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Workshop: Ayres’ Sensory Integration for Health and Wellbeing

Our two day workshop is a “great opportunity to reflect on clinical practice and learn new skills”. Find out more about the application of Ayres’ Sensory Integration beyond childhood to support health and wellbeing.

We can also offer 2 or 3 day onsite bespoke training and consultation for your organisation to support the development of sensory integration informed care pathways.

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Sensory Integration is in the spotlight in neuroscience news…

..but publications and research by OT’s are needed to show ASI is effective!

Screen Shot 2018-06-30 at 09.26.07What more do we need to show how mainstream sensory integration theory is becoming than this recent publication in Neuroscience News. It is just a pity it says we need new therapies when we have a good one that has gold standard randomised control trials showings its effectiveness in the ASD population.
Perhaps instead what we need funding and investment for is the research to test it with other clinical populations, and across the lifepsan…this is the challenge to us all. Ad we need to tell more people about Ayres’ Sensory Integration and the growing evidence base.
Listen to Roseann Schaaf discuss her journey to becoming a research leader in this field.
Ref:
UCSF”Living with Sensory Processing Disorder.” NeuroscienceNews, 28 June 2018.
<http://neurosciencenews.com/sensory-processing-disorder-9476/>.
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Resources for Practice in Mental Health and Trauma-Informed Care: improving self-regulation to eliminate control and restraint aka TMAV

On our courses, we teach staff from CAMHS and adult/older adult mental health services how to use Ayres’ Sensory Integration to inform care including for those who have had early trauma.

On our in-house courses, we regularly teach mixed staff teams including Mental Health Nurses and Healthcare Assistants, CPN’s, OT’s, PT’s, SLT’s and Therapy Support Staff, Complementary Therapists, Psychologists and Psychiatrists. Working with staff teams from forensic, secure, acute and longer stay units, our lecturers help teams to develop and implement sensory informed care pathways. This includes working with sensory providers to develop secure safe sensory rooms for safe self-regulation and sensory-rich movement activities suitable for secure and forensic environments, where ligature risks mean traditional swings and other equipment cannot be used.

The use of Ayres’ Sensory Integration to support health and well-being has grown across the UK and Ireland.

The research and evidence base is expanding across the globe, with more clinical audits and studies being published that report that Ayres’ Sensory Integration is

  • improving self-awareness
  • improving self-regulation
  • promoting participation in everyday life
  • increasing clients ability to engage with others, with therapy

this means that there are significant reductions in

  • days in secure or acute care
  • deliberate self-harm
  • the use of PRN medication
  • the need for the use of physical support aka TMAV

We’d like to thank Tina Champagne for pointing us in the direction of this resource which fits so neatly alongside the resources and tools we teach on our courses.

Tina ChampagneTina is a critical friend of ASI WISE and wrote several chapters in this free online resource about developmental trauma and practical ways to institute trauma-informed care.

Resources for Eliminating Control and Restraint aka Therapeutic Manage of Aggression and Violence 

https://www.mass.gov/files/documents/2016/07/vq/restraint-resources.pdf

 

 

 

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Where can I buy one? The Sensory Integration Inventory (aka Reismann and Hanschu)

The SENSORY INTEGRATION INVENTORY REVISED FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES is available from Therapro.

Developed by Judith Reisman and Bonnie Hanschu, in 1992, but just as relevant today. This assessment tool was developed in collaboration with OT’s who worked with people with severe and profound learning disabilities, who could not cooperate fully in more formalised testing of their sensory integration.

The guidebook gives a rationale for the inclusion of each item in the Inventory, as an indicator of sensory integration difficulties. It also provides an alternative, sensory explanation for behaviors that challenge staff teams and carers, that are often presumed to be primarily learnt, behavioural or psychosocial in origin.

We recommend the User’s Guide as a learning tool for all novice sensory integration students as it provides down-to-earth examples that help explain many sensory integration concepts.

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It’s not about our own stress, it appears stress can be catchy too.

Is your stress changing someone else’s brain? A research study by Jaideep Bains and a team at the Hotchkiss Brain Institute (HBI), at the University of Calgary, has suggested that stress can be transmitted from one person to another, changing the brain of the other person too. The study shows that social contact by female mice reverses the effects, but not for male mice.  

A full article “Social transmission and buffering of synaptic changes after stress” can be found at https://www.nature.com/articles/s41593-017-0044-6.

 

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Scientists have discovered that stress transmitted from others can change the brain in the same way as a real stress does.
 https://www.sciencedaily.com/releases/2018/03/180308143212.htm
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Research Update: What is Ayres’ Sensory Integration Therapy(ASI) and what is not? Do not believe everything you read – ASI shows promise as an intervention for those with Autism.

It is so disappointing to once again read research about Ayres’ Sensory Integration purporting to examine ASI versus other therapies, reporting ASI does not have an effect. This is especially important when there is an evidence for ABA, the behavioural intervention in these studies possibly resulting in trauma.

2011 – Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior

2017 – Comparison of behavioral intervention and sensory integration therapy on challenging behavior of children with autism

2018 – Evidence of increased PTSD symptoms in autistics exposed to applied behavior analysis

There is a growing evidence base, not just for the existence of sensory integration difficulties and sensory processing difference across the lifespan and across a range of different clinical presentations, but also for the therapy as developed by Jean A Ayres.

Research by Smith Roley el al 2015, Lloyd, MacDonald and Lord 2013 and Flanagan et al 2012 supports earlier evidence by others including Adamson, O’Hare and Graham 2006, and Siaperas et al 2011 that Sensory Integration difficulties are common in Autism.

