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Additional Training Includes

Dr. Mona Kazemi OTD, OTR (U.S. Reg.), HPC Reg., SIPT cert. 


Our Team

  • Interoception: The Hidden Sensory System
  • 3 Steps to Improving Interoception: An Evidence Based Approach
  • SPD Star Advanced Mentorship in Sensory Processing Level 1
  • Talk Tools Feeding Therapy: A Sensory Motor Approach                                        
  • Early Intervention: Fine Motor Review                                                           
  • Beckman Oral Motor Assessment and Intervention                     
  • Treatment of Picky and Problem Eaters/Food Chaining Therapy           
  • Building Healthy Brains
  • Rhythm and Neuro Plexus
  • Sensory Motor Play in Early Intervention                                                      
  • Enhancing Executive Functioning  

Additional Training Includes

Megan started her occupational therapy career in 2009, graduating from the University of Pretoria in South Africa. To further her knowledge, Megan broadened her studies in occupational therapy in 2016 when she completed her Master of Science in Occupational Therapy from the University of Witwatersand in South Africa. Megan comes to Cayman with 9 years’ experience as an occupational therapist with her work experience primarily being with children with different needs in settings ranging from early intervention to school-based, to outpatient paediatrics for school-aged children, adolescents and young adults. Megan has worked on multi-disciplinary teams, using a sensory-based approach with children with mild to severe delays with a wide range of diagnoses ranging from anxiety, sensory processing disorders, dyspraxia, Autism, and other neurodevelopmental delays and diagnoses.

Additional Training Includes

Cara's primary interest is assisting in the parent-child relationship to maintain homeostasis within the home and the community. Parenting can be difficult, whether it is your first child or not, or you have a child with special needs; which is why Cara utilizes a holistic, science-driven, family-oriented approach to support families and caregivers. 

  • 3 Steps to Improving Interoception: An Evidence-Based Approach
  • Astronaut Training: Vision Screening, and Integrated Vestibular-Auditory-Visual Treatment Strategies presented by Mary Kawar, MS OTR
  • High-Risk and Special Needs Babies: Identification and Intervention
  • DIR 101: Floortime Principles
  • Emotional Processing in Children
  • Anxiety Exposed
  • From Sensory Processing to Executive Functioning
  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 2: Specialized Techniques for Measuring Sensory Integration
  • Sensory Integration and Praxis Tests (SIPT) Course 3: From Interpretation to Intervention
  • Shifting Gears: Sound and Movement Strategies for Sensory Processing Disorder
  • Interactive Metronome Certified Provider​
  • ​Interactive Metronome: Advanced Pediatric Course
  • Handwriting Without Tears (HWT): Pre-Kindergarten Readiness and Writing

In addition to these additional trainings, Megan created an evidence-based and effective program titled "A Vestibular-Proprioceptive-Oculomotor Stimulation Program to Improve Reading Skills in School-Aged Children". 

phone: (345) 749-7529          email:           location: #9 Plaza Venezia on N. Sound Rd, Grand Cayman, Cayman Islands

As one of the Co-founders of Cayman Theraplay, Joshua has been involved since the beginning and has brought a variety of skills and experience to the team. With having grown up with dyslexia and a speech impediment himself, Joshua has the passion to help create a better environment where children can get the support to help them reach their potential. He has a diploma in Accounting and Business through the ACCA and has over 10 years of experience with customer service and managing teams. Joshua brings warmth, understanding when working with families with special needs and is always happy to assist families with billing, accounts and insurance queries.  

Shawna received her Master of Science degree in Communicative Disorders with honors, magna cum laude, from the University of Wisconsin – Madison, U.S.A. in 1999. Before joining the team at Cayman Theraplay, she worked in the public, private, and parochial school settings for 15+ years. Although comes to us with a wide range of competency, Shawna’s area of expertise is in Social Language - Pragmatic Communication Disorders. She is passionate and committed to the development and implementation of functional Social Language (verbal and nonverbal) skills for children ages 2-21. She has collaborated
across disciplines (Occupational Therapy, Physical Therapy, Deaf and Hard of Hearing, and Vision therapists) in the development of a Social Language - Pragmatic Skills Curriculum for children 10-21 years of age. 

Cara received her Masters in Psychology from The University of Auckland in New Zealand in 2013 and became Board Certified as a Behavior Analyst in 2016. She has been working with children, teens and adults for over 10 years in New Zealand, the United Arab Emirates and the Cayman Islands. Cara is currently located in the USA and works as a remote behavior consultant and supervisor.

