SI Module 4: Advanced Practice

This is the fourth module of the SI Pathway that delivers a Postgraduate Diploma in Sensory Integration accredited by Sheffield Hallam University.

SI Module 4: Advanced Practice

30 Academic credits

16-week course, 24-hour online access

Content available for 1 year

Total Scheduled Learning Hours: 75

Total Independent Learning Hours: 225 (including 20 clinical hours and 3 hours clinical mentoring )

Entry conditions

Is this module right for me?

Fee: £1,099 (interest-free payment plan) Plus 3 x 1 hr Clinical Mentor Sessions (approx £50 per hour if you need to use an external clinical mentor)

Date: See dates and application form links below

  • This is the fourth module of the SI Pathway that delivers a Postgraduate Diploma in Sensory Integration accredited by Sheffield Hallam University.

  • This module will take clinicians forward from the interpretive skills they acquired in earlier modules, to enable clinicians to interact with advanced applied neuroscience, confidently disseminate and share their assessment and research findings with a wider audience, and be an agent of change understanding service-level system change methods.

  • By the end of SI Module 4, students will be entitled to use the title Advanced SI Practitioner, awarded by Sensory Integration Education.

SI Module 4 Dates and Application Forms

(04N07) SI Module 4: 3 October 2022 (closes 5pm 3 September 2022) APPLY NOW

(04N08) SI Module 4: 20 March 2023 (closes 5pm 20 February 2023) APPLY NOW

(04N09) SI Module 4: 2 October 2023 (closes 5pm 2 September 2023)

(04N10) SI Module 4: 25 March 2024 (closes 25 February 2024)

(04N11) SI Module 4: 7 October 2024 (closes 7 September 2024)

See our courses calendar.

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  • Overview

    This module will take clinicians forward from the interpretive skills they acquired in earlier modules, to enable clinicians to interact with advanced applied neuroscience, confidently disseminate and share their assessment and research findings with a wider audience, and be an agent of change understanding service-level system change methods.     

    Indicative content: 

    - Welcome and Orientation 
    - The Therapeutic Relationship and Engagement in Change 
    - Finding and Managing Literature 
    - Play and Playfulness 
    - Interpreting Study Results 
    - ASI in Your Clinical Context 
    - Service Benchmarking 
    - Critical Analysis, Synthesis and Extrapolation 
    - Clinical Populations 
    - Preparation for Assessment 
    - Clinical Reasoning Workshops 
    - Tools in Neuroscience Research
     -Translating from Research to Practice
    - Strategic Service Planning 
    - Planning Your Own Research 
    - 20 Clinical hours 
    - 3 Hours clinical mentoring

  • Learning, Teaching and Assessment Task Summary

    Theoretical material is introduced through online lectures or presentations, and developed and reinforced through directed reading and forum discussions.

    Students are encouraged to use online communication tools such as the forum group and forum coffee shop to deepen and broaden their learning, contribute to the sense of community, provide mutual support and to seek advice on specific issues from the lecturers.

    Video material will support students' understanding and application of concepts.

    Forum activities facilitated by a group of e-mentors (Sensory Integration clinical specialists who have been selected and undergone customised online training to support students) to actively discuss applying advanced SI reasoning in an online environment.

    Students will be expected to undertake self-directed study. This will be, in part, preparation for the assignment.

    Students will be directed to read key texts, integrated into the core content of the lectures. Students will be encouraged to participate actively in the module.

    20 clinical hours will allow the students to apply their learning into real-life situations.

    Three hours of clinical mentorship from an advanced SI practitioner is a requirement of this module to support and facilitate students' reflections and critical evaluations of practice.

    There are three assessment tasks in this module.

    Assessment Task One is a 4,000 word ‘Working for Change’ brief for Sensory Integration provision in the student's clinical setting of choice. This assessment requires the student to select and describe a setting and client group where the student thinks that an SI approach would be beneficial for the organisation as a whole. The student is expected to justify and provide evidence as to why this would be the case.

    Assessment Task Two requires students to submit a log of their clinical hours and mentoring demonstrating that they have engaged in therapy relevant to sensory integration theory and practice, that has been supervised by an advanced SI practitioner.

    Assessment Task Three - An assessment task strategy common to all modules in this course requires students to write a short reflection on the learning achieved during this module and how this has impacted their patient/client interaction.

