Feeding disorders are very common. Though it is hard to quantify, “[a]pproximately 20-50% of normally developing children, and 70-89% of children with developmental disabilities” (1) have a feeding disorder. How does this happen so frequently?!

According to Dr. Kay Toomey’s research and reviews of other studies, of children who have feeding disorders, between 65-95% of cases are caused by both behavioral and natural, organic causes (2017) (2). In other words, more often than not, a feeding disorder is not just behavioral! For example, a child that has undiagnosed reflux or allergies has learned to refuse food, because they have learned that food causes them to have an upset stomach. They may continue to refuse food even after receiving treatment for the initial physiological problem. A child that has choked on some solids because of undiagnosed oral dysphagia will begin to only eat liquid and purees to avoid choking. A child that is refusing crunchy foods could have sensory processing disorder and benefit from desensitization. A child that is having a hard time breathing will refuse food in order to get enough oxygen to survive. The examples could go on and on. Every child is different, and needs to be diagnosed and treated holistically.

Some signs that may indicate your child could have a feeding disorder include:

• If your child eats less than 20 foods
• If mealtimes take more than 30 minutes
• If they refuse all of food of a certain texture or color, or are they having difficulty transitioning to solids
• If they are choking, coughing, or gagging while eating
• If they are demonstrating a lot of negative behaviors during meal times
• If they have difficulty with mealtime routines or have a hard time sitting at the table
• If they have difficulty chewing or swallowing (example: food left in their mouth after they’ve finished eating)

If you think your child could have a feeding disorder, or you feel that you’ve exhausted your options at home and don’t know where else to go, your child could likely benefit from a feeding evaluation and possibly feeding therapy. A pediatric feeding specialist can help you determine the cause, if a cause is present, make appropriate referrals, and plan the best course of treatment. Slowly, your child will become an adventurous and independent eater!

Sources:

1. 2013. June 13. Banchaun Benjasuwantep, Suthida Chaithirayanon, and  Monchutha Eiamudomkan. Feeding Problems in Healthy Young Children: Prevalence, Related Factors and Feeding Practices. Published online 2013 Jun 13. doi: 10.4081/pr.2013.e10
2. Toomey, Kay (2017). Top Ten Myths of Mealtime in America. SOS Approach to Feeding. https://sosapproach-conferences.com/resources/top-ten-myths-of-mealtime-in-america/

‍

MetroEHS emphasizes that ABA therapy is not a lifelong commitment but a structured program aimed at equipping children with essential skills. From the outset, each child receives an individualized treatment plan tailored to their unique needs and developmental goals at MetroEHS Pediatric Therapy.

Dawn Sterling, Regional Director of Behavioral Health at MetroEHS, explains, “We like to think of working ourselves out of a job… it’s not necessarily a lifelong thing that you have to experience, especially for those that are in ABA therapy.” This perspective underscores the organization’s commitment to empowering children to achieve independence.

Individualized Planning and Early Intervention

The process of graduating from ABA therapy is highly individualized. Ashley Lewis, Clinical Director at MetroEHS, notes that planning for graduation begins early in the therapy process. “We like to start talking about graduation early… so that we know what goals that we want to go for and how we want to target each and every one of those goals,” she says. This proactive approach ensures that therapy is goal-oriented and progress is continuously monitored.

Early intervention is a cornerstone of MetroEHS’s philosophy. By engaging children in therapy at a young age, the likelihood of achieving developmental milestones and preparing for school increases significantly.

Life After ABA Therapy

Graduation from ABA therapy marks the beginning of a new chapter. Post-graduation, children may continue to receive support through other services offered by MetroEHS, such as speech therapy, occupational therapy, and participation in social or playgroups. These services aim to reinforce the skills acquired during ABA therapy and ensure their application across various environments .

The goal is to prepare children for success in school and beyond, fostering independence and confidence in their abilities.

Learn More About MetroEHS Services

MetroEHS Pediatric Therapy offers a comprehensive range of services designed to support children with developmental challenges. For more information about their programs and how they can assist your family, visit metroehs.com or call 248-970-8402

Embarking on the journey through ABA therapy with MetroEHS means partnering with a team dedicated to revealing the “super” in every child.

AAC Devices in Pediatric Therapy

AAC is the term used to describe any form of communication that a person can use that is not speech. This may include pointing to pictures of what the person wants, using sign language, or using a device that will speak a message when a specific button is pushed.

MetroEHS can boast a 100% success rate in supplying clients with these crucial communication devices giving a voice to our superheroes.

When Should AAC be Considered for a Child?

An AAC device should be considered for any child whose speech output is not adequate to fully communicate their wants and needs.

Things to consider:

-Child’s frustration levels

-Adult frustration levels

-Access to school curriculum

-Participation in classroom activities

-Ability to demonstrate knowledge to teachers

-Access to home and community environment

-Ability to interact appropriately with family and peers

-Independence in developmentally-appropriate daily activities

MetroEHS partners with an AAC company and a medical equipment company. These companies serve as consultants for Metro EHS SLPs as we work toward supplying families with AAC devices. Some AAC tools are covered by insurance, but some are not. MetroEHS Pediatric Therapy will help you understand your options.

The Process:

Step One: Our SLPs identify kiddos who might benefit from using AAC!

Step Two: We begin trialing different devices and different communication systems determining which systems work best for each individual client. There are several devices and programs to choose from.

Step Three: Once the SLP determines which system works best, an AAC evaluation is submitted to the client's pediatrician for review. If the pediatrician approves, we obtain a prescription for the device, much like obtaining a prescription for a splint, or other form of medical equipment.

Step Four: When the prescription is received, the prescription and evaluation report are all submitted to the insurance company.  Once approved, the device is ordered!

Step Five: The device is delivered to the family and they family receives assistance with set up and demonstration.  The device fully belongs to the child.

After the device is in the hands of our client, MetroEHS SLPs work with the family and the client to integrate the device into their world in speech therapy.

With Locations all over South East Michigan and excellent Speech Therapy services, MetroEHS Pediatric Therapy is here to help. Browse through our Locations Page to find a Local Therapy Center near you!