https://d1y502jg6fpugt.cloudfront.net/1909/archive/files/172c729f042df920cf5c9bfd5df74a69.pdf?Expires=1785369600&Signature=Fw48MmGOiztyUjLvDaJ-ScOGDx0qRZAxPR0qkml6FU1mAFgDdzCdIgtquF3pdt9%7ENY56FkU8ysYcXsH%7EwpbrJQuUFfd9LiK1BmhwvzkTzv0e8%7ELoVbcXhoauWDKRvO4QY1w82YBsCpmN2C%7E2PK-XyYQq0l7DjMWXiQgF%7EYh1c8Y%7EfarxLFKhkH1wdsh3nOiyy2RNIiBOLL6JkiPmwUtSDWjRnEFmB1tklDXaj2cQsvLCHm-E6nsKC7Ppijkp7CtH70GS8DrtpEvhsBL-orZOYEm9Vp5R1w-Afr0dsP1vCmW8YLQNXHJWfrvnt6ASo%7EcRIkiOyeKZUA74csU258earA__&Key-Pair-Id=K6UGZS9ZTDSZM a16929cbaf591ab5077c88f067096e2b PDF Text Text OCCUPATIONAL THERAPY AND AUTISM An Overview of Occupational Therapy as an Intervention for Autism Spectrum Disorder Marissa Stanulis Department of Psychology, Wagner College 1 �OCCUPATIONAL THERAPY AND AUTISM 2 Table of Contents page ABSTRACT………………………………………………………………………………..……...3 CHAPTER 1 HISTORY OF OCCUPATIONAL THERAPY IN AUTISM: HOW OT BECAME A TREATMENT FOR AUTISM .………...……………………………………………...4 A Review of the History of Occupational Therapy……………..…..……….……………4 The Founding of OT………………………………...………………………. …………...4 OT and the Treatment of Mental and Physical Disabilities ……………..………...….…..6 OT and the Treatment of Autism…………………………………………………...……..8 History’s Impact on the Current OT Practice……………………………….……....…...12 Conclusion…………………………………………………………………………...…..13 2 ENHANCING LIVES: OCCUPATIONAL THERAPY INTERVENTIONS FOR CHILDREN WITH AUTISM SPECTRUM DISORDER………………………………14 Early Intervention (Early Intensive Behavioral Intervention) and Long-term Effect...….14 Sensory Integration Therapy and the Ongoing Debate……………………...………...…16 Social-Cognitive Skills Development……………………………………….…………...17 Motor Skills Development………………………………………………………….....…18 Relationship-Based, Interactive Interventions…………………………………………...19 Goals and Objectives ……………………………………………………………....……20 Conclusion…………………………………………………………………………….....20 3 BURNOUT FACED BY OCCUPATIONAL THERAPISTS …...…………………..…..21 What is Burnout?.……………………………………………………………………..…21 Stress of students studying to become Occupational Therapists …….………………….21 Factors leading to burnout in Occupational therapists ……………..……………………22 Job Dissatisfaction as a Factor………………………………………...…………………23 Ways of Coping and Solutions ……………………………………………..……………24 Conclusion ………………………………………………………………………………27 4 REFLECTION OF MY EXPERIENCE AS AN INTERN IN OCCUPATIONAL THERAPY……………………………………………………………………………….29 LIST OF REFERENCES………………………………….…………….……………..………...34 �OCCUPATIONAL THERAPY AND AUTISM 3 Abstract Occupational therapy (OT) and its impact on people with Autism Spectrum Disorder (ASD) has been developed through various individuals, including those who founded OT and those who utilized OT as a way of treating individuals with ASD. Analyzing the development of occupational therapy as an intervention for people with autism is vital to understanding how the knowledge known today, regarding treatment, was acquired and extended throughout the 19th century. Chapter one focuses on the historical analysis of occupational therapy and how it eventually became an intervention for people with autism. In this chapter, the events that were significant turning points to the development of OT as an intervention for autism are highlighted. In chapter two, the focus shifts to specific interventions that are used in OT to treat children with autism. The factors discussed are specific to the needs of children with autism today and reflect current literature on OTs impact on them. In chapter three, the problem of burnout faced by OTs is discussed and is combated with solutions to alleviate the likelihood of these circumstances. Lastly, chapter four is a reflection on the experience at my field placement, P.S 23, which is an elementary school located in Staten Island. Significant connections between my field placement and the first three chapters of my paper were made. The general goal of this paper is to provide an overview of occupational therapy in autism and how it evolved and is approached, throughout history and in current times. Key Words: occupational therapy, autism, intervention, treatment, history, current times �OCCUPATIONAL THERAPY AND AUTISM 4 Chapter 1 The History of Occupational Therapy in Autism: How OT Became a Treatment for Autism The history of occupational therapy (OT) began in the 1900s as a treatment intervention for patients with autism. Initially, OT was not intended to treat patients with autism but general mental-related conditions. However, with the discovery of the relationship between motor abilities and the brain, sensory-focused approaches were developed in the 1970s to help patients with autism. Although OT was developed in the 1900s by several founders, its use for the treatment of patients with autism began in the 1970s when Dr. Jean Ayres discovered that sensory integration could be effective in addressing issues related to the characteristics of autism. A Review of the History of Occupational Therapy The history of occupational therapy (OT) is one of treatment evolutions dictated by health complications in the human population. Dunne et al. (2016) define OT as an evidence-based skilled treatment of physical, sensory, or cognitive problems. In this respect, its goal is to help a patient regain functionality in all areas of life so they can have an independent and fulfilling existence. The history of OT is traceable to the 19th century, when it was considered an effective intervention against mental-related conditions (Dunne et al., 2016). However, it was in the 1970s that it became a legitimate discipline in treating autism. Today, OT helps autistic individuals develop a sense of accomplishment and purpose by regaining physical, sensory, and cognitive functionality. The Founding of OT OT was first used in the U.S. in the 1800s to treat the chronically ill. However, it was applied under the principles of Moral Treatment by Benjamin Rush among other physicians �OCCUPATIONAL THERAPY AND AUTISM 5 (Bathje, 2012). It is important to note that the name OT began in the early 1900s. The principles of Moral Treatment included the philosophy that the chronically ill are entitled to compassion and that participating in purposeful activity improves well-being. Towards the 20th century, the Arts and Crafts Movement advanced basic principles, including the quality of life and the value of authentic experiences (Bathje, 2012). Dunton and other founders of OT, including Adolf Meyer, built on these principles to pioneer a new treatment paradigm for people with chronic conditions. The paradigm recognized that health is interconnected with participation in purposeful activities. Moreover, this understanding paved the way for the systematic application of the principles of the Arts and Crafts Movement in treating the chronically ill. These principles were foundational in founding OT as a legitimate profession. The history of OT is incomplete without mentioning its founders, the people who brought it to the limelight as a legitimate treatment protocol. The person many consider to be the father of modern OT is William Rush Dunton Jr. His contribution included establishing the Department of Occupational Treatment at Sheppard Pratt in 1908 to offer OT as a reconstruction intervention (Dunton, 1919). He believed daily activity could help restore patients to optimal levels of functioning. As such, his work included working with patients in calisthenics, gardening, sewing, weaving, and woodworking (Dunton, 1919). Another person is Eleanor Clark Slagle, who is remembered for introducing occupational therapy training courses in Chicago. In 1917, she used Hull House in Chicago as a center for OT, focusing on mental hygiene (Slagle & Robeson, 1933). She