1st Edition

An Evidence-Based Guide to Combining Interventions with Sensory Integration in Pediatric Practice

    348 Pages 27 B/W Illustrations
    by Routledge

    348 Pages 27 B/W Illustrations
    by Routledge

    This book offers practical ideas on the combination of sensory integration theory principles with other evidence-based approaches in the evaluation and treatment of multifaceted issues in children with disabilities.

    Using the ICF Model, a Clinical Reasoning Model, and featuring numerous case studies, the opening chapters focus on the evidence for combining intervention approaches with diagnoses most often encountered in clinical practice. The latter half of the book covers the delivery of services using blended intervention approaches in different settings, such as the school, the hospital, and in nature. Featured are existing community programs illustrating the combination of approaches in practice. Appendices include reproducible resources, a guide to assessments, and approaches.

    The text will guide occupational therapists and other health professionals working with children and adolescents across a variety of settings in using clinical reasoning skills in a systematic manner that will lead to better interventions.




    Part 1: Foundations for Clinical Reasoning

    Chapter 1: The Pieces of the Whole

    Erna Imperatore Blanche, Clare Giuffrida

    Chapter 2: Reasoning in Action Model (RAM): A Data-Based Model of Clinical Reasoning

    Erna Imperatore Blanche

    Chapter 3: Sensory Processing: A Conceptual Model

    Erna Imperatore Blanche, Stefanie C. Bodison

    Part 2: Pediatric Populations

    Chapter 4: Combining Approaches: Autism Spectrum Disorders

    Joanne Flanagan, Gustavo Reinoso, Erna Imperatore Blanche

    Chapter 5: Combining Approaches: Cerebral Palsy

    Mary Hallway, Eirini V. Liapi, Anna Sampsonidis

    Chapter 6: Combining Approaches: Developmental Coordination Disorder (DCD) and Other Motor Challenges 

    Clare Giuffrida, Lisa R. Reyes

    Chapter 7: Combining Approaches: Children Under 3 Years

    Mary Hallway, Kim Barthel

    Part 3: Contexts & Community Programs

    Chapter 8: Incorporating Nature in the Context of Sensory Integration Treatment 

    Gustavo Reinoso, Laura Kula, Erna Imperatore Blanche

    Chapter 9: School-Based Practice: Supporting Participation and Self-Determination

    Lisa A. Test, Bryant Edwards

    Chapter 10: Incorporating Sensory Integration Approaches in Pediatric Mental Health

    Shelby Surfas, Bryant Edwards

    Chapter 11: Provision of Occupational Therapy in the Pediatric Hospital Setting

    Bryant Edwards, Kim Grenawitzke

    Chapter 12: Mealtime Participation: Feeding and Eating Issues in Children With Neurodevelopmental Disorders

    Stefanie C. Bodison, Joanne Surfus

    Chapter 13: The Context of Play

    Erna Imperatore Blanche, Lisa A. Test

    Chapter 14: The STAR Frame of Reference: Sensory Integration/Processing, Regulation, and Relationship

    Virginia Spielman, Sarah A. Schoen, Michele Parkins

    Chapter 15: Community Programs

    Program 1: Steppin’ Up Transition Group Program for High School Students with Developmental Disabilities in High-Risk Areas

    Bonnie Nakasuji

    Program 2: Therapy West Integrated Specialized Play Program (TWISPP)

    Sofia Magana, Janet Gunter

    Program 3: The Moving to Make Friends © Program (MTMF)

    Karrie Kingsley

    Program 4: The Kid Power Program: A Clinical Program to Enhance Spontaneous Bimanual Use and Achieve Functional Goals

    Angelica Barraza, Takako Shiratori 

    Program 5: Blue Bird Day Program

    Alexa Greif, Laura Mraz, Leah Dunleavy, Sarah Hirschman, Erin Harvey

    Appendix A: Assessments

    Appendix B: Approaches

    Appendix C: Reproducible Resources


    Erna Imperatore Blanche, PhD, OTR/L, FAOTA, faculty in the Division of Occupational Science and Occupational Therapy at the University of Southern California and co-director, Therapy West, Inc. She is an international expert in sensory integration theory and interventions.

    Clare Giuffrida, PhD, OTR/L, FAOTA, adjunct faculty, Rush University, is recognized internationally for her scholarship and research linking sensory processing with motor learning.

