How Can Integrated Therapy Help My Child Build Skills Faster?

In the grand battle of dinnertime, where broccoli becomes a villain and picky eaters stage epic showdowns, there exists a team of superheroes ready to save the day—Pediatric Feeding Therapists! These mighty champions use their super skills to help babies, toddlers, and children with feeding challenges, ensuring every little hero gets the nutrition they need to grow strong.

The Origin Story: What is Pediatric Feeding Therapy?

Pediatric feeding therapy unites speech therapists, occupational therapists, and sometimes behavior analysts (yes, ABA superheroes!) to help children overcome feeding struggles. Whether it’s a sensory issue, difficulty with chewing, swallowing, or just a deep-seated dislike for anything green, these experts use science, patience, and fun strategies to turn mealtime mayhem into moments of mastery.

Many young heroes-in-training face powerful foes:

The Texture Titan – That sneaky foe who makes certain foods feel ‘icky’ or unbearable.

The Gag Goblin – The reason some kids struggle with new foods and textures.

The Avoidance Avenger – The mastermind behind food refusals and dinnertime battles.

The Autism Anomaly – Children with autism often experience heightened sensory challenges that impact eating habits.

Fear not! Early intervention in feeding therapy provides the best chance to defeat these villains before they gain strength. The sooner a child receives support, the more likely they are to develop healthy eating habits that last a lifetime.

In all seriousness, some pediatric feeding disorders are complex and often require a comprehensive approach individualized for each child and family. MetroEHS provides scheduling options dependent upon the family schedule and the severity of the diagnosis. All evaluations are performed by a Team of Feeding/Swallowing Specialists. MetroEHS Speech-Language Pathologists, Occupational Therapists, and Physical Therapists work in tandem with Parents to improve feeding and swallowing disorders.

The Power of Breastfeeding Support

For the tiniest superheroes just starting their feeding journey, breastfeeding support and lactation therapy can make a world of difference. Some babies face challenges with latching, tongue ties, or milk transfer, which can make feeding difficult and stressful for both baby and parent. Lactation consultants and feeding therapists work together to provide guidance on positioning, improving latch techniques, and addressing any underlying oral-motor issues. Early support ensures that even the youngest heroes get the nourishment they need to thrive from day one!

The Superpower of Early Intervention in Feeding Therapy

Early intervention is like unlocking a hidden superhero ability—striking before the villains take full control! The benefits of starting pediatric feeding therapy as soon as you suspect an impending battle or villainous origin story:

Building Healthy Eating Habits: Introducing a variety of foods early makes for a well-rounded diet.

Improving Oral-Motor Skills: Strengthening those tiny mouth muscles for better latch or better chewing and swallowing.

Reducing Mealtime Stress: No more dinnertime showdowns! Parents and children both enjoy a more relaxed experience.

Enhancing Independence: Teaching kids to confidently try new foods and textures on their own.

Assembling Your Feeding League

If your baby, toddler, or child struggles with eating, picky eating, or sensory issues, it’s time to call in the feeding therapy superheroes. ABA techniques, occupational therapy, and speech therapy can all work together to build confidence at mealtime.

Remember, every great hero starts somewhere and learns new skills best when they are small. With early intervention and the right team behind them, your little one can transform from a mealtime sidekick into a fearless food explorer!

Is your child ready to join the Feeding League? The adventure begins now!

Unleashing the Superpower of Words: The Importance of Reading and Speech Development with MetroEHS Pediatric Therapy

Greetings, heroes of child development! At MetroEHS Pediatric Therapy, we believe every child has a SUPER spark waiting to shine, and there’s no greater way to ignite that spark than encouraging a love of reading. Like a trusty cape, developing reading skills empowers children to soar through life with confidence, connection, and success. Let’s dive into why nurturing these abilities is a game-changer for your little hero’s growth, all while embracing the compassionate, play-based approach that defines MetroEHS!

The Superpower of Reading: Building a Foundation for Success

Reading is more than just decoding words on a page—it’s a superpower that unlocks imagination, knowledge, and communication. For young children, reading acts as a catalyst for cognitive and emotional growth, especially during the critical early years when the brain’s neuroplasticity is at its peak. According to our MetroEHS mission, early intervention is key to leveraging this neuroplasticity, helping kids develop essential skills like speech, comprehension, and social interaction.

When children engage with stories, they’re not just following along—they’re building vocabulary, learning sentence structure, and developing critical thinking. Picture your little one giggling at a silly rhyme or pointing excitedly at a colorful picture book. These moments are more than just fun; they’re wiring their brains for language mastery! Reading exposes children to new words and concepts, fostering a love for learning that sets them up for success in the classroom and beyond.

Speech Development: Giving Voice to Their Inner Hero

Speech development is the megaphone that amplifies a child’s thoughts, feelings, and ideas. At MetroEHS, we know that clear communication is vital for connection and engagement, two pillars of life which enhance quality of life. Through play-based therapy, our therapists create a joyful environment where children feel safe to express themselves, whether through words, sounds, or even playful gestures.

Speech isn’t just about pronouncing words correctly—it’s about building confidence and social skills. When children struggle with speech delays, it can impact their ability to connect with peers or express their needs. That’s where MetroEHS swoops in with intensive, evidence-based interventions. By focusing on consistent, tailored support (think five times a week for maximum impact!), we help children overcome challenges and unlock their ability to communicate effectively.

Reading Fuels Speech Development

Reading and speech development are like two sidekicks working together to save the day. When children listen to stories or read aloud, they practice articulation, rhythm, and intonation. Storytime becomes a playground for language, where kids mimic sounds, learn new phrases, and build the confidence to share their own stories. Our play-based approach at MetroEHS harnesses this magic, using activities like storytelling and role-playing to make speech practice feel like an adventure.