used her training sessions to set the stage for large-scale occupational therapy programs in state hospitals and annual training institutes for state therapists. Another person is George Edward Barton, who opened Consolation House in 1914, where he worked with referred patients in gardening and woodwork activities (Hattjar, 2019). His work introduced him to other �OCCUPATIONAL THERAPY AND AUTISM 6 key figures of therapeutic occupations. Barton, his future wife Isabel Newton, and others, including Slagle and Dunton Jr., gathered in Clifton Springs on March 15, 1917 (Dunne et al., 2016). This meeting led to the establishment of the National Society for the Promotion of Occupational Therapy, known today as the American Occupational Therapy Association. In sum, Dunton Jr.,Slagle, and Barton are three key figures who helped move OT into the limelight as a legitimate discipline for treating physical, sensory, and cognitive deficiencies. OT and the Treatment of Mental and Physical Disabilities The history of OT includes the introduction of physical activities as intervention measures against mental deficiencies. In the late 19th century, OT was used in psychiatric hospitals because of the belief that arts and crafts could help those with mental challenges gain a sense of accomplishment and purpose (Pfeiffer et al., 2011). The severity of mental problems includes impaired cognitive functioning that affects one’s ability to perform daily activities. However, in the early 1900s, the discipline moved its focus from mental problems to physical disabilities (Dunne et al., 2016). This shift was occasioned by the First World War, which resulted in many wounded young men. The war increased the demand for OT because wounds from artillery and shellfire, chemical burns, and tetanus infections rendered many physically and mentally incapacitated. Military doctors prescribed occupational or handicraft therapies alongside physical treatments, including physiotherapy, heliotherapy, and gymnastic exercises (Carden-Coyne, 2019). However, the intervention depended on one’s injuries. Those who were permanently disabled received curative workshops and vocational retraining since they could not return to their previous employment. Therefore, OT became fundamental in restoring injured soldiers’ ability to function independently. In the United States, reconstruction aides trained soldiers to make stencils and wood-block prints, while in Britain and Germany, internees taught �OCCUPATIONAL THERAPY AND AUTISM 7 injured soldiers embroidery and wood carving (Carden-Coyne, 2019). These OT exercises were vital to counter mental and physical deterioration. More importantly, they were crucial in helping the affected regain a life of purpose and meaning. It is crucial to understand how the First World War impacted OT as a treatment for autism. Tracing the historical roots of occupational therapy back to the First World War provides valuable insights into how this profession has evolved to become an essential component in addressing the needs of individuals with autism, contributing significantly to their quality of life. Autism is a chronic condition that affects a person’s functionality in different environments. The ultimate goal of OT in treating autism is to facilitate purposeful engagement and participation in health-promoting occupations (Cascio et al., 2016). These occupations are daily life activities, such as bathing or dressing. Therefore, understanding OT as a treatment for autism allows one to appreciate therapist–client relationships designed to promote purposeful activity. OT therapists focus on personalizing treatments to clients’ goals and needs. For example, a sensory integration framework for autism treatment aims to help an autistic child to regulate emotional responses to sensory input or coordinate sensory input with motor responses when playing (Cascio et al., 2016). In this case, OT aims to promote autistic persons’ physical function, which is essential to daily life activities. This understanding is critical because, without purposeful engagement and participation in daily occupations, people with autism face the risk of further deterioration in physical, emotional, and mental health. Therefore, rather than arts and crafts, ADLs (activities of daily living) and IADLs bathje(industrial activities of daily living) became the face of OT. Injured soldiers needed to learn ADLs, including self-care and mobility, and IADLs, such as bathing, driving, and laundry. This orientation of OT paved the way for a holistic approach to physical disabilities that included �OCCUPATIONAL THERAPY AND AUTISM 8 rehabilitating patients back to family and society (Carden-Coyne, 2019). In short, OT became fundamental in restoring injured soldiers to a normal and productive existence. The evolution of OT in the 1900s included many developments, including vocational training, industrial therapy programs, and clinical workshops (Dunne et al., 2016). These additions were vital in helping discharged patients adjust to a new existence involving physical challenges. Hence, the goal of OT in the early 1900s was to help people with physical disabilities get a life of purpose by regaining physical functionality. OT and the Treatment of Autism Although OT had shifted its focus from mental problems to physical disabilities, it proved helpful in treating mental conditions that affected individuals’ motor abilities in the late 1900s. Autism is a condition that impairs patients’ physical, sensory, and cognitive functioning. As such, neuroscience principles and foundations of motor abilities are central to its management (Lane et al., 2019). Clinically, sensory deficits underscore deficiency in motor abilities. Therefore, occupational therapist and neuropsychologist Jean Ayres’s development of sensory integration theory in 1972 was crucial to addressing motor deficiencies in autistic persons (Alamdarloo & Mradi, 2020). Ayres developed theory and intervention strategies for learning and behavioral challenges. She used neuroscience literature to understand sensory and motor deficits affecting learning and behavior. Ayres began publishing work in the 1970s, focusing on how children with learning disorders experienced difficulties processing and integrating sensation. Her research and clinical experience led to sensory integration theory (Gorman & Kashani, 2017; Schaaf & Miller, 2005). The theory posits that adequate sensory integration is crucial for adaptive behavior. As such, her OT work emphasized the active, dynamic sensory-motor processes that support movement and �OCCUPATIONAL THERAPY AND AUTISM 9 interaction within social and physical environments. Today, her theory is the foundation of Ayres Sensory Integration (ASI), the OT therapy that involves autistic children interacting with various equipment, including scooters and swings (Kilroy et al., 2019). This interaction allows patients to obtain and process enhanced sensory input and develop normal arousal when interacting with their environment. In principle, the sensory integration theory recognizes the essence of OT in restoring individuals with sensory and motor deficits to optimal functioning. Ayres began studying autism in the late 1970s when it was considered a rare developmental disorder. As such, there was little knowledge of how it develops and affects a person. Through her work Sensory Integration and the Child, Ayres noted that people with autism exhibited hyper- and hypo-responses to sensory stimuli (Kilroy et al., 2019). In particular, she observed that these individuals had problems detecting, interpreting, inhibiting, and propagating signals, interacting with certain objects, and