    Mary Hallway, BS, OTR/L, SWC, C/NDT, advanced NDTA-OT instructor, is an internationally recognized educator, consultant, and clinician with expertise in neurodevelopmental treatment and sensory processing/integration.

    Bryant Edwards, OTD, MA, OTR/L, BCP, MPH, is Director of Clinical Services – Rehabilitation and Professional Specialties at Children’s Hospital Los Angeles. He is an expert in applying principles of sensory integration theory in hospital and community settings.

    Lisa A. Test, OTD, OTR/L, FAOTA, is Coordinating Therapist for OT and PT Program, Los Angeles Unified School District with expertise in applying principles of sensory integration theory in different school contexts and community settings.

    "An exciting innovative new addition to the occupational therapy sensory integration literature. Theoretically sound practical case-based application to intervention. A must for the practicing pediatric occupational therapist." — Sharon A. Cermak, EdD, OTR/L, FAOTA, professor of Occupational Science and Occupational Therapy, University of Southern California

    "This book will appeal to pediatric therapists seeking to enhance their clinical reasoning for the treatment of children with complex sensory conditions including neuromotor that restrict participation and diminish quality of life. The reader is taken on a journey that begins with an inviting overview of the holistic and integrated intent of the book and proceeds to a clearly articulated model of clinical reasoning. Throughout the journey, the model is applied to a broad spectrum of sensorimotor diagnoses establishing the importance of using a holistic and integrated approach to treatment planning and intervention. The journey culminates with a presentation of community-based programs designed to enhance participation and improve quality of life for children who navigate these multifaceted sensory and neuromotor challenges daily." — Gay L. Girolami, PT, PhD, c/NDT, clinical professor, Department of Physical Therapy, University of Illinois in Chicago (UIC)

    "I love that this book describes clear pathways for providing meaningful, evidence-based practice, without over-simplifying the complexity and importance of clinical reasoning in occupational therapy. As a clinical director, it is a useful resource for mentoring employees who are newly entering practice or changing their area of practice." — Cheryl L Ecker, MA, OTR/L, BCP, SWC, clinical director, Therapy in Action; co-author, Sensory Processing Measure, Sensory Processing Measure-Preschool, and Sensory Processing Measure-2, SPM-2 Quick Tips Infant-Toddler (User Guide)

    "For ten years I have been waiting for this new book - exactly since the moment I learned that its predecessor wouldn’t be updated. I loved the book about combining SI with NDT that helped me as a young clinician develop my skills in combining SI with strategies from other approaches. The new book still maintains the focus on combining approaches and practical relevance. It is a treasure chest drawing on the expertise of a plethora of master clinicians and scholars, mainly from the field of Occupational Therapy. Its richness addresses the fact that we see much more complex cases in our clinics today. A single approach usually cannot fulfill these children’s and families’ needs. I highly recommend this book to the OT and other health professionals who have specialized in one method and are interested in educating themselves about other approaches. This book provides clinicians with guidance on how to combine approaches with inspiration for providing the best individualized interventions we can. As I have learned from my friend and mentor, Erna, and her mantra for therapists, ‘Be clear in your head and eclectic with your hands,’ which is a principle reflected in this book about combining intervention approaches. It allows us to provide the best therapy for each individual child." —Elisabeth Soechting, MA, OTR, owner of SpielStudio and SI-SeminarInstitut; president of Austrian SI Organization GSIÖ e.V.

    "Absolutely recommended. This is a clear and concise textbook that responds to what, why, and when to apply a combination of approaches used by occupational therapists and other health professionals in childhood. Based on evidence and clinical reasoning this work guides you to achieve the best intervention results." —Sara Jorquera, PhD, TO, director Centro de Atención Temprana y Desarrollo Infantil AYTONA, Madrid, Spain

    "This book meets the needs of students and professionals updating knowledge for evidence based clinical practice in Sensory Integration and other intervention models used with children with different pathologies. This book describes the importance of context and how to facilitate the creation of transformative environments so that sensations are integrated at different levels, from intrinsic motivation to the therapist's behaviors while facilitating active participation in occupations. Children teach us a different world; this book teaches us to improve that world." —Marcos Chiang, OT, máster en Integración de Personas con Discapacidad, director, Crecimiento y Desarrollo, adjunct professor Universidad Autónoma de Chile y Universidad Santo Tomás.