  • Learning Outcomes

    Demonstrate a systematic understanding of the breadth of Ayres Sensory Integration® related and underpinning knowledge, with a critical awareness of current problems and/or new insights, informed by research at the forefront of an identified clinical field / area of professional practice.

    Critically reflect on the experience of living with sensory processing and integration difficulties, with a view to develop and improve the quality of practice and service delivery for people with sensory integration difficulties.

    Communicate effectively and appropriately complex material relevant to sensory processing and integration theory and practice to a range of audiences in an identified clinical field / area of professional practice.

    Reflect on how to advocate for positive change within one’s scope of practice, as an advanced sensory integration practitioner.

  • Who should complete this course?

    You must have completed and passed SI Module 3, prior to starting SI Module 4.

    Our university accredited SI Modular Pathway programme has been designed and validated for occupational therapists, physiotherapists and speech & language therapists to develop the skills required to practice Ayres’ Sensory Integration Therapy in the context of their particular professional background.

    See the full Entry Conditions here.

  • Assessment Task information

    There are three assessment tasks for this module. 

    The first is a written assignment ‘Working for Change Brief’, and the third is a reflection on your learning throughout the module. 

    As part of the module assessment tasks, you are also expected to complete 20 logged Advanced Clinical Experience hours which have to be submitted at the end of the module. This is assessment task two.  

    For students whose clinical practice and ability to deliver in person, face-to-face intervention has been impacted on by the Covid19 Pandemic we are offering an alternative, Clinical Skills Development Assessment.  

    Clinical hours are also completed under the mentorship of an Advanced SI Practitioner and you are expected to complete a minimum of three mentoring sessions.

    Assessment Task 1: Working for Change Brief

    This written assessment task requires you to select and describe a setting and client group where you think an SI approach would be beneficial for the organisation as a whole. 

    You are expected to justify and provide evidence as to why this would be the case.

    Word count: 4000 words.  

    100% of the total module mark. 

    Assessment Task 2: Clinical hours 

    A log of 20 completed Advanced Clinical Experience Hours using a Sensory Integration Frame of Reference 


    a log of 20 Advanced Clinical Skills Development Hours.

    Mark: Pass/Fail 

    Assessment Task 3: Reflection on Learning

    You will produce a short piece of work reflecting on your learning and how this has impacted on your professional practice. There is no word count, but 500 words is given as guidance.

    Mark: Pass/Fail

  • Clinical experience requirements and mentoring

    Clinical experience requirement

    Why are we introducing a clinical experience requirement in SI Module 4: Advanced Practice?

    This module will take you from the interpretive and intervention skills you acquired in SI Module 3: Clinical Reasoning and Practice in Sensory Integration: Intervention to advanced clinical decision making to support your ability to carry out SI interventions across the lifespan.

    Sensory Integration Education (SIE) has introduced a clinical hours component into the SI Module 4: Advanced Practice to ensure you are as confident in the hands-on-work of treating sensory integration (SI) difficulties as you are in the theoretical underpinnings of the client’s neurophysiology.

    What will the clinical experience requirement consist of?

    For SI Module 4: Advanced Practice, you will need to undertake and log 20 hours of clinical experience. You will therefore need to have access to at least one client who would benefit from an Ayres Sensory Integration approach to intervention, and for whom you can offer key aspects of SI management.

    You can also split your clinical hours between working with several different clients and their families/carers. You do not have to work with just one client for all your clinical hours.

    As we believe that clinical experience is a wide area, we would encourage you to explore many different aspects of SI practice.

    As you are now an SI practitioner we expect the activities to be carried out by you, in contrast to SI Module 3 where observation of assessment tasks and therapy by others was accepted as part of your clinical hours log.

    We anticipate that it might be easier for some clinicians to log the time in the clinic as part of their everyday work rather than to set aside additional online time, and vice versa.

    What if I work in a setting where this could be difficult?

    We understand that working within an Ayres’ Sensory Integration (ASI) frame of reference is going to look quite different for some clinicians. We expect you to understand what constitutes Fidelity in ASI intervention and to be able to justify practical and structural limitations and explain why you might not always be able to meet Fidelity for a particular client or setting.

    Ayres’ Sensory Integration can make a big difference to the lives and participation of a very wide range of clinical groups, and we are keen to ensure that we support your learning to practise SI in your settings in whatever form that takes.