demonstrating motivation. This finding led her to investigate sensory disturbances in autism and their responses to sensory integration therapy. Notably, autism was considered a behavioral disorder until the late 1970’s. Moreover, treatments during this period focused on correcting behavior. Standard therapies included aversive punishment, where an autistic child was punished for ‘bad’ behaviors, such as irritability, being too emotional, or avoiding others (Torres & Donnellan, 2015). The treatment aimed to make the child associate the behavior with the punishment. In turn, punishment motivated the child to curb the behavior. However, sensory integration has proven to be a controversial therapeutic practice. For example, Camarata et al. (2020) argue that sensory integration treatment approaches do not meet the evidence-based threshold. This view demonstrates the controversy surrounding Ayres’ sensory integration theory as evidenced by inaccuracies, discrepancies in terminology, and �OCCUPATIONAL THERAPY AND AUTISM 10 misrepresentations in the literature. This critique raises questions about the reliability and consistency of outcomes associated with sensory integration methods. Schoen et al. (2022) critique Camarata et al.’s (2020) review of ASI for failing to accurately represent it and appreciate the complex nature of Ayres’ social integration theory. Schoen et al.'s critique implies that Camarata and his team might have overlooked key aspects of Ayres' theory, resulting in an incomplete evaluation of sensory integration as a therapeutic method. It suggests the need for a more thorough examination that considers the complex details and components of Ayres' work to provide a fair and accurate representation of its principles and applications. It could also imply that Camarata's review might have focused on specific aspects or studies while neglecting a more holistic understanding of Ayres' framework and its applications.Therefore, it is reasonable to conclude the need for further analysis of sensory integration therapy to develop accurate and scientifically sound conclusions. In short, despite the strides made in contextualizing OT as effective in treating autism, there are some aspects of the intervention that require further analysis and research. The discovery of symptoms associated with autism was critical in the use of OT as an intervention against this condition that impairs one’s physical, sensory, and cognitive functioning. The first diagnosis of autism reported by Grunya Efimovna Sukhareva in 1926 revealed sensory abnormalities as primary symptoms (Posar & Visconti, 2017). This finding was crucial because it confirmed the value of Ayer’s theory in treating Autism. Other symptoms of the disease discovered in the 1900s include deficits in components of social communication and emotion-behavior issues, including aggression, anxiety, depression, hyperactivity, and learning difficulties (Hodges et al., 2020). These symptoms necessitated the importance of occupational therapists assessing the current development levels of people with autism. This assessment was �OCCUPATIONAL THERAPY AND AUTISM 11 crucial to understand what was needed to improve the ability of affected persons to participate in social interactions. For example, the affected persons needed to learn to regulate emotions, including anger and irritability, when interacting with others. In addition, the growing body of knowledge on autism has brought attention to the numerous obstacles that people with the condition experience as well as the varied nature of its symptoms. OT plays a significant role in treating these issues. The scope of OT therapies has extended to include issues related to emotion-behavior and social communication deficiencies, in addition to physical, sensory, and cognitive impairments. In order to promote a more thorough and inclusive approach to the management of autism, OTs are essential not only in determining the developmental stages of individuals with autism but also in designing interventions that are specifically targeted at improving social skills, emotional regulation, and general participation in a variety of social interactions. Besides Ayres, another person who helped advance OT as an intervention for autism is Winnie Dunn. As an occupational therapist, he created Dunn’s Four Quadrant Model of Sensory Processing or Dunn’s Sensory Profile, which has become one of the most recognized models of sensory processing (Metz et al., 2019). The basis for this model is the recognition that disruption in sensory processing ability can affect one’s engagement in daily life activities. The model is based on two constructs: neurological thresholds and behavioral response (Metz et al., 2019). The neurological threshold underscores the response to a sensory stimulus. Individuals with low sensory thresholds quickly notice and respond to stimuli because sensory stimuli activate their sensory systems. In contrast, those with high thresholds are less responsive and tend to miss responding to some stimuli. The behavioral response construct explains whether an individual actively or passively responds to their environment. Those with passive tendencies tend to �OCCUPATIONAL THERAPY AND AUTISM 12 internally respond to stimuli, meaning they are not likely to take action to change their environments. In contrast, those with active tendencies tend to actively control sensory input in their environments. Dunn theorized that environmental factors can influence neurological thresholds and behavioral responses. Moreover, Winnie Dunn's influential work in developing Dunn's Sensory Profile has significantly advanced the field of occupational therapy for individuals with autism. By emphasizing the interconnection between neurological thresholds and behavioral responses, Dunn's model provides an understanding of how sensory processing difficulties impact daily life activities. This holistic perspective has greatly informed occupational therapists in tailoring interventions that not only address sensory challenges but also consider the environmental factors influencing an individual's responses and engagement. History’s Impact on the Current OT Practice Today, occupational therapists use various screening tools to evaluate autistic patients. Standard tools include an autism checklist, the diagnosis criteria outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), a sensory profile like Dunn’s Sensory Profile, and the Childhood Autism Rating Scale (CARS) (Kuhaneck & Watling, 2015). Using the assessment results, occupational therapists work with patients and their families to develop an intervention plan with treatment goals. For example, occupational therapists use Dunn’s Sensory Profile to diagnose and determine how patients with autism respond to sensory stimulation (Metz et al., 2019). The basis of the assessment is the understanding that sensory processing involves the intake and interpretation of stimuli from one’s environment. Based on their symptoms, autistic individuals experience difficulties interpreting environmental stimuli, including pain. The common OT interventions for autism today include sensory integration and sensory-based strategies, emotional development and self-regulation strategies and programs, �OCCUPATIONAL THERAPY AND AUTISM 13 peer social participation, play activities, self-care routines, and cognitive behavioral approaches (Kuhaneck & Watling, 2015). The basis of these interventions is the recognition that autism involves sensory and motor deficits. Since it is impossible to repair most of them, occupational therapists focus on helping patients regain some independence in daily life