The Wisconsin Department of Health Services at Sand Ridge Secure Treatment Center recognizes the unique needs of sex offenders with severe and persistent mental illness and the need for alternative approaches to treatment. As occupational therapists at Sand Ridge Secure Treatment Center we offer sensory programming to these patients in a variety of ways to enhance function and promote patient engagement in treatment. Throughout this presentation, participants will have the opportunity to learn the theory and neurobiology that drive sensory interventions. Participants will be given the opportunity to recognize the impact of sensory behaviors on activities of daily living. Participants will be introduced to interventions used to maintain optimal level of arousal through use of sensory diet and sensory behavior modification strategies for use with sensory dysregulation. This 1.5-hour presentation explores practical tools that can be used with patients who experience severe and persistent mental illness in individual or group sessions. Sensory recommendations are made with consideration given to characteristics within the individual patient and the environment and the impact of peers, staff, and family who are affiliated to the patient. Interventions are designed for a secure setting and can be implemented both on and off patient living units