    ASI is often described as the place where science meets art, and we would be looking for evidence of your creative problem-solving and appropriate adaptations to therapy so that it remains true to the principles of Ayres' Sensory Integration within the confines of your clinical context. We look forward to your exploration of the creative ways in which ASI is expressed across different professions and different settings.

    Do I need to have access to specialist equipment or assessment tools?

    The purpose of the clinical experience aspect is to help you to work effectively with your real clients in your real clinical setting within an SI frame of reference. There are many different ways that this can be realised, and not all will be ASI intervention will be in full compliance with the Fidelity measure.

    You would not be penalised if you do not have access to suspended equipment or other resources which are usually found in a dedicated ASI treatment space. We will be looking to see you applying the SI frame of reference appropriately to the demands and opportunities of your current clinical practice and for evidence of your developing clinical reasoning and intervention expertise.

    There is no requirement to have access to a SIPT kit. The SIPT is still considered the gold standard assessment for praxis, and you might choose to interpret SIPT results that have been carried out by a trained SIPT administrator as part of your clinical hours if this tool is appropriate for your client group. You may also wish to carry out a SIPT assessment under appropriate clinical supervision. If you are not using the SIPT we would expect to see you using other relevant standardised assessments and/or clinical observations in your setting for your particular client, supported by your decisions for doing so.

    How will I be able to demonstrate the clinical skills gained in my clinical experience?

    In Assessment Task 1 we will be looking for evidence of the development of your knowledge, skills and expertise, along with changes in your clients’ sensory processing and integration.

    In Assessment Task 2 we will expect to see a range of activities.


    Why is mentoring included within SI Module 4: Advanced Practice requirements?

    In line with professional good practice standards clinical mentoring is included in SI Module 4: Advanced Practice in order to enable you to:

    Support and further enhance your SI practice for the benefit of service users;
    Further develop skills in reflection, to narrow the gap between theory and practice;
    Involve an SI Advanced Practitioner as a Clinical Mentor in your reflections and critical evaluations of practice.

    How will I source a Clinical Mentor?

    As you will be required to present evidence that you have undertaken 3 sessions of mentoring and supervision with your Clinical Mentor, there are two options available for selecting a mentor and it is up to you which you choose.

    Option 1:
    Approach a clinician who is a SI Advanced Practitioner (qualified up to SI Module 4) in your current workplace, if this is available to you.

    Option 2:
    Select an SI Advanced Practitioner (qualified up to SI Module 4) from the SIE Register of Clinical Mentors. This Register includes Advanced Practitioners with SI expertise in the following areas:

    - Paediatrics
    - Child and Adolescent Mental Health
    - Adult Mental Health
    - Forensics
    - Attachment and Trauma
    - Older Adults
    - Learning Disability

    Mentoring Fees
    If you are selecting a workplace Clinical Mentor, they may agree to support you without remuneration, or they may require a mentoring fee for sessions.

    If you are selecting a Clinical Mentor from the SIE Register of Clinical Mentors you will see their fee displayed on the Register in addition to their clinical expertise, profession and location.

    Please note that the mentoring contract will be between you and the mentor. As these fees are external to the cost of the module, payments should be made by you directly to the Clinical Mentor.

    Currently the fees on the Clinical Register are approximately £50.00 GBP per hour mentoring session. You will need to arrange three mentoring sessions.

    Clinical mentoring can be carried out by a variety of methods, i.e. virtually (e.g. Skype), phone or face-to-face. Full details of how to discuss and share clinical information with your Clinical Mentor to ensure client confidentiality and data protection compliance will be given to you at the start of the module.

    Can a Clinical Mentor provide more than three sessions per mentee?

    There is no restriction on the length or the number of mentoring sessions. If additional sessions are requested by the mentee and agreed upon by both parties.

    Can Clinical Mentors provide mentoring to someone in their department or place of work?

    Yes, they can do this if they and the mentee are satisfied that you will be able to provide objective feedback on their work.

    Do Clinical Mentors have to travel to the mentees’ place of work for mentoring?

    No, this is not a requirement. Mentees typically arrange mentoring sessions in a venue that is convenient for both parties. This can be face to face or online, via phone, skype, facetime or similar.

