"Evidence based health care...was and is...an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits the patient best"
Muir Gray 1997
Sensory Integration Assessment, like all OT Assessment should consist of the accumulation of information from a range of sources as well as clinical observations, typically a range of alternative tools/methods might be used. Foe example some clients might or might not be able to complete the 'gold standard' standardised assessment the Sensory Integration and Praxis Test. A therapist should be able to describe assessment tool choice, as part of their clinical reasoning.
SI practice is considered to be an extended scope of practice by the British Association of Occupational Therapy/College of OT, ie requiring post qualification training. SI Network (UK and Ireland) as the UK and Ireland's main recognised provider of this, works alongside ICE-SI (The International Coalition for Education in Sensory Integration) - an international body that aspires to maintain excellence in Sensory Integration Education for therapists and in developing courses and postgraduate modules has subscribed to ICE -SI recommendations for minimum standards of education for therapists in order to ensure safety in practice.
Sensory integration assessment for Adults
The Sensory Profile by Dunn assesses via self report (Adolescent/Adult Sensory Profile) and where self report is not possible, sometimes therapists may instead use the Paediatric Caregiver completed Sensory Profile with adults with significant learning disabilities - this should be done cautiously and alongside clinical observations. When assessing adults in similar settings a therapist might use the Sensory Integration Inventory (Reisman and Hanschu) which is an observational tool completed by the therapist in conjunction with the team.
How much does private practice SI therapy cost?
A private practice initial assessment can cost between £350-£500 (basic) to £600-£1000 (comprehensive). Hourly treatment sessions can cost between £50 and £100 per hour. These prices are only indications and you should always check what is included when comparing therapists' costs.
There would be no charge for therapy provided through the NHS at the point of care. However SI therapy may not be available in all regions of the UK.
You can contact private practice therapists who specialise in SI therapy at www.no1therapist.com.