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As discussed in our second episode on feeding and swallowing (Feeding and Swallowing Intervention), treating feeding and swallowing can be challenging, especially when there are questions as to whether or not sensory issues are at play. Is it a feeding behavioral issue or is it a feeding issue? Is your client a picky eater or is there a problem worthy of clinical intervention? Which treatment approach should you use and why? We had the pleasure of welcoming back Tracey Callahan for third episode on feeding and swallowing to walk us through it. Thank you again for joining us Tracey!

In this episode we review some of the questions above as well as some popular treatment approaches, including the SOFFI approach, the SOS Feeding Approach, and Food Chaining. Join us for some great information, some giggles, and of course several moments where one of us admits she knows nothing about feeding and swallowing.

This episode is offered for 1 ASHA CMH (equal to .1 ASHA CEU). If you have questions about CEUs or how this works, please see our How It Works or ASHA Professional Development pages.

Learning Outcomes

1. List factors to consider before starting treatment of feeding and swallowing.

2. Identify two formal approaches to feeding treatment.

3. In general, explain what sensory components should be considered during therapy.

References

Fraker, C. (2007). Food chaining: The proven 6-step plan to stop picky eating, solve feeding problems, and expand your child's diet. New York: Marlowe.

Fraker, C., Dawson, M. L (2019, October 9). Food Chaining with Cheri Fraker, MS, CCC-SLP, CLC [Audio Podcast]

Online Resources

SOFFI: Supporting Oral Feeding in Fragile Infants in the NICU: https://www.feedingfundamentals.com/

SOS Feeding Approach: https://sosapproachtofeeding.com/

The Oucher Pain Scale: http://www.oucher.org/downloads/instructions_english.pdf

Disclosures:

Financial: Tracey is currently employed in a private practice setting in Boston MA, owns her own practice and is launching a new online learning platform called guest monster games. Kate Grandbois is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast. Amy Wonkka is an employee of a public school system and co-founder of SLP Nerdcast.

Non-financial: Tracey is a member of ASHA and the corresponding special interest group for Dysphagia (SIG 13). Kate and Amy are both members of ASHA, SIG 12, and both serve on the AAC Advisory Group for Massachusetts Advocates for Children. Kate is a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG.

Time Ordered Agenda:

10 minutes: Introduction, Disclaimers and Disclosures

20 minutes: Review factors to consider before beginning feeding therapy

15 minutes: Review common approaches to feeding therapy and common sensory components

10 minutes: Review a case study

5 minutes: Summary and Closing

Disclaimer

The contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we’ve missed, or another perspective that isn’t shared. If you have something to add to the conversation, please email us! Wed love to hear from you!

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