Individual Therapist Letter to RCOT

Please use this template, which is a joint effort by 20 plus experienced OT’s who have tried to ensure all the issues raised by these publications are addressed in this letter.


Areas in yellow for you to remove and personalise add your own views, stories or personal commentary.

Areas in red are examples of therapists own stories, again, again a place for you to remove and add your own examples.

Once you have completed this and edited to suit, please email to: and comment below to let us know you have submitted a copy.

If you wish to share your letter with us, please email it to with subject heading: RCOT Therapist Letter.



Conflict of Interest

Statement regarding conflict of interest:

ASI Wise is a not for profit organisation dedicated to providing therapists with access to high-quality, word-class post-graduate education in the application of Ayres’ Sensory Integration, in line with recommendations by ICEASI. This includes ensuring therapists have access to the hands-on practical learning opportunities, that are considered essential to the safe practise of this very hands-on interactive therapy by leading researchers and practitioners.

Our values and principles extend far beyond therapist education. They include providing tutoring in peer groups, with access to ongoing networking opportunities, peer support, and mentoring as part of continuing professional development.

We are committed to ensuring that therapists practising Ayres’ Sensory Integration have not just the knowledge, but also the skills necessary to practice. This ensures clients receive therapy and practice that is fit for purpose and adheres to best practice guidelines.

Currently,* ICEASI recommends that education in Ayres’ Sensory Integration includes:

Theoretical foundations of ASI – Ayres SI Theory

About this seminal theory proposed by Dr A. Jean Ayres (Ayres, 1972), theoretical assumptions, and basic and applied science informing the knowledge of sensory integration and related constructs, including updates in neuroscience. [Minimum of 20 hours of training.]

Evaluation of Sensory Integration Function and Dysfunction

Detailed instruction in the administration and scoring of reliable and valid assessment tools designed to evaluate sensory perception, praxis and related motor functions (currently SIPT, though other assessment tools will be considered as they become available); Caregiver questionnaires (such as Sensory Processing Measure; Parham et al., 2017); observational methods to supplement these tools; Evaluation tools that measure baseline participation in occupation. [Minimum of 44 hours of training with at least 50% of the training onsite.] 

Interpretation of Assessment Data to inform Clinical Reasoning

Review of research informing the understanding of SI patterns; Use of systematic methods of clinical reasoning and hypothesis generation based on assessment data to link participation issues to SI challenges (such as Data-Driven Decision Making and ASI Assessment® and Interpretation Tool, Schaaf & Mailloux, 2015); Establish measurable goals. (Participants must prepare a case study (#1). [Minimum of 24 hours of training with at least 50% of the training onsite OR individual supervision and feedback of case study #1 by a qualified instructor.]

ASI Intervention

Design and implementation of intervention based on assessment data; detailed instruction in therapeutic activities, adaptive response, dynamic assessment to inform moment-to-moment clinical reasoning; at least 3 demonstrations of intervention in a space equipped as per ASI Fidelity Measure specifications; review of the principles of the ASI Fidelity Measure (Parham et al.) [Minimum of 32 hours of training with at least 50% of the hours of the training onsite. Participants must prepare a case study (#2).]

(*ICEASI Education Standards (version October 2019) are in development so may be subject to change)

How to comment on these publications by RCOT.

Please do email your views and constructive feedback or concerns to

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Parent or Service User Submitted Stories

Sometimes it is easier to see Ayres’ SI in practice, than read about it from a journal research article or a textbook or website description. If you have a story to share, please do contact us via the form below. You will need to consent as a parent or guardian of a child/children.

Therapist Submitted Stories or Case Study

Sometimes it is easier to see Ayres’ SI in practice, than read about it from a journal research article or a textbook or website description. We are actively seeking case studies, like those shared on SIE 1, or Module 1, here lecturers shared case-study to demonstrate practice, including the application to data-driven decision-making principles.

If you have a Case Study to share, please do contact us to find out how to submit a case study for this space. You will need to get consent from the parent or guardian of the child, or an adult who can consent to share the case study.

Examples of a case study could be a full presentation with a video or voice recording by your self as therapist, the parent, teacher or even the child themself. (see example template below the consent form)

Please download the Case Study Template ASI Wise here.

Click to access Case-Study-Template-ASI-Wise-PDF.pdf