Describe the sensory pattern before choosing the support

Research indicates that over 90% of autistic individuals experience sensory processing differences (Miller et al., 2007). The DSM-5 formally recognizes hyper- or hypo-reactivity to sensory input as a diagnostic criterion for autism. In Ontario, sensory differences are one of the most common reasons families seek occupational therapy through the OAP.

Sensory Processing Disorder (SPD) and autism are distinct conditions that frequently co-occur. SPD is not a standalone diagnosis in the DSM-5, but sensory differences are embedded within the autism diagnostic criteria. Autistic individuals may have sensory profiles that include hyper-sensitivity, hypo-sensitivity, or sensory seeking. A clinical psychologist or occupational therapist can assess a full sensory profile during or after an autism diagnosis.

Yes. OAP Core Clinical Services ($6,600–$65,000/year) can fund occupational therapy when autism is the primary diagnosis. OT targeting sensory processing difficulties, sensory integration therapy, and sensory diet development are all covered when clinically indicated. Ensure the OT documents sensory-related goals tied to autism in the service plan submitted to AccessOAP.

Occupational therapy assessments in Ontario commonly cost around $150–$200 for each session, with a full sensory assessment often requiring 2–4 sessions (commonly $300–$800; confirm with providers). Comprehensive standardized assessments using tools like the Sensory Profile-2 or SIPT may cost $800–$1,500. OHIP does not cover private OT, but OAP Core Clinical Services and some extended health plans do.

A sensory diet is a personalized schedule of sensory activities designed to keep a child's nervous system regulated throughout the day. Developed by a registered occupational therapist, it includes activities like proprioceptive input (heavy work, weighted blankets), vestibular activities (swinging, rocking), and tactile experiences. In Ontario, sensory diet development is billable under OAP funding when prescribed by a COTO-registered OT as part of an autism service plan.

All occupational therapists in Ontario must be registered with the College of Occupational Therapists of Ontario (COTO) at coto.org. Search for OTs with additional training in sensory integration (e.g., Sensory Integration and Praxis Tests certification, SI Certification). The OAP provider directory at autismontario.com also lists OT providers who accept OAP funding.

Under the Ontario Education Act and Ontario Human Rights Code, schools must provide reasonable accommodations for students with sensory needs. Common accommodations include: sensory breaks, quiet workspaces, noise-cancelling headphones, alternative seating (wobble chairs, standing desks), modified lighting, and access to a sensory room. Parents can request these through the child's Individualized Education Plan (IEP), sensory needs should be documented as part of the profile section.

Yes. Ontario has a growing network of sensory-friendly resources: Cineplex operates "Sensory-Friendly" movie screenings in Toronto, Ottawa, and other cities. The Ontario Science Centre, ROM, and many libraries offer sensory-friendly hours. Autism Ontario maintains a directory of sensory-friendly businesses and events at autismontario.com. Some Ontario malls (e.g., Sherway Gardens, Rideau Centre) run early sensory-friendly shopping hours.