activities. Today’s occupational therapists focus on improving physical, sensory, and cognitive functioning. According to Volkmar et al. (2014), OT practitioners have gained recognition as service providers for autistic people, focusing more on sensory or motor skills. This orientation confirms the valuable work of Ayres' sensory integration, which links autism and sensory-motor deficits. Moreover, research studies show that families often report how OT helps address sensory issues and self-regulation challenges in affected members (Cohn et al., 2014). In essence, the inclusion of sensory difficulties in DSM-V has given OT prominence in the treatment of autism. These developments show the evolution of OT as a discipline, from its focus on mental problems in the 19th century and physical disabilities in the early 1900s to its present-day focus on physical, sensory, and cognitive deficiencies. Conclusion While OT had been widely applied at the beginning of the 1900s, it was not utilized for patients with autism until the 1970s when Dr. Jean Ayres discovered that sensory integration could address issues related to motor and sensory weaknesses in individuals who suffered from the condition. The nature of the characteristics of autism portrays the gaps that require sensory-related approaches to support the neural system to coordinate motor abilities and improve the condition. To this end, OT became widely used in the treatment of patients with autism due to the effectiveness of sensory integration. �OCCUPATIONAL THERAPY AND AUTISM 14 Chapter 2 Enhancing Lives: Occupational Therapy Interventions for Children with Autism Spectrum Disorder (ASD) Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by difficulties in social interaction, communication, and behavior. Occupational therapists (OTs) play an important role in the lives of children with ASD and their families by offering a range of interventions that cater to the unique needs of each child. This chapter delves into the world of OT for children with ASD, focusing on the potential long-term effects and benefits of early intervention, key intervention strategies, and the goals and objectives in promoting the development of individuals with ASD. ASD presents complex challenges in social interaction, communication, and behavior, and OTs play a crucial role in providing effective interventions for individuals with ASD, such as sensory integration therapy, social skills development, motor skills development, and interactive relationship-based interventions. Early Intervention (Early Intensive Behavioral Intervention) and Long-term Effects Early and long-term occupational therapy can significantly impact a child's development, making it imperative for occupational therapists to actively engage in autism research and provide tailored interventions to promote the well-being of individuals with ASD (Will et.al., 2018). Early Intensive Behavioral Intervention (EIBI) has emerged as a promising approach in the treatment of ASD, and the long-term effects of early interventions extend throughout the lives of these children. These interventions are typically initiated during the critical developmental years of childhood, which is why it has such a significant impact on various areas of functioning. Research by Will et al. (2018) highlights that EIBI programs typically use Applied Behavior Analysis (ABA) as the primary therapeutic framework, which involves �OCCUPATIONAL THERAPY AND AUTISM 15 breaking down complex skills into smaller, teachable components and using reinforcement strategies to encourage specific behaviors. Will et.al.’s (2018) study found the following: EIBI programs utilizing ABA yield positive outcomes with 20–50% of participant children (as young as 2-years old) achieving average IQ and placement in general education settings upon the conclusion of treatment. An additional 20–40% of participant children make moderate gains (but still require additional academic and/or social assistance upon the conclusion of treatment), and 10% of children make modest gains and require ongoing support. (p. 237) Research by Will et al. (2018) suggests that children who undergo EIBI have a higher likelihood of achieving and sustaining substantial improvements in various domains, including intelligence, cognitive abilities, language and communication skills, daily life, self-help skills, and social functioning. These results emphasize the potential for early and intensive intervention to significantly impact the lives of children with ASD, enabling them to reach their full potential and achieve success in various aspects of their lives. Early intervention in the context of ASD involves the timely provision of structured, specialized services to children at an age when their developing brains are most adaptable, as young as preschool years. EIBI focuses on targeting specific areas of challenge that are characteristics of ASD, such as communication, social skills, sensory processing, and behavior (Will et.al., 2018). The early years of a child's life are considered a critical developmental period. During this time, their brains exhibit high levels of plasticity, meaning they are more adaptable and responsive to interventions. Early intervention can take advantage of this window to stimulate positive changes in the child's developmental trajectory. These findings underscore the �OCCUPATIONAL THERAPY AND AUTISM 16 importance of early OT interventions in shaping the long-term developmental trajectories of children with ASD. Sensory Integration Therapy and the Ongoing Debate Sensory Integration Therapy (SIT) is typically administered by OTs and is used to address sensory processing issues in children with ASD. It involves various activities that combine controlled sensory stimulation with "purposeful" motor activities. Treatment options include manual pressure on joints, the use of weighted vests, the application of tactile stimulation with equipment like swings and scooter boards, and brushing and massaging the body with materials of varying textures (Hyatt et al., 2009). Many believe that SIT is a crucial component of OT for children with ASD because sensory processing difficulties are common among these children, and are unique in each individual. OTs are increasingly implementing Ayres Sensory Integration (ASI) methods in their interventions (Matulović, 2021). This approach aims to help individuals with ASD process sensory information from their environment more effectively, thereby supporting the development of skills essential for daily living activities. The use of sensory integration therapy can significantly enhance an individual's ability to engage with their surroundings and lead to a sense of independence. Many researchers argue against the continued use of SIT, primarily due to its lack of empirical evidence supporting its effectiveness. In examining the application of sensory integration to individuals with intellectual disability, a study described in Hyatt et al., (2009) provided little empirical evidence for the continued usage of SIT in clinical settings, and instead presented a small and highly flawed body of research. Another study found similar results in their review of research on sensory integration with individuals with learning disabilities (Hyatt et al., 2009). This study concluded that the available research was not only unproven but �OCCUPATIONAL THERAPY AND AUTISM 17 indicated that SIT might be demonstrably ineffective as a remedial treatment for learning disabilities and other disorders. The author mentions a controversial practice of reversing the conventional scientific burden of proof. Instead of proving that sensory integration