We are honored to be the guest editors for this issue of the American Journal of Occupational Therapy, which explores the evidence for occupational therapy for children and adolescents experiencing difficulties processing and integrating sensory information. Occupational therapy using a sensory integrative approach (OT/SI) is one of the most used and researched approaches within occupational therapy (American Occupational Therapy Association [AOTA], 1996; Mulligan, 2002). Therapists use OT/SI to frame their clinical reasoning when working with people whose participation restrictions appear related to difficulty processing and integrating sensory information. The charge to conduct an evidence-based review of the literature on this topic came from the AOTA Representative Assembly (RA) in 2004 by Carolyn Baum, then president of AOTA. With this initiative, Baum and the RA recognized the valuable contribution that the sensory integration frame of reference provides for occupational therapists and the urgent need to generate and document...

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