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What is the Intensive Feeding Therapy Program Like at MetroEHS?

As we dive into the details of the Intensive Feeding Therapy Program at MetroEHS, hear from the experts at MetroEHS and how they collaborate on the most wholistic approach to Intensive Feeding Therapy.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
When it comes to treating children who have complex feeding difficulties and pediatric feeding issues, there's a multitude of things that are typically at the root of the problem. So what's very unique about the program that we have here is that we have involvement from both occupational therapy, speech and language therapy, physical therapy, a dietician, as well as psychology.

Rose Britt (Registered Dietitian):
So it's all five disciplines. Spending time together with the family, with the patient, with each other, all talking at one cohesive time, making a plan instead of grabbing pieces from all over the place and putting them together. I think it makes it a lot smoother for us and the families as well.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
Each of our disciplines really does have something to offer to this process, but when we work all together, we have the ability to help our kiddos make more progress more quickly.

Kayla Daniels (Physical Therapist):
At Metro, we really take a whole body approach. We don't just look at one aspect of the child. And a lot of people don't think of physical therapy as part of the feeding team, but in order to eat, you have to use all of these posture and muscles, you have to hold yourself up. You have to hold your head up to be able to swallow. So really focusing on all of those aspects of your body is really important to be able to make the progress.

Azari Haygood (Psychologist):
As a psychologist on staff for the Intensive Feeding Program, I offer mental health services to the families and to some of the clients. It's very stressful for a lot of these families. It's stressful for the clients that we see. And so, I offer just another support for them, where I'm helping them kind of overcome some of the stressors that they're experiencing around feeding.

Rose Britt (Registered Dietitian):
It's not just me telling you what to do. There's so much more going into that, and you get to really listen to the families and hear why it's not working and problem solve together.

Kayla Daniels (Physical Therapist):
The impact you can make, not only on the child's life, but on the family's life as a whole is huge.

Azari Haygood (Psychologist):
Seeing that improvement in their family's lives feels really great all around.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
One in 23 children have a pediatric feeding issue. And so, to truly be able to address all of the aspects of that in one place, that's where we get to make a difference every single day.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
It's like when you have a jigsaw puzzle and you're missing one piece, you can still tell what the picture of the jigsaw puzzle is going to be, but when you have all of the pieces together, integrated into this treatment, the result is just something so much more beautiful.

As April and Autism Awareness Month have come to a close, we’re highlighting the incredible work of MetroEHS Pediatric Therapy in Metro Detroit. With multiple locations and more on the way, MetroEHS is dedicated to helping families with children on the autism spectrum and those needing specialized therapy. Today, we’re focusing on a universal challenge for parents: potty training.

Joining us are Deanna Coker, a board-certified behavioral therapist analyst, and Kelly Johns, the director of physical therapy at MetroEHS. They share valuable insights on potty training, addressing common issues and providing practical solutions.

Recognizing Readiness for Potty Training

Kelly Johns emphasizes that recognizing when your child is ready for potty training is crucial. Key signs include:

- Extended Bladder Control: Holding their bladder overnight or for several consecutive hours.

- Interest in the Potty: Playing with their diaper, showing curiosity about the toilet, or performing a "potty dance."

- Communication: Telling you they need to go or showing signs they’re aware of their bodily functions.

Addressing Potty Training Challenges

Sometimes, despite a parent’s best efforts, potty training can hit a snag. Deanna Coker points out that issues such as regression, frequent nighttime accidents, or persistent constipation might indicate underlying problems like pelvic floor complications.

Assisting with Physiological Challenges

To support children struggling with potty training, Kelly recommends several strategies:

- Blowing Bubbles: This helps relax the pelvic floor. Encourage your child to blow bubbles while sitting on the toilet or during playtime.

- Using a Squatty Potty: This stool ensures a proper 90-degree angle, aiding in effective bowel movements.

- Belly Breathing: Teach your child to focus on their belly rising and falling, which can help with relaxation and control.