works, some defend it by arguing that critics have failed to demonstrate that it doesn't work (Hyatt et al., 2009). This reversal of the burden of proof is a concerning aspect of the ongoing controversy surrounding SIT. In addition, more recent research has shown that SIT has been widely implemented but lacks strong evidence of its effectiveness. Despite being widely used, large-scale intervention studies are necessary because SIT has an emerging but weak evidence base in the literature, which calls for more large-scale studies (Camarata et al., 2020). This scale should include children with ASD, down syndrome, attention deficit hyperactivity disorder, and other developmental disabilities. Overall, the authors seem focused on the importance of conducting research to better understand the effectiveness and mechanisms of SIT and its potential role in improving the lives of children with developmental disabilities, particularly those with ASD. Their primary concern appears to be the need for rigorous scientific evaluation and evidence-based practice. Social-Cognitive Skills Development Children with ASD often encounter challenges in social interactions. They may struggle with fundamental social skills such as making eye contact, maintaining conversations, understanding emotions, and responding to social cues. OTs employ a variety of strategies to address these challenges. Social-cognitive skill training programs aim to teach these skills by breaking down social interactions into discrete steps, explaining, modeling, and providing practice opportunities. One example shown in Case-Smith & Arbesman (2008) is social stories, individualized narratives that guide and teach appropriate behavior to children with ASD. The �OCCUPATIONAL THERAPY AND AUTISM 18 child is read these individualized stories prior to an occasion in order to set expectations for appropriate behavior. In order to teach kids positive or proper behaviors, social stories use affirmative, directive, perspective, and descriptive language (Case-Smith & Arbesman, 2008). While some studies report positive behavioral changes in response to social stories, the effects are considered minimal, and it is unclear which age group benefits most from this approach. Group activities and structured games are frequently used to enhance social skills (Will et al., 2018). Furthermore, a teamwork approach focusing on communication and emotional regulation has proven effective in developing social and emotional ability (Asadi & Sourtiji, 2020). A recent study conducted by Wang et al. in 2022 even employed structured games to enhance expressive language skills in children with ASD, offering empirical evidence of the effectiveness of such interventions in addressing the communication and social needs of these children. These strategies and approaches play a crucial role in supporting children with ASD in their social development and improving their quality of life. Motor Skills Development Motor coordination issues are another common challenge among children with ASD, encompassing both fine and gross motor skills. These problems include clumsiness, postural instability, and poor performance on motor functioning tests (Ohara et al., 2019). Fundamental motor skills are essential movements that allow individuals to perform physical activities like walking, running, jumping, and catching. These skills are considered crucial for healthy physical development. OTs address these concerns by designing interventions that enhance an individual's motor skills, thereby improving their physical independence. Although the available literature is limited, studies suggest potentially significant improvements in the motor abilities of autistic children following such interventions. Researchers have put out various plans for therapies �OCCUPATIONAL THERAPY AND AUTISM 19 aimed at helping kids with ASD who have motor deficits. Nearly all studies suggest fairly good outcomes from the majority of therapies, which mostly focus on physical aerobic exercise, educational activities, and sports (Busti Ceccarelli et al., 2020). Relationship-Based, Interactive Interventions Interactive interventions that focus on relationships and social development have shown remarkable potential. OTs frequently incorporate interactive play exercises specifically created to improve a child's play and social engagement with sensory integration interventions. OTs share the goal of these interactional or relationship-based therapies, which is to enhance the social-emotional development of children diagnosed with ASD (Case-Smith & Arbesman, 2008). Case-Smith and Arbesman (2008) cited studies involving activities like playing with Legos, which encourage children with ASD to interact, communicate, and develop their social skills. Such interventions are akin to occupational therapy in nature, providing a structured yet enjoyable context for growth. Structured play activities, such as block construction or games that incorporate cues, prompts, and reinforcements, have proven effective in fostering turn-taking, sharing, communication, and social interaction among children with ASD. Children's social engagement and social competency improved through the establishment of social norms, promotion of sharing and interaction, and assistance with problem solving. A 175% increase in the amount of time spent socializing with peers during unstructured play was one of the intervention's beneficial outcomes (Case-Smith & Arbesman, 2008). The positive outcomes observed, including improved responsiveness and emotional regulation, emphasize the significance of tailored interventions in promoting social development. Goals and Objectives OT for children with ASD is founded on a set of overarching goals and objectives. OTs �OCCUPATIONAL THERAPY AND AUTISM 20 create environments that challenge and motivate the child while reinforcing their engagement in activities (Case-Smith & Arbesman, 2008). These goals revolve around promoting independence, enhancing social interactions, improving sensory processing, developing motor skills, and ultimately enriching the lives of individuals with ASD. Conclusion Autism Spectrum Disorder poses intricate challenges in social interaction, communication, and behavior. OTs provide effective interventions, such as sensory integration therapy, social skills development, motor skills enhancement, and relationship-based interactive activities, to address these challenges. The potential long-term benefits of early OT intervention are significant, making active involvement in autism research a priority for OTs. By actively participating in research and tailoring interventions to meet the unique needs of individuals with ASD, OTs contribute to the progress and betterment of autism treatments, ultimately enhancing the well-being and development of those they serve. �OCCUPATIONAL THERAPY AND AUTISM 21 Chapter 3 Burnout faced by Occupational Therapists Occupational therapists (OTs) play an important role in promoting health and happiness by assisting individuals in overcoming challenges related to daily activities. However, the demanding nature of their profession, characterized by high emotional labor intensity and intricate patient interactions, raises concerns about burnout. This chapter delves into the issue of burnout faced by OTs, exploring the interplay of factors and the possible solutions. Understanding and addressing these factors are essential for cultivating a supportive and sustainable work environment within the field of OT. What is Burnout? Burnout is a state of chronic physical and emotional exhaustion often accompanied by feelings of cynicism and detachment from work, caused by prolonged