top of page
logo

Occupational Therapy Assessments

Trauma OT offers a variety of occupational therapy assessments both in-person and online and also assistance with legal letters and adjustment plans to ensure you receive the necessary support. 

​

​If you're struggling with ongoing anxiety/ experience flashbacks/ feel that you have poor bodily awareness as a result of what you have experienced or you’re supporting a young person who reports the same, then Trauma OT can help.

Trauma OT | Hannah McNulty | ASI Sensory Assessment | York UK

AYRES Sensory Integration (ASI) Informed Assessment 

Online & face to face in York & surrounding areas 

An ASI informed assessment is a detailed occupational therapy assessment for young people or adults where sensory processing and integration differences may be affecting everyday life.

​

The assessment considers how the brain receives, organises and responds to sensory information, including touch, movement, body awareness, visual and auditory information.

​

It also explores how sensory processing may affect regulation, motor planning, coordination, play, self-care, learning, behaviour and participation.

​

An ASI assessment may include:

​

  • Developmental and occupational history

  • Questionnaires and discussion of everyday sensory experiences

  • Clinical observations

  • Standardised and non-standardised assessment activities, where appropriate

  • Observation of movement, balance, posture, coordination and praxis

  • Consideration of participation at home, school and in the community

  • Feedback and tailored recommendations

  • A written report, where included in the agreed package

​

This assessment can help determine whether ASI-informed occupational therapy, environmental adaptations, sensory strategies or further support may be appropriate.

​

Assessment fee: From £400


Includes: Initial consultation, assessment appointments using standardised tools, scoring, clinical analysis, feedback and sensory plan. 

​

Report: A comprehensive tribunal-ready report can be produced for an additional price of £400

Travel or Room Booking: Charged separately if required

Trauma OT | Hannah McNulty | Sensory Strategies
Trauma OT | Hannah McNulty | Sensory Attachement Informed Assessment
Trauma OT | Hannah McNulty | Sensory Assessment

Sensory Attachment Intervention (SAI) Informed Assessment

Online & face to face in York & surrounding areas 

A Sensory Attachment Informed Assessment explores the relationship between sensory processing, emotional regulation, attachment experiences, trauma and participation in daily life.

​

This assessment may be particularly relevant where a young person has experienced developmental trauma, disrupted attachment, adversity, placement instability, significant anxiety, relational difficulties or patterns of dysregulation that are not fully explained by sensory processing alone.

(Often helpful for adopted children or young people who have experienced significant developmental trauma).

​

The assessment aims to provide a compassionate and practical understanding of what may be happening beneath behaviour. It considers how a person’s sensory needs, nervous-system responses, relationships, environments and lived experiences influence their sense of safety, connection and ability to participate.

​

An SAI assessment may include:

​

  • Detailed history-taking with parents, carers or the individual

  • Exploration of sensory preferences, sensitivities and regulation patterns

  • Consideration of attachment, developmental and trauma-related experiences

  • Observation and occupational analysis

  • Identification of strengths, protective factors and co-regulation needs

  • Recommendations for home, school, care settings or therapeutic support

  • Feedback and a written formulation/report

​

Recommendations are designed to be realistic, relational and trauma-informed rather than relying on behaviour-management approaches alone.

​

Assessment fee: From £900


Includes: Completion of a Sensory Arousal Attachment Profile (SAAP) questionnaire, Initial consultation, assessment appointments using standardised tools, scoring, clinical analysis, feedback and sensory plan.


Report: A trauma impact chart and additional recommendation report is included as standard in this assessment. 


Liaison with school, social care or other professionals: Included within agreed hours

Trauma OT | Hannah McNulty | OT Formulation
Trauma OT | Hannah McNulty | Regulation Overwhelm

An occupational formulation assessment provides an in-depth understanding of why someone may be finding everyday life difficult and what support is most likely to make a meaningful difference.

​

Rather than focusing only on a diagnosis, behaviour or isolated difficulty, an occupational formulation brings together the person’s strengths, needs, sensory profile, health, relationships, routines, environments, roles, interests and life experiences.

​

This assessment can be helpful when needs are complex, when several professionals are involved, when previous support has not led to meaningful change, or when a clearer plan is needed.

​

It may be appropriate for children, young people or adults experiencing difficulties with:

​

  • Regulation, overwhelm, anxiety or shutdown

  • School attendance, participation or transitions

  • Self-care, sleep, eating or daily routines

  • Community access and independence

  • Family life and relationships

  • Meaningful occupation, identity and confidence

  • Trauma-related barriers to participation

  • Sensory, executive-function or motor-planning differences

​

The resulting formulation identifies what is getting in the way of participation, what already helps, and what practical changes can be made across home, school, work, care and community environments.

​

Assessment fee: From £600


Includes: History-taking, assessment tools, observation of everyday functioning (shopping or cooking) where appropriate, formulation meeting and written report


Best suited to: Personal Independence Payment (PIP) evidence report, complex needs, multi-agency planning, support planning or anyone wanting a holistic (body, mind and environmental factors) occupational therapy perspective.

OT Formulation Assessment

Online & face to face in York & surrounding areas 

Reasonable Adjustment Plans & Support Letters

Online

Trauma OT | Hannah McNulty | Support Letters

Reasonable adjustment and support letters provide professional occupational therapy recommendations to help a child, young person or adult access education, employment, healthcare, training, community activities or other services more fairly and safely.

​

Letters are written following an appropriate one off consultation. They are tailored to the individual and explain how sensory, regulation, functional, health or disability-related needs affect participation.

​

Recommendations may address:

​

  • Sensory and environmental adjustments

  • Flexible working, study or attendance arrangements

  • Rest breaks, movement breaks or access to quiet spaces

  • Communication adjustments

  • Support with transitions, planning and organisation

  • Equipment, seating or workspace adaptations

  • Adjustments to assessments, appointments or deadlines

  • Attendance, timetable or workload considerations

  • Recommendations for education, employers, GPs, healthcare teams or other services

​

A letter is not a legal determination of entitlement. However, it can provide clear occupational therapy evidence and practical recommendations to support discussions about reasonable adjustments and access needs.

​

Short support letter: From £250


Detailed reasonable adjustment letter: From £350


Timescale: Issued within 10 working days once all required information has been received

Trauma OT | Hannah McNulty | Occupational Therapy Recommendations
bottom of page