Effective Potty Training Methods

Deanna shares essential potty training tips:

1. Ditch the Diapers: Transition your child to underwear to help them feel the wetness of accidents.
2. Stay Hydrated: Encourage your child to drink plenty of fluids to ensure they need to use the bathroom regularly.
3. Set a Schedule: Take your child to the potty every 20 minutes initially, allowing them to sit for a few minutes each time.
4. Positive Reinforcement: Use rewards like a sticker chart to celebrate successes. This visual progress tracker can be highly motivating for children.

Deanna shares a personal anecdote about using a princess-themed sticker chart for her daughter, highlighting how such simple tools can make the process enjoyable and rewarding for children.

MetroEHS Pediatric Therapy provides comprehensive support for various therapy needs, including ABA, speech, occupational, feeding, and physical therapies. With their expanding network of locations, they are readily accessible to families across Metro Detroit.

For more information or to find the nearest MetroEHS location, visit http://metroehs.com

**Thank you, Deanna and Kelly, for sharing your expertise and practical advice.** Potty training can be a daunting task, but with these tips, parents can navigate this essential milestone more effectively.

Parents often ask one important question before preschool or kindergarten begins:

"Is my child ready?"

Many people think school readiness simply means knowing letters, numbers, or colors. While those skills are certainly helpful, they are only one small piece of the puzzle.

The truth is that successful classroom participation depends on many developmental skills working together.

Can your child:

✔ Follow simple directions?

✔ Transition between activities?

✔ Sit with a group?

✔ Ask for help?

✔ Play alongside peers?

✔ Manage big emotions?

✔ Hold crayons and scissors?

✔ Listen during story time?

✔ Walk safely in a classroom?

These everyday abilities often have a much bigger impact on classroom success than academic knowledge alone.

Why School Readiness Matters

The first few years of school help shape confidence, friendships, communication, and lifelong learning habits.

When children enter school with strong foundational skills, they're often able to:

• Participate confidently
• Build friendships
• Follow classroom routines
• Learn alongside peers
• Become more independent

For children with autism, these foundational skills often benefit from early, coordinated support.

Introducing Superhero Academy

MetroEHS created Superhero Academy to help children ages 2-6 develop the skills needed for preschool and kindergarten through integrated therapy.

Unlike traditional therapy where each discipline works independently, Superhero Academy combines:

ABA Therapy

Occupational Therapy

Physical Therapy

Speech Therapy

Our therapists collaborate to help children practice the same skills across every therapy session.

Instead of isolated goals, children experience one coordinated learning environment.

Learning Through Play

Every month introduces a new superhero mission.

Children learn through:

• Structured play
• Sensory activities
• Group learning
• Social interaction
• Movement games
• Classroom routines
• Communication opportunities

The result is therapy that feels fun while building real-world school skills.

The Four Hero Disciplines

Sensory Squad (Occupational Therapy)

Helping children develop:

• Fine Motor Skills
• Self-regulation
• Sensory processing
• Independence

Mighty Mover (Physical Therapy)

Helping children improve:

• Balance
• Coordination
• Strength
• Motor planning
• Confidence

Communication Champion (Speech Therapy)

Helping children build:

• Expressive language
• Listening skills
• Social communication
• Early literacy

Learning Legend (ABA)

Helping children develop:

• Classroom behaviors
• Emotional regulation
• Functional communication
• Cooperation
• Peer interactions
• Independence

Building Real School Skills

Throughout the year, children practice:

• Following routines
• Listening to teachers
• Sharing
• Taking turns
• Transitioning between activities
• Solving problems
• Managing emotions
• Communicating wants and needs
• Participating in groups
• Becoming independent learners

Every milestone helps prepare them for the classroom.

Celebrating Every Hero

Children earn Hero Badges as they master new skills throughout the year.

At graduation, every child receives a Superhero Cape or Hero Champion Medal and a diploma celebrating everything they've accomplished.

Because every child deserves to feel like a superhero.

Ready to Begin?

If your child is between the ages of 2 and 6 and has been diagnosed with autism and you’ve been interested in an ABA program, Superhero Academy may be the perfect next step.

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