Back to Sensory Integration with Adults

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ASI Beyond Childhood

A growing database of articles, publications, conference resources and practice history relating to sensory integration in adolescence, adulthood and later life.

The library brings long-standing practice history into conversation with contemporary neuroscience, assessment, co-production and participation-focused work.

A curated starting point, not a systematic review. Entries include different forms of knowledge and evidence. Use the labels, open the original item and consider its methods, setting, date and purpose before applying it elsewhere.
1978– reflections, practice development, publications and research beyond the more familiar childhood context

Different resources answer different questions

An article, audit, conference poster and peer-reviewed paper can each contribute to learning, but they should not be treated as interchangeable.

Article

Reflection or research update

A contextual explanation, interpretation or discussion published on the Sensory Project website.

Conference

Poster or presentation

Shared work that may include pilot, audit, dataset, framework, implementation or case-based knowledge.

Publication

Peer-reviewed or formally published

A journal article or published professional item that should be read through its original methods and context.

History

Practice development record

A milestone, tool, training development or archive item that helps show how practice evolved.

From Ayres’ lifespan thinking to contemporary adult practice

This timeline is deliberately concise. The searchable database below opens the linked articles, publications, posters and presentations in more depth.

1978

Ayres addresses the lifespan question

A well-known AOTA interview became a memorable starting point for asking whether sensory integration remains relevant beyond childhood.

1995–96

Adult neurology, learning disability and mental health

Practice development extended across adult neurology, learning disability and mental health settings.

1999–2002

Early tools and learning resources

Sensory Levels in Learning Disability, Sensory Ladders® and the Be SMART Profile supported more person-centred adult practice.

2003–04

Adult mental health service evaluation

Early NHS practice data explored sensory integration-informed occupational therapy with adults using mental health services.

2006

Education beyond childhood

University-accredited postgraduate teaching about the practice of Ayres’ Sensory Integration beyond childhood was launched in the UK and Ireland.

2009

Adult publication and presentation

Adult mental health publication and work on personalising sensory integration approaches made the developing evidence and practice more visible.

2023–24

Rio and Sydney

Adult mental health practice, audit and a developing ASI care pathway were shared with the international sensory integration community.

2025–26

Porto and a broader evidence collection

Pilot, audit, dataset, fidelity, translation and co-production work connected measurement with lived experience and participation.

Find articles, publications and conference resources

Search by title, topic or keyword. Use a filter to narrow the collection, then sort by date or title.

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2026 Article

Falls, Mental Health and Learning Disability

Research and practice reflection on postural balance, peripheral sensory contribution and falls in adults with intellectual disabilities.

Learning disability Balance Falls
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2026 Article

Psychosis, Sensory Integration and Processing

Prader-Willi syndrome is used as a window into genes, brain development, sensory processing, emotional regulation and psychosis vulnerability.

Psychosis Mental health Participation
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2025–26 Conference

Percentiles, Protocols and Practice: Adult PRN

A pilot study connects adult postrotary nystagmus metrics and direction-specific symmetry with lived experience and participation.

Assessment Vestibular Adults
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2025–26 Conference

Data-Driven Co-Production in Adult Sensory Integration

EASI and AASH findings are translated through Sensory Ladders®, Spiders™ and Grids™ into client-owned, participation-focused plans.

Adult mental health Co-production Assessment
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2025–26 Conference

Sensory Needs and Hospital Discharge

An Essex audit explores environmental mismatch, delayed discharge and access to sensory-informed occupational therapy for autistic adults and adults with learning disabilities.

Hospital care Learning disability Autistic adults
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2025–26 Conference

Bridging Sensory-Motor Processing and Human Occupation

Sensory Ladders® connect sensory-motor foundations with co-produced language, priorities and practical support for meaningful occupation across the lifespan.

Participation Sensory Ladders® Co-production
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2025–26 Conference

ASI Fidelity in High-Security Mental Health

Safety-led adaptations are made visible while keeping fidelity, agency, therapeutic alliance and trauma-informed adult practice in view.

Forensic practice Fidelity Mental health
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2025–26 Conference

ISIC Porto 2025/2026 Collection

Ten posters spanning pilot, audit, dataset, fidelity, implementation, translation, practice framework and case-based work.

Conference collection Methods Evidence labels
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2025 Article

Sensory Integration in Adult Neurology and Mental Health

A reflection on practice history, adult neuroplasticity, co-production and the development of ASI beyond childhood.

Adult neurology Mental health History
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2025 Article

Distracted, Hyperactive and Thriving

Research reflection on factors supporting everyday functioning in adults with ADHD, including sensory integration, empowerment and participation.

ADHD Adults Participation
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2025 Article

Why Sensory Tools Beyond Childhood Matter

A neuroscience-informed reflection on Sensory Ladders®, Spiders™ and Grids™ beyond childhood, with movement, perception and emotion held together.

Sensory tools Neuroscience Participation
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2025 History

Collaborating for Change: Sensory Ladders® in Adult Mental Health

A research update that also records earlier adult tools, presentations, publications and webinars from 2002 onwards.

Publication history Mental health Sensory Ladders®
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2024 Conference

ISIC Sydney: Adult Mental Health Care Pathway

A virtual presentation connecting long-standing NHS practice development with co-production, proportionate assessment and data-informed decision making.

Care pathway Adult mental health History
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2024 Article

Ayres Sensory Integration: Is It for Adults Too?

An accessible introduction to the relevance of ASI for adult sensory processing, participation and wellbeing.

Adults Overview Across the lifespan
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2023 Conference

Occupational Therapy and Sensory Integration in Adult Mental Health

A Rio clinical audit and practice-development poster linking ASI, data-driven decisions, recovery and occupational participation.

Adult mental health Clinical audit Participation
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2021 Article

Research Update: Older Adults and Sensory Integration

Research reflection on sensory processing, executive function and daily activity performance in later life.

Older adults Daily activity Research update
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2021 Article

Coffee and Chat: ASI and Learning Disabilities

Research and discussion about sensory integration, tactile modulation and functional performance in adults with learning disabilities.

Learning disability Adults Functional performance
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2020 Article

Neuro Rehab and ASI

A resource-sharing page on the senses, sensory integration and neuro rehabilitation, including learning emerging during COVID-19.

Neuro rehab Adults Practice resources
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2019 Article

Postrotary Nystagmus in Adults

A historical research archive bringing together adult PRN, observation, electronystagmography and visual-input studies.

Assessment Vestibular Adult norms
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2009 Publication

Borderline Personality Disorder and Sensory Processing Impairment

A peer-reviewed adult mental health publication by Brown, Shankar and Smith, published in Progress in Neurology and Psychiatry.

Adult mental health Trauma Peer-reviewed
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2009 History

Sensory Integration and Trauma in Clients with BPD

The Sensory Project publication page preserves the link to the 2009 adult mental health article and its practice context.

Practice history BPD Trauma
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1978–today History

Is It Ever Too Late for Sensory Integration?

A lifespan reflection beginning with Ayres’ 1978 interview and following the continuing relevance of sensory integration for adolescents, adults and older adults.

History Across the lifespan Older adults
Read the lifespan reflection →
Current Article

Sensory Integration and Perinatal Care

A resource area connecting pregnancy, birth, early parenting, infant regulation, parental sensory experience and participation.

Perinatal Adults Relationships
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A living library

This database is designed to grow. Future additions can include newly designed archive pages, peer-reviewed publications, conference handouts, posters, recorded presentations and practice-history material relating to adolescence, adulthood and later life.