To assist children in reaching their full potential, Cara has received extensive training in functional analysis methodology and assessment to better establish effective and meaningful behavior change and management. She is focused on working interactively with families, schools and health providers to ensure positive outcomes.

  • 3 Steps to Improving Interoception: An Evidence-Based Approach
  • CLASI Module 1: Ayres Sensory Integration (ASI) Theory
  • CLASI Module 2: Comprehensive Assessment in Ayres Sensory Integration (ASI)
  • CLASI Module 3: Comprehensive Assessment in Ayres Sensory Integration (ASI) Continued
  • Occupational and Speech Therapy Using a Sensory Motor Approach presented by Kim Barthel
  • Through Mind and Hand to Health presented by Kim Barthel
  • Decoding Autism: Understanding the Neurobiology & Effective Intervention Strategies presented by Kim Barthel
  • Geneva Centre for Autism: Introduction to Autism
  • Action Over Inertia presented by Terry Krupa
  • Handwriting Without Tears: Pre-Kindergarten Readiness and Writing
  • Handwriting Without Tears: Kindergarten to Grade 5 Handwriting
  • Applied Suicide Intervention Skills Training (ASIST) 
  • Non-Violent Crisis Intervention instructed by Crisis Prevention Intervention

Ms. Danielle Longden B.OT (UK. Reg.), HPC Reg. 


Isabel is originally from Cayman and brings a warm and friendly welcome to everyone who steps through the doors at Cayman Theraplay.

Prior to joining Cayman Theraplay team, Isabel worked in a variety of different medical settings over the years from dental, orthopaedic, wellness and physical therapy clinics. Her experience has equipped her with efficiently assisting families with booking consultations, scheduling appointments, taking payments and submitting insurance claims.

Ms. Cara Selway, MA, BCBA, HPC reg.


  • Assessment and Treatment of Sleep Disturbances in Children, instructed by Dana Gadaire, Psy-D, LCSW, BCBA
  • Attention Deficit/Hyperactivity Disorder: A Review of Selected Research for Practitioners, instructed by Jan Montgomery, MSc, BCBA
  • Sexuality and Sexuality Instruction with Teenagers with Autism Spectrum Disorders, instructed by  Peter F Gerhardt, Ed.D
  • Crisis Behavior Applications in Schools, instructed by Valerie Evans, BCBA
  • Stereotypy: There Are No Easy Answers, instructed by William Ahearn, PhD, BCBA-D
  • Supervisor Training: Components of Effective, Evidence-based Behavior Analytic Supervision, instructed by Jennifer Yakos
  • Functional Analysis Applications and Recent Research, instructed by Valerie Evans, BCBA
  • Use of Behavioral Skills Training in Supervision, instructed by Valerie Evans, BCBA
  • Non-Violent Crisis Intervention, instructed by Crisis Prevention Intervention
  • Picture Exchange Communication Systems (PECS) - Level 1, instructed by Pyramid Education Consultants
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Ms. Megan Bense, M.Sc. OT (S.A. Reg.), HPC Reg. 


Additional Training Includes

Additional Training Includes

  • 3 Steps to Improving Interoception: An Evidence-Based Approach
  • Sensory Integration Module 1 via Sensory Integration Network UK & Ireland: Foundations and Neuroscience
  • Sensory Integration Module 2 via Sensory Integration Network UK & Ireland: Clinical Reasoning in Sensory Integration Assessment
  • Sensory Integration Module 3 via Sensory Integration Network UK & Ireland: Clinical Reasoning and Practice in Sensory Integration Intervention
  • Occupational Therapy for Children with Handwriting Difficulties
  • Makaton - Beginners workshop 
  • Therapeutic Listening - Listening with the Whole Body
  • Core, Posture, Breath Activation
  • JCM training: Posture and Seating

For an appointment please e-mail us at

  • 3 Steps to Improving Interoception: An Evidence Based Approach
  • ​​​Torticollis & Plagiocephaly: Assessment & Treatment of Infants & Children
  • ​Astronaut Training: Vision Screening, and Integrated Vestibular-Auditory-Visual Treatment Strategies presented by Mary Kawar, MS OTR
  • Social Thinking Conference: Zooming In - Strategies for Concrete Learners, instructed by Michelle Garcia Winner
  • Social Thinking Conference: Zooming In - Strategies for Subtle But Significant Social Problems, instructed by Michelle Garcia Winner
  • ​Vision Processing & Therapy: Collaborative Approaches for Individuals with Sensory Processing Disorders, ADHD, Autism, Traumatic Brain Injury & Other Special Populations, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO 
  • Introduction to Basic Visual Efficiency and Visual Processing Skills, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO
  • Reflex Integration to Support Education (R.I.S.E.)
  • Principles of Normal Movement and Facilitation: A Neurodevelopmental Treatment (NDT) Approach in Pediatrics
  • Sequential-Oral-Sensory (SOS) Feeding Approach Basic Level
  • Sequential-Oral-Sensory (SOS) Feeding Approach Advanced Level - Feeding the Child on the Autism Spectrum
  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 2: Specialized Techniques for Measuring Sensory Integration
  • Sensory Integration and Praxis Tests (SIPT) Course 3: From Interpretation to Intervention
  • Sensory Integration and Praxis Tests (SIPT) Course 4: Sensory Integration Intervention
  • Handwriting Without Tears - Pre-K Readiness & Writing
  • Handwriting Without Tears - K-5 Handwriting

