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Sensory diets: what they are and what to write in the IEP

By the IEP Atlas editorial teamLast updated

Short answer

A sensory diet is a planned schedule of movement and sensory activities spread through the school day, usually designed by an occupational therapist. In the IEP it belongs with supports and accommodations, not as a goal. The goal should name what the student will do, such as starting work or staying in class, and the team should check whether the plan helps.

A sensory diet is a schedule, not a treatment you can see working by looking at the schedule. The term covers short, planned activities such as carrying books, a wall push, a quiet corner or a chewy snack, set at times of day when the student tends to struggle. The aim is to help the student stay ready to learn and take part.

This page follows one fictional student through a year with a sensory diet, then sets out where each piece goes in the IEP. For the wider set of school OT goals, see the occupational therapy IEP goals pillar.

What a sensory diet includes

Most school sensory diets have four parts:

  • Scheduled activities at set times, such as a 3-minute heavy work task before writing.
  • Activities on request, from a short menu the student can choose from.
  • Changes to the setting, such as seating options or headphones.
  • A way for the student to signal a need, such as a break card.

The OT usually designs the plan from observation, teacher and parent reports and sometimes a sensory questionnaire. Teachers and paras run most of it, because most of it happens in class.

Supports, not goals

A sensory diet describes what adults will offer. That makes it a support. The IEP must list the supplementary aids and services, program modifications and supports for school staff that the student needs.[1] The diet goes there, or in an attached plan that the IEP names.

A goal must describe what the student will learn to do. "Will follow sensory diet" measures adult behavior and compliance. Write goals about the result you care about: starting work, staying in an assembly, asking for a break, returning on time. Goal wording for these is on the sensory processing goals page.

Where the evidence stands

Evidence for sensory diets as a package is limited. The 2020 review by the National Clearinghouse on Autism Evidence and Practice did not list sensory diets among its evidence-based practices for autistic students.[3] The same review did list exercise and movement, and visual supports, which are often parts of a sensory diet.[3] It also listed Ayres Sensory Integration, which is a specific clinic-style therapy and is not the same as a classroom schedule of breaks.

The practical answer: treat a sensory diet as a reasonable support to try, set a review date, and collect data on the student's participation. Keep what helps. Drop what does not.

Scenario: one student, one school year

The student and numbers are fictional and are illustrations, not benchmarks.

September 9. Leo is in 2nd grade. His teacher reports he rolls on the carpet, leaves his seat and wanders during writing. Over 5 days of data, he starts writing a median of 9 minutes after directions. He stays at his table for a median of 6 minutes of a 20-minute writing block.

September 23. The OT observes twice and interviews his teacher and parents. Leo seeks heavy movement: crashing into cushions, pushing chairs. His parents see the same at home, and a short walk before homework helps.

October 7, IEP meeting. The team writes:

  • Supplementary aids and services: "Before each writing block, Leo will complete a 3-minute heavy work routine (carrying the book bin, wall push-ups, chair push-ups) cued by the classroom teacher or para. Leo may request one more movement break per block using his break card, up to 3 minutes. Leo may stand at a high table or use a wobble cushion during writing."
  • Supports for school staff: "The OT will train the classroom teacher and para on the routine, 30 minutes before October 15, and consult with the teacher 15 minutes every 2 weeks."
  • Goal: "After a scheduled movement break, Leo will begin his writing task within 2 minutes in 4 of 5 observed writing blocks for 3 consecutive weeks." Baseline: 9 minutes.
  • Review: "The team will review the movement routine using latency and time-at-table data by December 15."

December 15, review. Over 4 weeks, Leo's median latency is 3 minutes. Time at the table has risen to a median of 14 minutes. The teacher notes he rarely uses the extra break. The team keeps the heavy work routine and the standing table, and drops the wobble cushion, which he never chose.

March. Leo begins writing within 2 minutes in 4 of 5 blocks for 3 weeks. The goal is met. The team writes a new goal for Leo to start the routine himself when the timer signals, so the adult cue can fade.

The point of the scenario: the sensory diet was a support, the goal measured a classroom skill, and the team used data to decide what to keep.

Where each piece goes in the IEP

PieceWhere it goesExample wordingNotes
The activity scheduleSupplementary aids and services, or an attached sensory plan named in the IEP"3-minute heavy work routine before each writing block"Some districts require all supports on the IEP page itself. Check local practice.
Setting changesAccommodations"May stand at a high table during writing"Check state testing manuals before listing for state tests.
Staff trainingSupports for school personnel"OT trains teacher and para, 30 minutes before October 15"Required content of the IEP when the team decides staff need it.[1]
OT timeRelated services, often as consultation"OT consultation, 15 minutes every 2 weeks"How consult time is written varies by district and state. See OT minutes and consult models.
The skillAnnual goal"Begin writing within 2 minutes after a break, 4 of 5 blocks"Measure the student, not the adults.
ReviewProgress monitoring plan or meeting notes"Review by December 15 with latency data"A dated review keeps the plan from running on autopilot.

Occupational therapy is a related service under federal rules.[2] States set the rules on who can write an OT plan, whether an OT assistant can carry it out, and how services are documented, so details differ by state and district.

How to measure whether it helps

Pick one or two outcomes that matter in class. Good choices:

  • Latency: minutes from the end of a break to starting work.
  • Duration: minutes in the activity or at the table.
  • Opportunities: breaks requested without a prompt, out of chances.

Collect a baseline for 5 days before the plan starts. Then collect 2 or 3 times a week for 4 to 6 weeks. The latency data sheet works well for return-to-work goals. Graph the result and compare it with the baseline. If nothing has moved after 6 weeks, change one part of the plan at a time.

For parents: questions to ask

  • "Which activities in the sensory diet will my child do, and at what times?"
  • "Who runs it on days the OT is not there?"
  • "What goal is it meant to help with, and how will you know?"
  • "When will the team look at the data and decide whether to keep it?"

The page on sensory needs and the IEP is written for families. Teachers looking for the accommodation wording itself will find 20 examples in sensory accommodations. Weighted vests raise their own questions; see weighted vests and deep pressure.

Frequently asked questions

Should a sensory diet be written as an IEP goal?

No. A sensory diet is something adults provide, so it belongs with supplementary aids and services or accommodations. The goal should describe what the student will do, such as begin work within 2 minutes after a break or stay in an assembly for 20 minutes.

Who writes a sensory diet at school?

Usually the occupational therapist, using observation and reports from teachers and parents. Teachers and paraprofessionals carry out most of it during the day, so the OT should train them and check in regularly.

Is a sensory diet evidence-based?

Research on sensory diets as a package is limited, and a major 2020 review of autism practices did not list them. Some parts, such as movement and visual supports, have stronger support. Treat the plan as something to try and check with data.

How often should a sensory diet be reviewed?

Set a review date when the plan starts, often 6 to 10 weeks later. Compare participation data with the baseline. Keep the parts that help, drop the parts the student never uses, and revisit the plan at least at the annual review.

Use it in IEP Atlas

Sources

  1. 34 CFR §300.320: Definition of individualized education program, Legal Information Institute, Cornell Law School
  2. 34 CFR §300.34: Related services, Legal Information Institute, Cornell Law School
  3. Evidence-Based Practices for Children, Youth, and Young Adults with Autism (2020), National Clearinghouse on Autism Evidence and Practice, UNC Chapel Hill

Written and checked by the IEP Atlas editorial team under our editorial policy. This guide describes general practice and federal rules. It is not legal advice; your state may add requirements, and the IEP team makes the decisions for each student.

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