilet Map

The National Public Toilet Map can be incredibly helpful when planning outings, appointments, travel, or community access.

It allows users to search for accessible toilets, opening hours, MLAK-supported locations, and other accessibility features across Australia.

https://toiletmap.gov.au

Queensland Council Examples

Some councils also provide local information about MLAK-enabled facilities, Changing Places locations, and accessibility supports within their region.

Moreton Bay Regional Council: → https://www.moretonbay.qld.gov.au/Services/Disability-Access-and-Inclusion/MLAK-Public-Facility-Access

City of Gold Coast Changing Places Information: → https://www.goldcoast.qld.gov.au/Services/Supporting-our-community/People-with-disability/Changing-Places-toilets

A Reflection From Me (Lisa)

I think this is one of those supports that can sound small on paper but completely changes how manageable community access feels for someone.

The thing I’ve probably noticed most is how often people quietly adapt around inaccessible environments without even realising how much it’s limiting their world.

People stop going places.

Families shorten outings.

Support workers avoid unfamiliar environments.

Then suddenly something as simple as knowing a suitable facility exists nearby changes how safe and achievable an outing feels.

That’s the kind of OT work I love.

Practical things that genuinely change what daily life looks like for someone.

A Final Word For the OTs…

If you’re an OT working in the community, this is one of those practical supports worth keeping in the back of your mind during conversations around outings, fatigue, personal care, mobility, or participation goals.

And if accessing the community has started feeling harder due to bathroom accessibility needs, speaking with an OT can help identify practical supports that may make outings feel safer and more manageable again.

You may also find Assistive Technology and Home Modifications: How OTs Create Real Change at Home helpful if accessible environments and community participation are becoming harder to manage day to day.

If you’d like to explore more guides like this, our Articles & Resources page has practical tips for clients, families and OTs.