The pathway to expertise in ASI supports therapists worldwide in building the expertise needed to provide ASI® with fidelity, effectiveness, and integrity as well as organizations offering or developing an ASI Certificate Program.
ICE-ASI published their Pathways to Expertise in ASI in AOTA's journal OT Practice in 2017. The 4-level pathway was a result of the SI organizations' critical concern about how to maintain the integrity of the body of work of Dr Ayres's SI, and how to support best practice in occupational therapy using ASI (OT-ASI).
After 7 years, these standards require a review and update.
Under Review
Currently, ICE-ASI's Minimal Standards for Education in ASI® are currently under review and will be published in 2025. The Education and Program Accreditation Committees together with our Director of Leadership will develop a draft of a modern competency and practice-based framework that describes a progressive process of professional development in ASI, rooted in competency-based education and grounded in clinical, academic, and research excellence. The proposal will then be adopted by the ICE-ASI Council.
When to Expect the New Standards
The new ICE-ASI Pathway to Expertise in ASI and the Minimal Standards for Education (MSE) are expected to be published in 2025.
ICE-ASI's Pathway to Expertise is the basis for the Minimal Standards in Education (MSE) that serve as the bar for accredited ASI Certificate Programs. In line with current best practices in higher and professional education, the ICE-ASI framework will likely integrate:
Each level outlines core competencies—integrated knowledge, skills, and attitudes—aligned with evidence-based practice in sensory integration and occupational therapy. These competencies define what the learner is expected to demonstrate consistently across clinical, academic, and advocacy contexts.
At each pathway level, learning outcomes will describe the broad capabilities learners are expected to achieve. These outcomes articulate the professional identity, reasoning, and scope of responsibility appropriate to that stage of development.
ICE-ASI will integrate EPAs to make learning highly practical and observable. EPAs are real-world tasks—such as conducting an ASI assessment, writing a fidelity-based intervention plan, or communicating ASI findings to parents—that a practitioner is entrusted to perform independently once competence has been demonstrated.
- EPAs translate theoretical knowledge into tangible responsibility and reflect the trust that supervisors, institutions, and clients place in a trained ASI practitioner.
Recommendation to support flexible, modular learning and international recognition (e.g., “ASI-Fidelity-Based Intervention Planner,” “ASI Assessment Synthesizer”) at specific points in their training journey. These badges:
The Minimal Standards for ASI Certificate Programs will likely contain the following sections:
These define how a program is structured, governed, assessed, and credentialed.
Example:
The formal standard requires that programs include this methodological content.
It also requires that learners demonstrate their ability to apply these methodologies, i.e., they don’t just know about fidelity—they must show that they can practice it.
Thus, formal standards don’t detail the method itself—but they ensure that:
These define the essential domains of knowledge, reasoning, and action that underpin fidelity-based ASI® practice. Each domain aligns with learning outcomes, competencies, and entrustable professional activities (EPAs). Together, they form the backbone of a practice-ready, evidence-informed ASI professional.
Example:
The content standard requires an EPA for gathering, interpreting, family-centered reporting, and linking goals. participants need to integrate comprehensive standardized and informal assessments, follow a conclusive, data-driven process, conduct differential analysis, and write a report for the caregivers
The recommended Micro-credential is “ASI Assessment & Communication”
Cornerstones of the ICE-ASI Instructor Qualification Framework include
Programs may develop their own train-the-trainer pathway to formalize this progression. Assistants or tutors have lower requirements.