Find Answers to Frequently Asked Questions Below. If you don’t find the information you need, email us at

Click here to Register for The STEPPSI 2024 Cohort:Dates Feb 1 – April 5, 2024. Course fee: $550
Click here to Register for The STEPPSI Self-Paced Option: Available throughout 2024. Course fee: $450

1. What is STEPPSI?

This course will provide an overview of the theoretical foundations of sensory modulation from occupational therapy literature and related neuroscience research that is woven into a model for clinical reasoning that we call “STEPPSI”. We offer a framework for planning, implementation, and monitoring treatment, using the acronym associated with each step: Sensation, Task, Environment, Predictability, Playfulness, Self-Monitoring, and Interactions, that clinicians can adopt and use in everyday practice. The course includes pre-recorded lecture videos, course slides, and a case study, and the cohort version includes three live, virtual sessions with Tracy Stackhouse.

2. How will taking this course benefit me and the children I am treating?  
Using the STEPPSI model will supercharge your understanding of regulation, enhance the way you approach every interaction with the children you treat, and support you to become a more holistic practitioner. 

3. Are there any prerequisites?
Participants should have foundation knowledge in sensory integration (Ayres SI (ASIⓇ) in particular) theory and treatment.

4. Who is the target audience for this course?
The course is designed for clinicians, in particular for Occupational therapists and Occupational therapy assistants.

5. Can I earn Continuing Education Credits?
YES! Developmental FX is an AOTA Approved Provider of professional development. PD activity approval ID #0000006421
. This distance learning course will be offered at 1.6 AOTA CEUs, beginner educational level, in the OT service delivery category.

5. I want to enroll right away – is there an early bird discount?
YES! We are offering a 15% discount on registration for the 2024 STEPPSI Cohort with the code “earlybird15”. This discount cannot be applied to the self-paced version.

6. I’ve taken the STEPPSI before but want to take a refresher. Is there a discount?
YES! We offer a 50% discount on registration to people who have paid to take the STEPPSI course previously. Email us or watch your inbox for the discount code. **Only one type of discount can be applied to your registration fee. 

7. I took The SpIRiT and loved it, and now I’m excited to enroll in STEPPSI to have more time to learn with Tracy. I’m wondering if there is a “loyalty” discount for those who’ve taken The SpIRiT?  
YES! We offer a 25% discount on registration to those who have paid to take the SpIRiT. Email us or watch your inbox for the discount code. **Only one type of discount can be applied to your registration fee.

8. What is the benefit of the cohort option?
The cohort model of the course enables participants to dive deeper into the learning materials, engage with fellow clinicians through our online community platform, and participate in live, cohort meetings with your lead instructor, Tracy Stackhouse, MA, OTR/L.

We truly believe that learning in community fosters a richer, more integrated learning experience. The group meetings will be recorded, but cohort members are strongly encouraged to participate in the live format. Please note that we will have a cap on cohort enrollment in order to ensure a quality learning experience. All that said, we realize that not everyone can set aside the time to participate according to our course schedule, so we are offering the opportunity for self-paced learners to begin the course any time during the year. The cohort option includes 53 lessons, while the self-paced option includes 42 lessons.

9. Should I take STEPPSI or The SpIRiT first?  
While there is no wrong way to engage in our courses or utilize the associated clinical reasoning tools, we would gently recommend taking The STEPPSI course first and The SpIRiT second.

10. My schedule is wonky and I’m afraid I won’t be able to keep up. Are there strict deadlines I need to meet?
We have designed the course so that you can listen to the pre-recorded lectures when your schedule allows. The cohort meetings are optional, but we encourage you to make every effort to join them, even if you have not yet been able to listen the the lectures that will be reviewed in that cohort meeting. We do understand that things come up for people, and so we record the meetings and make those recordings available to those who were unable to attend. We also allow participants to have access to the course materials for several weeks beyond the “official” end to the course.

11. How long will I have access to the course materials online?
When you register for the course, you will receive access to the initial round of recordings. We release a new batch every few weeks, roughly to coincide with the cadence of the cohort meetings. Cohort participants will have access to all course materials for four months from the start date. Self-paced
learners will have access to the pre-recorded course videos and associated learning materials for 120 days (~4 months) from the date of enrollment. 

