To find sensory integration practice in
your area, look in your yellow pages for occupational therapy, find the
ones who work with children, and then call and find out if they use
sensory integration theory in their practice. Have them explain a
little of what they do, since that can mean totally different things to
different people. To study up a little on the terminology, look at
Sensory 101. There is a partial listing
of therapists who have completed the long and expensive training by
Western Psychological Services in partnership with University of
Southern California, at
this
link. OTs who have completed this program are known as "Certified
in Sensory Integration," and "SIPT certified," because part of the
training is in the administration and interpretation of the Sensory
Integration and Praxis Test or
SIPT.
Not every therapist who has completed this certification is listed,
however. And many therapists who are very active in using sensory
integration therapy have not completed this certification.
In the Richmond, Virginia area I have had experience with the sensory
integration practices at
Children's
Hospital and at Geri Allen's
Integrated
Therapy Services (recently
relocated to Forest Avenue,
phone number (804) 282-4596).
Integrated Therapy Services
currently has three OT's who are
SIPT-certified working there. I know there
are other local practices
that do
some amount of SI therapy, but those are the two big ones that I know
of near me. When I lived in California, I worked for
Fourt
Therapy Center and can very highly recommend them. I learned a LOT
from
Barbara Fourt. There are several other
well-reputed clinics in that area who work with children with sensory
integration difficulties.
Sensory
Integration International
(SII),
aka The Ayres Clinic, is now kaput. Here
is a link to a brief description of why.
The Sensory Processing Disorder
Foundation is
a project of the nonprofit
organization KID Foundation in Littleton, Colorado. It is designed to
serve as a resource to parents of children with sensory processing
difficulties, which they term "sensory processing disorder (SPD)."
There is a Parent Connection, a Resource Directory, and articles on
sensory integration and processing. http://www.spdfoundation.net/
The Alert Program is
a
program that was designed by two occupational therapists for OTs,
teachers, and parents to use in working with children. It can be
adapted to use with children of a wide age range, but is ideally suited
for children who function at about a typical seven to thirteen-year old
level, in my experience. The program, outlined in the guidebook How Does
Your Engine Run? uses the
analogy of a car engine to explore the concepts of levels of alertness
and how each person can use sensory strategies to change their own
levels for different tasks. I often loan the Introductory
Booklet
(the first chapter of the guide book; can be purchased separately)
to
parents and teachers as a great explanation of one way of looking at
sensory processing and how it can affect children's daily lives. There
is also a book of activities that incorporate sensory strategies,
mostly for Kindergarten through second grade classrooms, called Take Five.
http://www.alertprogram.com/
Professional
Development Programs sponsors what they term "cutting edge" courses
in the area of sensory integration. I have attended several. Anything
that is "cutting edge" is by definition not yet well-researched and
well-established, right? In other words, I would advise you to take
what you learn at these courses with a grain of salt. I do think that
they share some information that is very useful at many of the courses,
but at one I attended several years ago they were still touting that
autism
is linked to vaccines and has to do with heavy metal build-up in the
body. I find this irresponsible and dangerous ground and do not feel
comfortable with occupational therapists who advise on treatments to
move heavy metals about in children's bodies.
I have also attended several courses that taught how to use Therapeutic
Listening® from Vital Links. This
is a program which uses Vital Links' own proprietary compact discs of
music as well as cd's from other sources for "therapeutic use of
sound." I have helped set up families to use this program, and
again I would say to take it with a grain of salt, but I believe that
music can have some very dramatic effects on children ~ if nothing
else, it can be very focusing!
Here is a
link (warning: automatic music!) to Understanding
SPD, the website of an OT who uses many modalities in her treatment
and has written several books. She bases all of her "information" on
her own experiences in treatment, and seems to sort of disdain actual
research, but I like her accessible and seemingly sensible discussions
of sensory processing topics, and I haven't found information that I
entirely disagree with (so much grey area!).
Books
(see
below for books specific to oral motor work)
Speaking of books, I LOVE Oh
Behave! and recommend it to
teachers all the
time. It is a booklet that summarizes/reviews the basics of behavioral
management in a classroom (or with your own children) and then talks
about when and how you can tell if behavior is due to sensory issues or
not. There are guides and worksheets for the "detective work" of
identifying the triggers and reasons for a particular behavior and then
assistance to what to do about it once you've figured it out. It
answers questions like, "how do I offer sensory strategies without
rewarding the negative behavior." Unfortunately, this booklet only
comes in packs of 10 (for about $45 per pack). You may find, as I
do, that you can easily find 9 other people who you think could benefit
from it! It is only available at Pearson
Assessments/PsychCorp (along with lots of other interesting
sounding books that I haven't read).
Sensory
Integration and the Child by
A. Jean Ayres. This is the classic explanation of SI for the layperson
by the mama of sensory integration herself. Clearly written. Doesn't
offer any do-it-yourself strategies to speak of, it aims at explaining
clinic-based SI therapy.
Link to book at
The Out of Sync Child
by Carol Kranowitz is a
popular-press
book that introduces sensory integration and sensory
processing
disorder to the lay person. It is an easy read that uses lots of "case
studies" as examples of what sensory processing disorder can look like.