periods of chronic stress. It is often associated with work or caregiving responsibilities, resulting from long-term job stress (Reith, 2018). Individuals may experience burnout differently due to a variety of factors contributing to this phenomenon. Burnout in OTs can significantly impact the quality of care provided by them and compromise their own well-being (Park, 2021). Stress of students studying to become Occupational Therapists Aspiring occupational therapists, struggling with the demands of high academic expectations, rigorous schedules, the integration of classroom and clinical learning, often face school-related stress that can impact their mental health and academic performance (Lewis-Kipkulei et al., 2021). OT programs typically have extreme academic requirements, but many students feel confused when it comes to course expectations leading to feeling stressed (Pfeifer et al., 2008). The pressure to excel academically can contribute to this stress, especially �OCCUPATIONAL THERAPY AND AUTISM 22 when students perceive a misalignment between their current capabilities and the expectations placed upon them. Students have tightly packed schedules, and juggling multiple responsibilities within a limited time can lead to time pressures, leaving students feeling overwhelmed. The stress caused by this can have an impact on their health, which may then affect their academic performance (Lewis-Kipkulei et al., 2021). Physical and mental health are closely linked to cognitive functioning, and when students are stressed, it can hinder their ability to concentrate, learn, and retain information. Many of the time students stress stems from time management issues, including having a healthy school life balance (Pfeifer et al., 2008). Many OT students have said they don’t have enough time to spend time with their family, as stated in Pfeifer et al. (2008) by a student studying to become at OT “I’m often torn between time spent with family and school” (p.227). Others struggle to juggle other things such as being a parent and working, as well as being a student. Having a healthy balance between school and outside life is important when it comes to mental health and stress levels. Most of the programs for OT are long and require students to be there full time, weekends, and evenings (Pfeifer et al., 2008). In order for students to succeed and do well, the scheduling of courses should be structured better to allow students to live a life outside of school. Factors leading to burnout in Occupational therapists There are many factors leading to burnout in OTs ranging from personal variables like marital status and age to organizational variables such as workplace settings and psychological factors like job satisfaction (Park, 2021). Personal variables such as unmarried marital status and younger age increase burnout risk. Marriage often provides a support system. Unmarried individuals might have fewer immediate sources of emotional and practical support, potentially �OCCUPATIONAL THERAPY AND AUTISM 23 leading to feelings of isolation and increased stress (Park, 2021). Also, married individuals may have established routines and responsibilities that help in managing work-life balance. Unmarried individuals might face challenges in maintaining a healthy balance, leading to increased stress and burnout. Park (2021) observed that higher patient age was associated with an increased burnout rate among OTs, suggesting a potential link between the age of patients and therapist burnout. The passage does, however, emphasize the need for additional study to confirm and determine how strong this association is. Organizational variables such as working in large hospitals and part-time employment contribute to higher burnout rates (Park, 2021). Large hospitals often experience high patient volumes and increased demands on healthcare staff. The size and complexity of these institutions can lead to heavier workloads, longer working hours, and a heightened sense of responsibility among employees, contributing to burnout. In addition, part-time employment in healthcare may present unique challenges, such as irregular schedules, limited benefits, and less job security. Healthcare professionals working part-time may feel a heightened pressure to fulfill their responsibilities within condensed time frames, potentially leading to burnout (Park, 2021). Psychological variables such as job challenges, low job satisfaction, and work addiction correlate with increased burnout, while strong professional identity, high job engagement, and feeling valued reduce burnout likelihood (Park, 2021) Job Dissatisfaction as a Factor Dissatisfaction among occupational therapists can be attributed to various organizational factors that significantly impact their professional experience. OTs dissatisfaction has been linked to organizational factors such as time constraints, an excessive amount of administrative paperwork, a lack of treatment and assessment tools, the neglect of specific areas of practice (e.g., home-based occupational therapy), and inadequate work benefits (Mertala et al., 2022). �OCCUPATIONAL THERAPY AND AUTISM 24 Time limitations stand out as a major concern, as therapists often find themselves pressed for time in delivering quality care to their clients. The demanding nature of the profession, coupled with limited time, can lead to stress and compromises the thoroughness of assessments and treatments. Excessive administrative paperwork further exacerbates this issue, diverting valuable time away from direct patient care. The limited availability of treatment and assessment tools poses a significant challenge, hindering therapists' ability to provide comprehensive and effective interventions. Overlooked areas of practice, such as home-based occupational therapy, may contribute to dissatisfaction as therapists may feel their expertise is not fully utilized. Finally, poor work benefits can impact job satisfaction, as therapists may perceive inadequate compensation or lack of support, potentially leading to burnout and a sense of undervaluation in their professional roles (Mertala et al., 2022). Addressing these organizational factors is crucial to creating a work environment that fosters satisfaction and enables occupational therapists to deliver optimal care to their clients. Ways of Coping and Solutions Recognizing burnout in students practicing becoming OTs is a good start. It provides an opportunity for early intervention and prevention. By addressing burnout during the educational phase, educators and institutions can implement strategies to support students, teach stress management techniques, and promote resilience before they enter the professional workforce. Many of the students use exercise as a way to reduce stress (Pfeifer et al., 2008). Prioritizing self-care, exercise, and adequate sleep are essential components of a healthy work-life balance. Encouraging students to engage in activities that promote relaxation can reduce the negative impacts of stress. The transition from student to professional can be challenging and stressful. If students experience burnout during their training, it may influence their ability to cope with the �OCCUPATIONAL THERAPY AND AUTISM 25 demands of professional practice, which is why it's important to address the issue early on. Addressing burnout in students can facilitate a smoother transition to the workforce and reduce the risk of ongoing stress and fatigue. Recognizing these challenges, OT programs and institutions can implement interventions and support systems. This may include providing resources for stress management, promoting a culture of open communication, and offering