12. I’ve not taken a course through Learning Journeys before and I’m not sure if the course is a good fit for me. Can I message someone to talk about this?
Yes, you can email your questions to

13. Everyone in my clinic wants to take the course. Can we arrange for a cohort just for our clinic, or receive a group rate for the upcoming cohort?
Yes! If you have a group of learners (5 or more) that would like to take The STEPPSI or The SpIRIT together, please reach out to and we can discuss options. We can offer a group discount, a private cohort, or even in-person learning opportunities.

14. Who is Tracy Stackhouse?
Tracy Murnan Stackhouse MA, OTR/L, has been studying and practicing pediatric occupational therapy for over 35 years. As is true for most of us, she was drawn to the field because of a love of children and the belief in the infinite possibility of childhood. Tracy is the co-founder and executive director of Developmental FX (DFX) in Denver, Colorado, a nonprofit organization providing clinical and training services to engage and elevate pediatric therapeutic practice. She is a leading pediatric occupational therapist (OT) involved in clinical treatment, research, mentoring, and training regarding OT intervention for persons with neurodevelopmental disorders, especially Fragile X Syndrome and autism. Tracy has a Bachelor’s in Occupational Therapy from Colorado State University and found her work with Eleanor Gilfoyle pivotal in her training. She has a master’s degree in developmental psychology/ developmental cognitive neuroscience from the University of Denver and was grateful to work with Dr. Sally Rogers during her research training. She is NDT trained, and SIPT Certified with advanced autism training including DIR/Floortime, TEACCH, and the Early Start Denver Model. Tracy also has training in craniosacral therapy and myofascial release, as well as Therapeutic Listening and Porges’ Safe and Sound Protocol (SSP). Most recently Tracy has been focused on incorporating trauma-informed care, Theraplay, and interpersonal neurobiological/relationship-based approaches, as well as Germer and Neff’s self-compassion into her work.

Tracy was the clinical specialist in sensory integration at The Children’s Hospital in Denver as well as the OT for the Fragile X Research and Treatment Center. Tracy continued her clinical and research work with Dr. Randi Hagerman at the UC Davis M.I.N.D. Institute during its start-up year. Tracy has written several book chapters on sensory integration and neurodevelopmental disorders and teaches nationally and internationally on sensory integration, autism, Fragile X, and related topics. Tracy enjoys mentoring and spends many hours a month mentoring clinicians from around the world to improve their clinical reasoning skills. Tracy is the originator of the SpIRiT Model, an extension of the STEPSI that was the original fidelity model for sensory modulation written with colleagues Julia Wilbarger and Sharen Trunnell at Children’s Hospital Colorado. These models are utilized in OT practices around the globe and included in the model at Camp Jabiru in Australia. The tools are shared through the ‘Spirited Conversations’ Podcast as well as through DFX’s training platform, Learning Journeys. Tracy has ongoing courses offered through Medbridge and iLS/Untyte (remote training use of the Safe and Sound Protocol). Tracy is a member of the National Fragile X Foundation Clinical Research Consortium, the Scientific And Clinical Advisory Committee, and the NFXF Advisory Council, and an expert advisor to the CDC and RTI Fragile X Priorities Panel.

15. Who is Dave Jereb? 
Dave Jereb is an occupational therapist and director of Move About Therapy Services, a paediatric occupational therapy clinic in the Hills District of Sydney and on the central coast of New South Wales, Australia. He holds a Bachelor of Applied Sciences (Occupational Therapy) and a Master’s of Applied Sciences (Occupational Therapy) from the University of Sydney. He works to share his knowledge of OT beyond the clinic as an author and presenter. He recently published book, “Challenging the Story: A Surprisingly Simple Approach to Supporting Children with Challenging Behaviours” hit #1 on Amazon in all of its categories including Health, Psychology, Education and Parenting. 

16. Tell me more about Developmental FX: We are a Denver based nonprofit that works with children that have a range of learning and developmental disabilities. By working with educators, providers, and families, we are able to provide the unique, individualized care that each child needs to reach their full potential. Through our research and ‘Therapy that Fits’ signature programs, we are extending our knowledge and the landscape nationally and globally of what transformative care looks like for children and families. Learn more on our website and follow us on Facebook, Instagram, and LinkedIn.