Intervention studies that provide evidence sensory integration may be effective include Pfeiffer et al 2011 and most recently a systematic review by Schaaf et al 2018 also examines growing evidence in support of ASI.

“evidence is strong that ASI intervention demonstrates positive outcomes for improving individually generated goals of functioning and participation as measured by Goal Attainment Scaling for children with autism. Moderate evidence supported improvements in impairment-level outcomes of improvement in autistic behaviors and skills-based outcomes of reduction in caregiver assistance with self-care activities”  Schaaf et al 2018

Recently there has been a spate of research comparing ASI to other behavioural approaches. Sadly, what is described as ASI is most definitely not. Spinning someone 10 times one way and then the next, with a few pushups thrown in, is not Ayres’ Sensory Integration!

If you read or report studies that say that ASI doesn’t work compared to other therapies for Autism, please do so very very carefully. Those of us properly trained in ASI, to postgraduate level, as per the International Council for Education in Ayres Sensory (ICEASI) guidelines read the descriptions of what is delivered, we do not recognise it as being ASI therapy. This therapy was carefully researched and developed by Jean Ayres, and overtime has been researched and further developed including the development of the ASI FIdelity Tool (Parham et al 2011).

A parent who works in advertising and marketing pointed out to me that if what is written in these studies was on a website advertising these behavioural services instead of ASI, their description of ASI and their claims may be grounds for an argument for false advertising!

Ayres’ Sensory Integration is a very specific therapy, carried out in a very specialist way, but very experienced clinicians who plan and deliver intervention only after person specific assessment. The individualised intervention is determined and driven by the clinical data that is collected and analysed as part of the assessment, and ongoing observations and reflection are essential to the intervention.

Ayres’ Sensory Integration is about specific, personalised and targeted assessment and therapy; it includes the setting of goals and the measurement of outcomes. The therapist needs to have specialist, typically postgraduate, education in Ayres’ Sensory Integration, in line with internationally agreed standards as agreed by ICEASI.

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Watch more about what Ayres’ Sensory Integration is here.

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About Dialectical Behaviour Therapy and Ayres Sensory Integration

This feature article was written by Claire Smith, one of the first UK OT’s to deliver Sensory Integration alongside Dialectical Behaviour Therapy (DBT). I am delighted to introduce Claire to you, as she was one of the first people I ever lectured about how to apply Sensory Integration’s in Mental Health. That was way back in 2004 and tonight she features on a BBC Documentary – Girls on the Edge.

Here is what Claire would like to add about how Ayres’ Sensory Integration can be used when we work with adults who have trauma and related sensory integration challenges.

As a DBT therapist and SI Practioner I am fortunate to be able to deliver a full DBT programme, alongside an inter-disciplinary DBT team, provide ASI intervention and use sensory strategies that I believe make a real difference to people’s lives.

We combine sensory strategies with DBT skills that support young people to self-regulate and reduce high emotional arousal. These are personalised and individualised to each young person forming part of their positive behavioural support care-plan. Sensory strategies are often used to help young people become ‘talking therapy ready’ prior to starting DBT. There is much stigma around mental health and what it means to be in a secure unit.

Three teenage girls and their families will be sharing their stories and lookIng at the impact on families in a documentary on Thu 22nd Feb, Girls on the Edge, at 9pm on BBC2. Their bravery, openness and honesty helps to break some of this stigma.

The programme has footage of some of the activities offered at FitzRoy House and features glimpses of a number of OT’s I work with providing meaningful occupations and supporting young people in their journey to recovery.

You can see some short clips from the documentary here, and once it has aired, links to watch it again on the BBC.

You can learn more about DBT here.

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What happens to attachment when nurturing is not as it should be?

As OT’s using Ayres’ Sensory Integration, we are mindful of her early work which reminded us of the importance of sensory input in developing the mother-infant bond, a building block which she saw as essential for emotional stability alongside sensory-motor and sensory-perceptual skills that underpin our ability to engage in purposeful activity.

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Ayres’ recognised the importance of being able to take in, process and integrate sensory input not just for activity and praxis but also for future health and well-being, including the development of self-esteem, self-control, and self-confidence.

I am constantly amazed by her vision and insight, and how she built on the seminal and emerging neuroscience of her peers, how she valued this work of others and built on it, leaving a legacy that has continued to be developed and researched by others since her.

A lovely article “The Neurobiology of Attachment to Nurturing and Abusive Caregivers” by Regina Sullivan summarises more recent literature and helps remind us about and understand more why positive experiences or nurture from the primary caregiver are essential. This nurture is experienced through the senses, and when what is experienced is not as it should be, in early phases of critical development, it irrevocably changes the brain.

” a mother’s sensory stimulation of the infant is  the hidden regulator of the infant’s physiology and behavior”

Myron Hofner 1994

To read the full article please click here

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The Repair of Early Trauma: A Bottom Up Approach Suggested: The Window of Tolerance

Reminded again today on FB about this amazing animation from Beacon House – which fits so neatly with our practice of Ayres SI in combination with other techniques when we work with children, adolescents and adults with trauma. The window of tolerance fits neatly with many approaches used in mental health by SI Practitioners including Alert Program (aka Engine Run), Sensory Ladders, Sensory Attachment Intervention and Dialectical Behaviour Therapy.

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Do you know about Temple Grandin and the squeeze machine?

Learn more about this remarkable lady and how she created her famous “squeeze machine’ to get deep pressure touch. Nowadays in therapy spaces and schools, the Steam Roller (or Mangle as it is often affectionately known) is a much used and loved piece of therapy equipment.

You can read all about the Calming Effects of Deep Touch Pressure in Patients with Autistic Disorder, College Students, and Animals.