academic support services. Encouraging a supportive learning environment that acknowledges the unique demands of the program can contribute to the success of aspiring OTs. Coping strategies and solutions, including stress management interventions, mindfulness practices, and maintaining work-life balance, play a vital role in mitigating burnout risks and enhancing job satisfaction (Gupta et al., 2012; Luken & Sammons, 2016). By understanding these challenges and adopting proactive measures, occupational therapists can navigate their professional journeys, promoting well-being, and sustaining job satisfaction. Stress management interventions, including balancing workload or focusing on client relationships can reduce stress (Gupta et al., 2012). The demands of OT can be intense, and finding a balance in workload is crucial to prevent burnout. By ensuring that the workload is realistic and manageable, occupational therapists can maintain a sustainable pace, reduce stress, and avoid feeling overwhelmed. Mindfulness has been explored as a potential tool for addressing job burnout (Luken & Sammons, 2016). Luken & Sammons (2016) defined mindfulness as “the awareness that emerges through paying attention, on purpose, and nonjudgmentally to the unfolding of experience moment by moment” ( p.2). Mindfulness, as a remedy for job burnout, operates by fostering a heightened awareness of one's thoughts and emotions during work experiences. This deliberate and nonjudgmental attention allows individuals to navigate workplace challenges with a greater sense of clarity and resilience. Employees who practice mindfulness can develop �OCCUPATIONAL THERAPY AND AUTISM 26 coping skills that improve their state of mind and lessen the negative impacts of burnout in the workplace. Also, building strong and meaningful relationships with clients can be emotionally rewarding for OTs. Since unmarried OTs are highly likely to experience burnout, as discussed above, providing a support system, such as colleagues’ support in the workplace, could alleviate their burnout levels. Positive interactions with clients not only enhance job satisfaction but also provide a support system that can buffer against the stresses inherent in the profession. Focusing on client relationships, promoting role definition, discussion with colleagues, sharing responsibilities with the interdisciplinary team, maintaining boundaries between work and home, leisure activities and changing practice specialty can all help in the reduction of burnout (Gupta et al., 2012). Job satisfaction is a crucial aspect of reducing burnout and increasing well-being of healthcare professionals, including OTs (Mertala et al., 2022). Job satisfaction in occupational therapy was derived from the sense of achievement felt when providing effective care for patients (Razaob et al., 2019). One key aspect of job satisfaction for OTs is the meaningful impact they have on the lives of their patients. Witnessing positive changes in patients' lives can be immensely rewarding and reinforces a sense of purpose in the profession. This sense of purpose contributes significantly to job satisfaction. When professionals find their work fulfilling and meaningful, they are more likely to stay engaged and motivated. This sense of purpose can act against the emotional exhaustion that contributes to burnout (Oven & Domajnko, 2021). Psychiatrists' job satisfaction is influenced by intra-personal, interpersonal, and extra-personal factors (Mertala et al., 2022). The individual characteristics of psychiatrists, including their humanistic approach, well-defined sense of self, and extensive knowledge and skills, significantly influence their �OCCUPATIONAL THERAPY AND AUTISM 27 overall satisfaction with their work. The interpersonal dimension is crucial, as positive relationships with patients and colleagues play a pivotal role in shaping the quality of their workplace experiences. External factors, categorized as extra-personal, introduce organizational issues, the work environment, and access to resources as critical determinants of job satisfaction. The inclusion of diverse tasks and challenges contributes to psychiatrists' sense of professional fulfillment. Notably, feeling appreciated and valued for their contributions emerges as a cornerstone of job satisfaction. Adequate support from both colleagues and management, as emphasized by Mertala et al. (2022), becomes instrumental in fostering a conducive and gratifying work environment for psychiatrists, thereby shaping their job satisfaction Increasing job satisfaction in the field of OT involves addressing both the profession's status and clinical effectiveness (Razaob et al., 2019). To improve the poor profile of the profession, it is essential to invest in public awareness campaigns, highlighting the crucial role occupational therapists play in enhancing individuals' lives. By showing the impact of OT on health and well-being, the public perception can shift positively. Additionally, initiatives to recognize and celebrate the accomplishments of OTs can contribute to enhancing the profile of the profession. Measures to ensure clinical effectiveness are so important. This means giving OTs continual opportunity for professional development so they may stay current on the newest developments and evidence-based procedures. Furthermore, it's critical to create a collaborative, encouraging work atmosphere that recognizes the contributions made by occupational therapists. Recognizing their efforts and achievements within the workplace contributes not only to a positive professional identity but also strengthens job satisfaction. Conclusion The prevalence of burnout within the field of OT, affecting both students and practicing �OCCUPATIONAL THERAPY AND AUTISM 28 professionals, underscores the need for comprehensive strategies to improve the well-being of individuals navigating this issue. By addressing this problem, OT can actively contribute to the development of a rewarding work environment that promotes resilience and guarantees the long-term well-being of both current and future occupational therapists. �Chapter 4 redacted to remove personal reflections and any identifying information. �OCCUPATIONAL THERAPY AND AUTISM 34 References Alamdarloo, G. H., & Mradi, H. (2020). The effectiveness of sensory integration intervention on the emotional-behavioral problems of children with autism spectrum disorder. Advances in Autism, 7(2), 1-15, http://dx.doi.org/10.1108/AIA-12-2019-0051 Asadi, S., & Sourtiji, H. (2020). Approaches used in occupational therapy for people with autism spectrum disorder: A scoping review. Journal of Research in Rehabilitation Sciences, 16(1), 396–407. Bathje, M. (2012). Art in occupational therapy: An introduction to occupation and the artist. The Open Journal of Occupational Therapy, 1(1), 1-10. https://doi.org/10.15453/2168-6408.1034 Busti Ceccarelli, S., Ferrante, C., Gazzola, E., Marzocchi, G. M., Nobile, M., Molteni, M., & Crippa, A. (2020). Fundamental motor skills intervention for children with autism spectrum disorder: A 10-year narrative review. Children, 7(11), 250. https://doi.org/10.3390/children7110250 Camarata, S., Miller, L. J., & Wallace, M. T. (2020). Evaluating sensory integration/sensory processing treatment: Issues and analysis. Frontiers in Integrative Neuroscience, 14, 1-13. https://doi.org/10.3389/fnint.2020.556660 Carden-Coyne, A. (2019). Butterfly touch: Rehabilitation, nature and the haptic arts in the First World War. Critical Military Studies, 6(2), 176-203. https://doi.org/10.1080/23337486.2019.1612151 Case-Smith, J., & Arbesman, M. (2008). Evidence-based review of interventions for autism