​Dr. Mona Kazemi brings in-depth knowledge about standardized healthcare practice and evidence-based practice in pediatric therapy services. She has received her clinical doctorate from  the University of Southern California and continues to have a  relationship with her mentors who are world-renown leaders in occupational therapy research. Dr. Mona Kazemi has resided in Cayman since 2013 and has since made strong connections and collaborates with healthcare centers in both the private and public sectors in Cayman and overseas.

Ms. Isabel Scott


Danielle is originally from the Lake District in the United Kingdom, and qualified in 2000 from Sheffield Hallam University with a BSC (Hons) degree in Occupational Therapy. She has specialized in pediatrics and has over 12 years of experience working with children and young people, both in education and health care community settings. Community teams have enabled Ms Danielle the opportunity to develop experience in working with children with a wide range of needs and differences comprising physical, cognitive, perceptual, sensory, social and emotional differences. This is inclusive of supporting children and adolescents from birth to 25 years old with a wide range of conditions and diagnoses including ADHD, autism spectrum disorder, developmental coordination disorder, attachment disorder, cerebral palsy, muscular dystrophy, Down’s syndrome, learning disorders and others. 

  • Sensory Integration and Praxis Tests (SIPT) Course 1: Sensory Integration Perspective
  • Sensory Integration and Praxis Tests (SIPT) Course 4: Sensory Integration Intervention
  • ​Vision Processing & Therapy: Collaborative Approaches for Individuals with Sensory Processing Disorders, ADHD, Autism, Traumatic Brain Injury & Other Special Populations, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO 
    Introduction to Basic Visual Efficiency and Visual Processing Skills, instructed by Dr. Christine Winter-Rundell, OD, FCOVD, FAAO
  • Handwriting Without Tears: Pre-Kindergarten – 5th Grade
  • Handwriting Without Tears: Readiness and Writing
  • Handwriting Without Tears: Literacy & Math
  • Sensory Strategies at School: Little or no equipment required!
  • The Whole Pie Approach to Pediatric Feeding
  • Sensory-Based Feeding: Part 1 – How to overcome tactile, interoceptive, proprioceptive, and vestibular factors impacting feeding.
  • Sensory-Based Feeding: Part 2 – How to overcome visual, auditory, olfactory, and gustatory factors impacting feeding.
  • Second Step Child Protection Unit – Module 2
  • Sign-along Phase 1 - Foundation Course
  • Assessing and Promoting Effective Communication (APEC) - Band 1 & 2
  • PECS Basic Training
  • Certified Head Coach – Athletics for Special Olympics

Additional Training Includes

Copyright ©  2019 Cayman Theraplay

Mr. Joshua Browne, Dip ABS



  • “Social Thinking – Teaching Social Competencies – More Than Social Skills”. 10 by 10 by 10 Webinar Series – 10 Webinars 10 Months 10 Social Thinking Concepts. Presented by Michelle Garcia Winner
  • “Communication Interventions for Adolescents and Adults with Autism”
  • “Building Social Participation with Boardmaker Online”
  • “Autism & Asperger's Syndrome Conference:
  • Building Social Skills” Presented by Dr. Templ Grandin and Dr. Jed Baker
  • Social Thinking – Modules to Support the Needs of Students with Autism Spectrum Disorders”
  • “Social Behavior Mapping – Connecting Behavior, Emotions, and Consequences Across the Day”
  • “Social Communication Learning Styles as a Guide to Treatment and Prognosis: The Social Thinking-Social Communication Profile”
  • "Think Social! – A Social Thinking Curriculum for School-Age Students”
  • ‘“ILAUGH’ Model and Corresponding Treatment Ideas”
  • “Using Video Modeling to Support Students with Autism"
  • “Movement Differences and Diversity in Autism"
  • “Using Improvisation to Shape Student Behavior”