For example, a child might act out a scene from their favorite book, practicing words like “roar” or “zoom” with a therapist’s guidance. These playful interactions not only improve speech clarity but also boost emotional well-being by creating a safe space for self-expression. Plus, reading together with parents or caregivers strengthens family bonds, aligning with our collaborative care model to empower families for long-term success.

Here’s the superhero secret: timing is everything.

The earlier we nurture reading and speech development, the greater the impact. MetroEHS emphasizes intensive early intervention because young brains are wired to learn and adapt. Parents swoop in heroically and read to their little superheroes daily. Therapists address any speech delays or reading challenges, mitigate developmental delays and set children on a path to achieve their full potential. Think of it as giving your child a head-start in their heroic journey!

Unleash Your Child’s Superpowers Today!

Ready to help your little hero soar? At MetroEHS Pediatric Therapy, we’re passionate about revealing the SUPER in every child through compassionate, play-based care. Learn how our evidence-based therapies can empower your child’s reading and speech development. Contact us today to schedule a consultation and join our mission to foster connection, engagement, and success!

Once a child has been diagnosed with a Pediatric Feeding Disorder due to oral dysphagia or sensory processing disorder or, if diagnosed by a psychologist, ARFID (Avoidant/Restrictive Food Intake Disorder), they will likely be referred for treatment. Eating is a learned behavior. It is only instinctive for the first 6 months of life. Older children must either teach themselves, or be taught (Toomey). Treatment for a feeding disorder can be completed by a Speech-Language Pathologist (SLP), Occupational Therapist (OT), Board-Certified Behavior Analyst (BCBA), Dietician, or Psychologist. All of these disciplines have overlapping and unique approaches to treatment, so a Pediatric Feeding team that involves more than one specialist may be best for your child. As an SLP who is part of a feeding team that involves an OT and BCBA, some approaches to treatment that I utilize alongside the team include the Food Chaining Approach, The Sequential Oral Sensory approach (SOS), and the Escape Extinction approach.

Food Chaining has become recently popular due to a book written by Fraker and Cox called Food Chaining: The Proven 6 Step Plan To Stop Picky Eating, Solve Feeding Problems, and Expand Your Child’s Diet. To summarize this approach, clinicians and parents would “chain” from food that children currently enjoy by changing 1 aspect of the food at a time: either color, texture, flavor, or shape. For example, if a child enjoys cheetos, you might “chain” to orange veggie sticks (changing flavor), then to green veggie sticks (change in color), then to green veggie chips (change in shape), then to zucchini cut in a circle and placed on the chip (change of texture), then remove the chip. The child is now eating zucchini, and it was introduced slowly in a non-threatening manner! In this procedure, food is not forced on children- they are able to touch and explore it themselves, the clinician models eating it, and children are encouraged to take a bite, but they decide if they would like to try it or not. Using food chaining, children will slowly and positively increase their repertoire of acceptable food.

The Sequential Oral Sensory (SOS) approach was developed by Dr. Kay Toomey, a psychologist who specializes in Pediatric Feeding Disorders. This procedure includes another slow process of children having repeat exposures to foods prior to being forced to take a bite. For example, a child would tolerate a new food, let’s say apple slices, on their plate without expectation of eating it. Once that is tolerated, the apple will slowly and systematically move closer to their mouth, again without expectation of eating. They will touch it first with a fork or toy, then their hand, then put it on their arm, then their cheek, then kiss it, then lick it, then take a bite and spit it out, then chew, and finally swallow the apple slice. This could take a couple of days or even weeks. The idea is to allow children to have positive interactions with the food so that eating is enjoyable and they control what is placed in their mouth according to their comfort level. Eventually the child will be able to more quickly and independently follow the above steps with a new food to independently increase their diet. Children will gain confidence and learn that new foods aren’t as scary as they once thought.

The Escape Extinction approach is an effective, evidence based approach used to aid with feeding problems across all ages and is often utilized in ABA therapy by a BCBA or Behavior Technicians under the guidance of a BCBA. Eating novel food items and non-preferred food items is broken down into easier steps to aid your child with succeeding in their feeding journey. Keeping the presentation of bites and the bite sizes predictable decreases anxiety and allows the child to feel more in control during meal times. We never move up in bite size until we are certain your child is able to handle the bite at that size and has the skills needed to properly lateralize the food item, masticate the bite, and take consecutive bites. Furthermore, this approach reinforces appropriate feeding behavior while extinguishing inappropriate or disruptive feeding behaviors by not allowing the child to escape from taking bites by using a non-removal of the spoon. Often times, children will spit out food, swallow food without chewing, pack bites, turn head away from the bite, or engage in aggression. When these behaviors occur, we do not remove the bite from their lips until the bite has been taken, and provide prompts and reinforcement for taking bites and chewing appropriately.

Children enrolled in the feeding program Metro EHS Pediatric Therapy are evaluated and treated as unique individuals, so these approaches, along with others, are often combined to best help your child experience success with eating.

Sources

2019. Tooomey, Kay. SOS Approach To Feeding.
2020. Tarbox, J and Tarbax, C. Training Manual for Behavior Technician Working with Individuals with Autism Spectrum Disorder. Retrieved from Sciencedirect.com.
2021. Fraker, Fishbein, Cox, Walbert. Food Chaining: The Proven 6 Step Plan To Stop Picky Eating, Solve Feeding Problems, and Expand Your Child’s Diet. Da Capo Lifelong Books.