We are sharing our ISIC poster alongside this reflection, because it captures something central to Sensory Ladders®: co production is not a slogan. It is how the work was built, and how it continues to grow. Bridging the Gap | From Sensory Motor Processing to Human Occupation with Sensory Ladders® This is one of the posters presented at ISIC: What we mean by co production There are three living layers to this. 1. The concept itself was co produced. Sensory Ladders®️ did not arrive fully formed. They grew organically in collaboration with people using services, families, and clinicians. In learning disability and mental health services, we needed a way to make sensory experience visible in a way that protected dignity and supported participation. People described what overwhelmed felt like. What underpowered felt like. What helped. What made things worse. We trialled versions together. We changed language when it felt reducing. We refined structure when it felt confusing. The framework evolved through feedback, reflection, and active participation. Lived experience shaped the structure as much as theory did. 2. Every individual ladder is co produced. No two Sensory Ladders®️ are the same. Each ladder is created with a person, not for them. The steps are named together. The wording reflects the person’s own language. The levels link directly to real occupations, roles, and environments. The making of the ladder builds shared understanding. It supports agency, reduces misinterpretation, and strengthens relational response. It is not about placing someone into a type. It is about recognising unique patterns and building a shared map that supports meaningful doing. 3. Translation is also co produced. As Sensory Ladders®️ are translated internationally, this is done in collaboration with therapists within each cultural and linguistic context. Translation is not simply about swapping words. It involves: • ensuring metaphors make sense locally

Today in the USA Mel Homan ran a launch of Sensory Ladders in her home state. Mel has been involved with Sensory Ladders, since co-lecturing about them here in the UK with Kath Smith, before she moved to the USA. Coming soon, some pictures of today's event. Thank you Mel for hosting this event.

Hi I am a Professional Lead OT working in Wales. I am privileged to work in adult learning disability services.

When you upload a Sensory Ladder example, you are doing something quietly powerful. You are showing what co-production looks like in real life, not in theory, but in the everyday moments where participation either opens up or closes down. Sharing matters because it helps us learn together. We start to notice patterns across settings. We gather ideas that are adaptable rather than prescriptive, so each person can shape what fits their own sensory world. Sharing matters because it builds a community of practice.A place where people can borrow courage, borrow words, and borrow a starting point, then co-create something uniquely theirs. If you have one to share, please upload it. A photo, a sketch, a template, a story. It does not need to be perfect. It just needs to be real.