British Association and College of Occupational Therapists Member - Click to visit their Website Registered with the Health and Care Professions Council - click to visit their website Member of the Physio First Organisation - click to visit their website member of the Association of Speech and Language Therapists in Independent Practice - click to visit their website Nick Smith, INPP Licentiate - click to visit the INPP website

Sensory Attachment Intervention (SAI)

Sensory attachment intervention (SAI) was developed by Occupational Therapist, Eadaoin Bhreathnach; it uses a child led, constructive play based approach to support children with a combination of difficulties originating from sensory processing difficulties alongside attachment issues relating to the way that they interact with others, in particular, their primary caregiver(s).

SAI involves close collaboration between the primary caregivers and therapist using debriefing sessions (based on therapist observation and footage that the caregivers film); this is with a view to utilising the care-child engagement to improve the child's core sense of self, both emotionally and physiologically.

The therapist will work with the care givers in order to facilitate a home based programme that can build upon the work in clinic.

Children are heavily influenced by their early experiences, in how they develop both emotionally and physically. Any kind of traumatic event within this period, such as neglect, abuse, traumatic birth, stressful home situation (for mother whilst in utero and/or for the child) can influence the child's development and how they cope with day to day life.

As a result of these experiences, children may present with behaviours such as: separation anxiety, hurting others, self-abusive behaviours, resistant behaviours, hides feelings, is too independent, hyperactivity, risk taking behaviours, extremes of behaviours with different individuals, extreme responses to touch (seeking/avoiding), strong responses to movement (seeking /avoiding), difficulties with movement and organising themselves, extreme responses to taste/sounds (seeking/avoiding).

These behaviours have a significant impact on the child's ability to engage with others in activities of daily living, with a view to maximising their potential in life.

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