Pediatric Feeding Disorders

Children who are born prematurely and children with developmental delays may be at risk for feeding problems.  Signs of feeding issues in younger children are often low weight for their age and problems sucking, chewing or swallowing.  They may be restrictive in the amount and types of foods they will eat or refuse solid foods altogether.  Children who engage in food refusal may also exhibit problem behaviors at meal time such as swiping or throwing foods, choking, gagging, vomiting, crying, and/or screaming (tantrums) that disrupt mealtime for the entire family.

Our approach begins with an in-home evaluation to develop a treatment plan based on direct observation of the child during at meal time and an interview with the parents.   Treatment includes direct feeding support at mealtimes, parent training, and systematic intervention that allows parents to focus on step-by-step goals.  Goals focus on monitoring the following for treatment success:  decreasing inappropriate behaviors, increasing weight, increasing food and liquid intake, increasing the texture and variety of food while decreasing reliance on bottle/g-tube feeding.


Meal times are traditionally family centered therefore our program is family focused with the majority of the training being parent based.  Parents are present during each session with the child and carry over the feeding techniques for meals when staff are not present.




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