It does tend to use somewhat extreme examples and presents things in
black and white rather than getting into the complex interplay of
sensory processing, mood, personality, other reasons for
behavior, family dynamics etc. etc. The
follow-up book, Th
e
Out of Sync Child Has Fun,
is
full of activities for children with
sensory processing problems. Available in many bookstores and at
amazon.
I actually like Raising
A Sensory Smart Child, by an O.T. and a mother of a child with SPD,
better than The Out of Sync Child. It does more to explain each of the
sensory systems and how therapists might work on them. It also has lots
of practical methods for dealing with picky eaters, behavior, speech
problems, sensory sensitivites to clothing, advocating for sensory
needs in school, organization problems, etc. etc.
Too Loud, Too
Bright, Too Fast, Too Tight: What to Do If You Are Sensory Defensive in
an Overstimulating World
by Sharon Heller. A book by a college professor about her own
experiences with difficulties modulating responses to sensory stimuli.
I haven't read this one myself yet, but it looks interesting!
There are a few other books and some videos, including a video of
The
Out of Sync Child (apparently not available on DVD), but I haven't
watched any of them myself. Try some
of the catalogs listed below or the links above. I have read
Sensory Secrets: How to Jump-Start
Learning in Children by Catherine Schneider. I didn't feel that
it added anything not already found in the above books, and went beyond
what is actually pretty well-established theory in the field, so I
can't
recommend it.
This
book and others by the same OT is highly recommended on Amazon. The
author's website it linked to above.
Sources
for Sensory
Materials and Tools
Southpaw
catalog has lots of large items for use in making up a sensory gym
(clinic-based OTs often order from them), as well as many smaller items
for home use.
www.southpawenterprises.com
Integrations
and
Abilitations
are two catalogs under the School Specialty family of catalogs that
are have many items for sensory needs. They have fantastic pieces of
furniture and items to set up a
sensory
room. This stuff is expensive but it is soooo cool. I have gotten
to visit a sensory area that was set up using these items at a school
for special needs children in Toronto. It definitely makes you want to
stay for a while and play! Two items: 1) in the interest of full
disclosure, Abilitations sells an
item that I invented and that I get royalties from. 2) the online
catalogs from this company are kind of awkward to use. For example the
search engines are pretty poor at finding things unless you have the
exact title, and
it's kind of hard to navigate through to just what you want. The paper
catalogs are much more fun and easy to look at, though of course they
eat up trees!
Acheivement
Products is another source of neat things.
For
oral motor and oral
desensitization tools,
Professional
Development Programs
is the place! Their catalog has
ZILLIONS of oral motor tools (whistles, straws, vibrating things, more
than you could imagine!) as well as various tactile sensory tools.
www.pdppro.com
Besides sponsoring courses (see above), they have
published an oral issues book for therapists who are addressing mouth
issues as part of a therapy program (and now a DVD of the course)
called
M.O.R.E.: Integrating the Mouth With
Sensory and Postural Functions.
Some kids just need to chew
for a period. These are the kids with wet sleeves, neck
ribbings and hoodie strings, or mangled pencils. I knew a 1st grader
who "ate" several wooden rulers before his
teacher figured out where they had gone. Working on finding more
appropriate sensory outlets/inputs for those kids is important, but
part of that may be better things
to chew. PDP, above, has some of these as does Abilitations,
above. I like best the ones that look like a
normal piece of jewelry
a pen
lanyard,
or just a tube on a pencil -- a piece of
medical tubing cut and stuck over the eraser end.

Also,
there is a book called
Just Take A Bite:
Easy, Effective Answers to Food Aversions and Eating Challenges
by Lori Ernsperger, Ph.D. and Tania Stegen-Hanson, OTR/L,(Foreword by
Temple Grandin ). It purports to have non-confrontational methods to
work with kids who are picky eaters for whatever reason! Available at
Amazon.
Movin'sit
cushions -- these are inflatable wedge-shaped seat cushions that
allow the child who can't sit still to stay in his seat while getting
the movement he craves. Also promotes good seated posture. Comes in 2
sizes. Similar but round cushions are called Disc o'Sits. One
source of several:
Abilitations
(this link takes you to their main company page, click over to
Abilitations and you will have to do a search. Sorry, their website is
not link-happy).
The
Sensory
Comfort catalog has
socks,
sheets, towels and clothes for people with issues of sensitivity
to such things. Their website seems to be done, perhaps out of
business? For now, try
School
Specialty's sensory category or
SouthPaw, especially
for larger equipment items or to make a Sensory Room (so cool!!).
Fidget toys are little items of any
description that keep hands busy so that kids can stay in their seats,
wait their turns, keep from blurting out, and listen for longer than
usual. Different fidget items work for different children; some can't
have anything in their hands without it commanding their full attention
(or becoming a projectile), while other children can be completing a
complex puzzle while actually listening to everything that is being
said. It's best to experiment with a variety of objects of
different tactile qualities and levels of complexity, and you may need
to teach the difference between a fidget item and a toy. I tell
children, "if it's really fun, then it isn't a good fidget for
you!" Take into account
also the distractibility quotient of children seated near the child
with the fidget toy.
pdppro.com
has a wide assortment. You can also check out
Office Playground for
ones not designed for kids necessarily. Be warned they will send weekly
emails if you purchase from them.