  • “Are You in the Zone? Social Communication, Enhancing Social Skills, Executive Functioning & Academics
  • “What Works (and What Doesn’t) for Behaviorally Challenged Students
  • “Socio-Emotional Learning (SEL): The Real Skills for Success
  • “Working With Children w/ Auditory Processing Disorders (APD)


  • “Maximize the Effectiveness of Your Language Therapy:
  • Practical Intervention Strategies for Language Disorders”. Conference sponsored by the Bureau of Education & Research
  • “Case Studies in Dyslexia Diagnosis”
  • “A Taste of the Core: Building CCSS-Aligned Vocabulary Skills”
  • “Delivering Evidence-Based Practices for Reading and Writing”
  • “Teaching Core Words through Language and Literacy”
  • “Building Social Participation with Boardmaker Online”
  • “Core Vocabulary First Learning in your Classroom”
  • “Using Coaching Strategies to Engage With Families in an Early Intervention Context”
  • ·“Yield Powerful Payoffs Using Written Language Assessment and Intervention
  • “Practical Assessments and Treatment Strategies for English Language Learners (ELLS) with Language Impairments"
  • “Understanding Dyslexia” - Understand the distinction between dyslexia, dysgraphia, and OWL LDs and that all three are neurological disorders that must be treated as such.

Additional Training Includes

These programs continue to flourish in Wisconsin and have proven to effectively prepare students to “communicate for life” across family, school, social, recreational, community, and vocational settings. Shawna is highly respected for her experience and expertise in providing therapy to students on the autism spectrum, executive functioning disorders, social language – pragmatic communication disorders, sensory processing disorders, intellectual disabilities, deaf and hard of hearing, and non-verbal students who utilize alternative/augmentative communication (AAC) devices. She has extensive knowledge, experience, and clinical skills interacting with students who have literacy delays or disorders such as dyslexia, dysgraphia, receptive & expressive language disorders, as well as phonology and phonics programs. She is a passionate advocate for students by educating the community, families, and school staff about the fascinating, magical, and essential role Social Language – Pragmatic Communication skills play in everyday life . Shawna’s motto is “Communicate for Life!”

Ms. Shawna Ellingen M.Sc. SLP, (U.S. Reg), HPC Reg. 


Ms. Rachel Lawrence, M.Sc., (U.S. Reg.), HPC reg.


Leann is passionate about her profession and readily advocates for the role of OT in the community. In fact, she has experience teaching occupational and physiotherapy assistance students their occupational therapy skills course and practical lab. Leann is a strong believer in evidence-based practice and is dedicated to staying current with best occupational practices.  Leann is driven to help children with all needs reach their full potential by providing a holistic family-centred approach.

Leann received her Master of Science in occupational therapy in 2012 from the University of Alberta in Canada and has been working with children with different needs before joining the team at Cayman Theraplay. Leann worked on an interdisciplinary team at a children’s treatment centre for children with mild to severe delays with wide range of diagnoses including autism spectrum disorder, cerebral palsy, down syndrome, fetal alcohol spectrum disorder, sensory processing disorder, and attention deficit hyperactivity disorder.  Leann provided service to these clients within their preferred environment including their home, daycare, school, or within the children’s treatment centre. She has extensive experience assessing and providing early intervention to children from birth to the age of 5 years and recently has expanded her practice to work with children up to 18 years of age.

Leslie graduated with her Bachelors in Occupational Therapy in 2012 from the University of Southampton in England. She returned home to Grand Cayman upon the start of her career and entered the government setting, where she is currently working full-time as a pediatric occupational therapist. Leslie has worked with children with different needs in a variety of settings Including the pediatric special needs school, with primary and secondary schools, and with children from birth to 5 years in early intervention. A firm believer in evidence-based practice, Leslie has furthered her training through specialized post-graduate training, inclusive of assessment and treatment of sensory integration differences utilizing an Ayres Sensory Integration® framework. 

Rachel was born and raised in Orange County, California. She received her Bachelor’s Degree in Psychology from Cal State Channel Islands. While in her undergrad, Rachel studied abroad in Copenhagen, Denmark for one year studying child education with an emphasis on multiculturalism and special needs. Denmark was where she was first introduced to occupational therapy and sensory integration. Rachel returned to California to complete her Master’s Degree in Occupational Therapy from Loma Linda University. During her time at Loma Linda, Rachel participated in a student team who designed a state of the art sensory room for Rim of the World Unified School District, furthering her experience in sensory integration. She also interned in school-based services with clients who had a wide range of diagnoses and needs.  