used in or of relevance to occupational therapy. The American Journal of Occupational �OCCUPATIONAL THERAPY AND AUTISM 35 Therapy: Official Publication of the American Occupational Therapy Association, 62(4), 416–429. https://doi.org/10.5014/ajot.62.4.416 Cascio, C. J., Woynaroski, T., Baranek, G. T., & Wallace, M. T. (2016). Toward an interdisciplinary approach to understanding sensory function in autism spectrum disorder. Autism Research, 9(9), 1-11. https://doi.org/10.1002/aur.1612 Cohn, E. S., Kramer, J., Schub, J. A., & May-Benson, T. (2014). Parents’ explanatory models and hopes for outcomes of occupational therapy using a sensory integration approach. The American Journal of Occupational Therapy, 68(4), 454-462. https://doi.org/10.5014/ajot.2014.010843 Dunne, B., Pettigrew, J., & Robinson, K. (2016). Using historical documentary methods to explore the history of occupational therapy. British Journal of Occupational Therapy, 79(6), 376-384. https://doi.org/10.1177/0308022615608639 Dunton, W. R. (1919). Reconstruction therapy. W.B. Saunders Company. Gorman, M. E., & Kashani, N. H. (2017). A. Jean Ayres and the development of sensory integration: A case study in the development and fragmentation of a scientific therapy network. Social Epistemology, 31(2), 107-129. https://doi.org/10.1080/02691728.2016.1241322 Gupta, S., Paterson, M. L., Lysaght, R. M., & Von Zweck, C. M. (2012). Experiences of burnout and coping strategies utilized by occupational therapists. Canadian Journal of Occupational Therapy, 79(2), 86–95. https://doi.org/10.2182/cjot.2012.79.2.4 Hattjar, B. (2019). Fundamentals of occupation therapy. CLACK Incorporated. �OCCUPATIONAL THERAPY AND AUTISM 36 Hodges, H., Fealko, C., & Soares, N. (2020). Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation. Translational Pediatrics, 9(S1), 1-11, http://dx.doi.org/10.21037/tp.2019.09.09 Hyatt, K. J., Stephenson, J., & Carter, M. (2009). A review of three controversial educational practices: Perceptual motor programs, sensory integration, and tinted lenses. Education and Treatment of Children, 32(2), 313–342. https://www.jstor.org/stable/42900024 Kilroy, E., Aziz-Zadeh, L., & Cermak, S. (2019). Ayres theories of autism and sensory integration revisited: What contemporary neuroscience has to say. Brain Sciences, 9(3), 1-20. http://dx.doi.org/10.3390/brainsci9030068 Kuhaneck, H. M., & Watling, R. (2015). Occupational therapy: Meeting the needs of families of people with autism spectrum disorder. The American Journal of Occupational Therapy, 69(5), 1-5. https://doi.org/10.5014/ajot.2015.019562 Lane, S. J., Mailloux, Z., Schoen, S., Bundy, A., May-Benson, T. A., Parham, L. D., & Schaaf, R. C. (2019). Neural foundations of Ayres sensory integration. Brain Sciences, 9(7), 1-24, http://dx.doi.org/10.3390/brainsci9070153 Lewis-Kipkulei, P., Dunn, L., & Carpenter, A. (2021). Implications for occupational therapy student stress, well-being, and coping: A scoping review. Journal of Occupational Therapy Education (JOTE), 5(1). https://doi.org/10.26681/jote.2021.05010 Luken, M., & Sammons, A. (2016). Systematic review of mindfulness practice for reducing job burnout. The American Journal of Occupational Therapy, 70(2), 7002250020p1-7002250020p10. https://doi.org/10.5014/ajot.2016.01695 �OCCUPATIONAL THERAPY AND AUTISM 37 Matulović, A. (2021). Sensory integration method in occupational therapy intervention with children with autism spectrum disorder: A scoping review. https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-55377 Mertala, S.-M., Kanste, O., Keskitalo-Leskinen, S., Juntunen, J., & Kaakinen, P. (2022). Job satisfaction among occupational therapy practitioners: A systematic review of quantitative studies. Occupational Therapy In Health Care, 36(1), 1–28. https://doi.org/10.1080/07380577.2021.1964146 Metz, A. E., Boling, D., DeVore, A., Holladay, H., Liao, J. F., & Vlutch, K. V. (2019). Dunn’s model of sensory processing: An investigation of the axes of the four-quadrant model in healthy adults. Brain Sciences, 9(2), 1-15. doi: 10.3390/brainsci9020035 Morales-Rodríguez, F. M., Pérez-Mármol, J. M., & Brown, T. (2019). Education burnout and engagement in occupational therapy undergraduate students and its associated factors. Frontiers in Psychology, 10. https://www.frontiersin.org/articles/10.3389/fpsyg.2019.02889 Ohara, R., Kanejima, Y., Kitamura, M., & P. Izawa, K. (2019). Association between social skills and motor skills in individuals with autism spectrum disorder: A systematic review. European Journal of Investigation in Health, Psychology and Education, 10(1), 276–296. https://doi.org/10.3390/ejihpe10010022 Oven, A., & Domajnko, B. (2021). Job satisfaction and creativity at work among occupational therapy practitioners: A mixed-methods study. Work (Reading, Mass.), 69(4), 1351–1362. https://doi.org/10.3233/WOR-213555 �OCCUPATIONAL THERAPY AND AUTISM 38 Park, E.-Y. (2021). Meta-analysis of factors associated with occupational therapist burnout. Occupational Therapy International, 2021, e1226841. https://doi.org/10.1155/2021/1226841 Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: A pilot study. The American Journal of Occupational Therapy, 65(1), 1-13, https://doi.org/10.5014%2Fajot.2011.09205 Pfeifer, T. A., Kranz, P. L., & Scoggin, A. E. (2008). Perceived stress in occupational therapy students. Occupational Therapy International, 15(4), 221–231. https://doi.org/10.1002/oti.256 Posar, A., & Visconti, P. (2017). Tribute to Grunya Efimovna Sukhareva, the woman who first described infantile autism. Journal of Pediatric Neurosciences, 12(3), 1-2. https://doi.org/10.4103/jpn.JPN_46_17] Razaob, N. A., Kei, G. M., Rasadi, H. F. M., & Yunus, F. W. (2019). A Review of Work Readiness and Job Satisfaction Among Occupational Therapist. BULETIN SK, 3(1), 26-36. Reith, T. P. (2018). Burnout in united states healthcare professionals: A narrative review. Cureus, 10(12), e3681. https://doi.org/10.7759/cureus.3681 Schaaf, R. C., & Miller, L. J. (2005). Occupational therapy using a sensory integrative approach for children with developmental disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 11(2), 143-148. https://doi.org/10.1002/mrdd.20067 Schoen, S.A., Schaaf, R.C., Mailloux, Z., Bundy, A., Lane, S., May-Benson, T.A., Parham, L.D., & Roley, S.S. (2022). Response: Commentary: Evaluating sensory integration/sensory �OCCUPATIONAL THERAPY AND AUTISM 39 processing treatment: Issues and analysis. Frontiers in Integrative Neuroscience, 16, 1-4. https://doi.org/10.3389/fnint.2022.874320 Slagle, E. C., & Robeson, H. A. (1933). Syllabus for training of nurses in occupational therapy. State Hospitals Press. Torres, E. B., & Donnellan, A. M. (Eds.). (2015). Autism: The movement perspective. Frontiers Media SA. Volkmar, F., Siegel, M., Woodbury-Smith, M., King, B., McCracken, J., & State, M. (2014). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 237-257. https://doi.org/10.1016/j.jaac.2013.10.013 Wang, Z., Gui, Y., & Nie, W. (2022). Sensory integration training and social sports games integrated intervention for the occupational therapy of children with autism. Occupational Therapy International, 2022, 9693648. https://doi.org/10.1155/2022/9693648 Will, M. N., Currans, K., Smith, J., Weber, S., Duncan, A., Burton, J., Kroeger-Geoppinger, K., Miller, V., Stone, M., Mays, L., Luebrecht, A., Heeman, A., Erickson, C., & Anixt, J. (2018). Evidenced-based interventions for children with autism spectrum disorder. Current Problems in Pediatric and Adolescent Health Care, 48(10), 234–249. https://doi.org/10.1016/j.cppeds.2018.08.014 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. 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