    Is it the Clinical Mentor’s responsibility to sign off the 20 hours of clinical practice for a mentee?

    No, this will be completed by an identified person in the clinical hours setting/s.

    Do I need a workplace mentor AND an SIE Clinical Mentor?

    No. If your workplace mentor is approved you do not need an SIE Clinical Mentor in addition. If you have arranged an SIE Clinical Mentor for SI Module 3: Clinical Reasoning and Practice in Sensory Integration: Intervention, you do not need to also have a workplace mentor.

  • Which modules do I need to take to practise sensory integration therapy?

    A Sensory Integration Practitioner will have been awarded the Postgraduate Certificate in Sensory Integration by completing and passing SI Modules 1, 2 and 3. An Advanced Sensory Integration Practitioner will have been awarded the Postgraduate Diploma in Sensory Integration by completing and passing SI Modules 1, 2, 3 and 4.

  • Will this course give me transferable, academic credits?

    Yes, successful completion of this module yields 30 credits. UK university academic credits are globally recognised and highly transferable.

  • Is Sensory Integration Education a member of ICEASI?

    Sensory Integration Education Policy Statement Regarding the New ICEASI Standards for Training Programs in Ayres Sensory Integration®

  • Technology Requirements

    - Stable WiFi/Broadband - This is an online course. You cannot download this course. You cannot access it without being connected to WiFi Broadband.

    - Google Chrome browser (latest version) - You will not be able to view the learning content and assessments properly whilst using other browsers. 

    - Microsoft Word - If you do not already have Microsoft Word, you will be able to download a free copy from Sheffield Hallam University. 

    - Laptop or PC - Although the course learning material can be viewed on an iPad or tablet, you will need access to a laptop or PC to complete the assessments.

  • How do our modules compare?

    We offer the world's only MSc in Sensory Integration.

    Have a look at how our postgraduate university-accredited SI modules and qualifications compare on content and value for money.

  • Only MSc in Sensory Integration in World

    Our practitioner training pathway in Sensory Integration is accredited by Sheffield Hallam University, endows globally-recognised UK university qualifications, and equips practitioners with the knowledge, skills and clinical experience and expertise to safely and confidently practise ASI.

  • Personal eMentor Support

    Supported by Advanced SI Practitioner eMentors. Clinical practice hours supported by a Clinical Mentor. Plus an online study group offering peer-learning support.

  • Clinical Focus

    Our SI practitioner training pathway is aligned with the UK Allied Health Profession professional bodies and government policies and frameworks around advanced practice.


What our participants say


I have been qualified since 2013 and have been lucky enough to have been supported by my employer to reach this level in my training in SI! I am passionate about using these approaches and actually finding that I am getting really stuck in with the online learning! I like that I can pause and re-wind when I’ve not understood something, rather than bothering the person next to me!


Already enjoying this module (what an excellent quality of online training) as much as I enjoyed the previous ones and wish the same for all.


The Taylor-Goh model is a helpful tool I will use in reflections going forward.


When thinking out loud I noticed that I was able to add more depth to my ideas and question my initial thoughts further. I will definitely be trying ‘thinking out loud’ again. It’s not something that I usually do but I found it helpful.


I found the referrals exercise really useful in becoming more aware of how I use the two thinking styles.


I found this exercise really useful and the worksheet does help you to focus. 


I have found this exercise really helpful.  I did SI Module 2/3 in 2015 and I haven’t really done anything academic since.  I feel very out of practice.  It has made me realise that I am definitely one of those people who skim reads, looks at the abstract and then move onto the conclusion.  I found the worksheet really helpful at guiding me to look at the finer details and question and analyse in more depth.  I definitely need more practice and will download the e-book suggested.

Advanced Practitioner

Wisarat Prarakanont

This is my furthest achievement as an SI Practitioner. I have had fun all along and it is the profound knowledge that makes it fun.

Advanced Practitioner

Clare Rooke

SI Module 4 was an interesting challenge in lockdown. I’m now looking forward to putting my new learning into practice.

Advanced Practitioner

Beverley Roberts

The SI training has inspired my learning whilst opening up new opportunities in clinical practice. SI 4 is just the start of the next adventure and developing service provision. A massive thank you to everyone who supported me to reach this extraordinary goal.

Book a telephone appointment with our Director of Student Development if you’d like to talk through any questions before or after you apply.