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Leslie has extensive experience working with children cerebral palsy, various syndromes, neuro-cognitive disorders, neuro-developmental disorders, sensory processing and integration disorders, dyspraxia, dysgraphia, developmental coordination disorder, autism, visual and hearing impairments, as well as other various developmental delays. Leslie is passionate about working with children with all needs and is driven to provide a collaborative and holistic approach to a multidisciplinary team.

Additional Training Includes

Dr. Mona Kazemi has learned side-by-side with experts in the field of occupational therapy to enhance her understanding of sensory integration disparities in children and adults, and feeding difficulties in children who are labeled with Autism. She currently maintains specialty certification in Sensory Integration and Sensory Integration Praxis Tests (SIPT) administration, basic Sequential-Oral-Sensory (SOS) feeding approach, and advance practice SOS feeding approach for children labeled with Autism.

Dr. Mona Kazemi's previous experience as a behavioral therapist allows her to successfully utilize therapeutic strategies to assist children with impulse control and difficulties with anger management to facilitate healthy, productive relationships.

occupational therapy cayman, occupational therapy, therapy cayman, cayman theraplay

Prior to working for Cayman Theraplay, Danielle worked in a highly specialist position and as occupational therapy team leader within a specialist school and college provision for young people with Autism where she gained knowledge and skills in implementing and using autism friendly strategies such as TEACHH, visual schedules and PECs as well as utilizing school wide positive behavior support techniques. Ms Danielle comes to  us with experience in running individual, group and class based interventions; and has used the Zones of Regulation, Alert Program, Tools for Teens, Handwriting Without Tears, Teoderescu and Stickids programes, to embed strategies across both school and home settings. She has experience using the astronaut program to target vestibular-vision differences, and fun with food feeding programs to target picky eating. Additionally, over the years in her career she has delivered training workshops to teaching staff, parents and carers on occupational therapy strategies and in particular sensory processing difficulties. She is very excited to be able to share her wealth of knowledge and experience with us at Cayman Theraplay and with your family to help your little one grow!

Ms. Leann Paquette M.Sc. OT (CAN. Reg.), HPC Reg. 


Before joining our team at Cayman Theraplay, Megan worked in settings that allowed her to develop specialty expertise in parental guidance and training; to conduct research and develop a program for improving literacy of school-aged children through a vision-based program; facilitate parent and teacher workshops; and mentor students and novice therapists.

​To assist children reach their full potential, Megan has further pursued certification in treatment and assessment of sensory processing differences inclusive of Ayres Sensory Integration® approach; training in neurodevelopmental techniques to facilitate normal movement; some training in the Developmental, Individual Difference, Relationship-based Model of Intervention (DIR Floortime) for intervention for Autism Spectrum and related disorders to promote development; sound interventions for self-regulation and reduction of auditory over-responsiveness; training for support in emotional processing, specifically anxiety; and strategies for executive functioning.

Although Megan has a special interest in early intervention, she has a passion for adapting therapeutic models and finding the right intervention for her clients, regardless of their age. She finds the process of human development and the influence that environment, emotions and “general life” have on a person’s functioning a need for consideration when working with families for a holistic approach.

Ms. Leslie Ann Daley, B. OT, (UK Reg.), HPC reg.


Before joining our team at Cayman Theraplay, Rachel worked at an outpatient pediatric clinic where she coordinated comprehensive family-centered evaluations and provided direct treatment to children and their families ages 8 months to 25 years with a variety of disabilities including Autism, Developmental Delay, ADHD, Sensory Processing Disorder, Down Syndrome, DiGeorge Syndrome, Scoliosis, Low Vision, Fine Motor Delay, and Feeding Delay. She provided Early Intervention Services including screening, evaluations, and treatment services to children 0-3 years old, developed individualized goals and treatment plans based on the individual child’s functional developmental abilities, needs, and family priorities, and educated parents and families in individualized home programs to support development in cognitive, sensory-motor, adaptive, and social skills.

​Rachel is a driven therapist with clinical skills in assessing client strengths and barriers, identifying client-centered goals, and developing creative treatment plans to increase independence and improve quality of life. She has specialized training in assessment and treatment for feeding delays, including Beckman-Oral Motor assessment and intervention, Talk Tools pre-feeding approach, as well as training in SOS feeding approach. Rachel completed advanced training in sensory processing disorder through STAR Institute for Sensory Processing Disorder, becoming a level 1 advanced mentored clinician in SPD. Recently she worked as a data collector for STAR Institute to assist in the standardization of a new sensory processing assessment, Sensory Processing Three Dimensions (SP3D) Scale.