Austin, a two-year-old with sensory integration dysfunction, has recently started hitting the other children in his coop play group.

Claire, his mother, is embarrassed that her son is misbehaving and upset that he doesn’t respond to her attempts to calm him down. When she calls the physician’s office where you work, to ask for a referral to a psychologist, you ask her to describe the play group. As Claire speaks, it becomes apparent that the setting is noisy and cluttered, with cheerful background music and bright murals on the wall.

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