Blending Sensory Integration with Other Approaches
Erna Imperatore Blanche PhD, OTR/L , FAOTA,
Clare Giuffrida, PhD, OTR/L , C/NDT , FAOTA
Mary Hallway BSc, OTR/L , C/NDT
Current practice requires attention to many factors and threading together diverse
approaches to deliver highly effective care. Informed by the ICF Model, this
workshop facilitates systematic clinical reasoning to blend SI with other approaches
to build a dynamic, evidence-based pediatric practice.
The diagnostic and sociocultural issues in the present healthcare delivery
environment have resulted in an increasingly more complex professional practice.
Facing challenging cases is a common dilemma encountered in the present
healthcare and educational environments. In order to provide the best care possible,
one needs to consider and integrate many dimensions of care such as the child’s and
the family’s needs and priorities, the context of care as impacted by regulatory and
funding issues, and the evidence supporting the use of different interventions
available through coordinated pediatric care.
Furthermore, the practitioner must consider the relationships between the child’s
diagnosis and impairments, and their impact on the child’s participation in home,
school and community. Addressing all these aspects increases the complexity of
clinical practice as the choices we make in intervention models to achieve desired
outcomes will depend on the many factors surrounding health care and current
pediatric service delivery (Blanche, Guiffrida, Hallway, Edwards, & Test, 2016).
This workshop focuses on:
- combining sensory integration with other interventions to meet the
multifaceted issues of children with developmental disabilities.
- a systematic approach to clinical reasoning which will b
e used to identify the
possible impairments, activity limitations and participation restrictions
impacting the child’s occupational performance and quality of life at home
and in the community (Blanche, et al, 2016).
- the evidence to support the use of different outcome measures and
interventions (Blanche, Botticelli, & Hallway, 1995). Although the literature
supports that many occupational therapists use multiple frames of reference
in their daily treatment planning, there is often an insufficient and
unarticulated connection between practitioners’ use of selected frames of
reference and their rationale for using and combining various approaches
(Case-Smith, Frolek Clark, Schalbach, 2013).
- the practical tools that the presenters will provide to analyze occupational
performance problems and interventions before combining them.
- the discussion and the case examples, multidimensional pediatric treatment
approaches that guide the delivery of pediatric therapy interventions in the
home, the school, the clinic and the community will be explored. Using the
World Health Organization’s International Classification of Functioning and
Disability biopsychosocial health care model, the presenters will highlight
combining treatment approaches in the delivery of pediatric services to
specific populations, including children with Autism, Cerebral Palsy,
Developmental Coordination Disorder and Sensory Processing and
Integration Disorders (Ferguson, Jelsma, Versfeld, Smits-Engelsman, 2014).
- the delivery of care in specific contexts will be highlighted to
facilitategeneralizability of the systematic clinical reasoning approaches being