I have taken A LOT of courses over the years, and I take bits and pieces from all of them. You will find great ideas out there, but it is all in the way you pull them together and present them to the child, and then HOW YOU RESPOND to the child and what they are communicating that makes all the difference.
Jenny McGlothlin MS, CCC- SLP
Our book, Helping Your Child with Extreme Picky Eating primarily supports parents and children at home, while introducing therapeutic tips and techniques. But many children need and benefit from the expertise of a trained SLP or OT. There are many providers of continuing education, and since most of your training will happen after you graduate, it can be hard to know where to turn. The thing about food chaining, bridging, SOS, crumbing, oral motor work… is that these techniques are tools in your kit. Many strategies can be used within our STEPS+ framework and a trusting therapeutic relationship. I hope that the links on this page will give you ideas for further reading, training, and resources to help you best help children and families.
TIP: I use phrases like “I can …..” or “Sometimes I like to…” or “I wonder what would happen if I …(broke this, dipped it, mashed it)?” This language give the child an option, and avoids giving them a directive which they then may resist or reject.
The Trust Triangle
( Copyright, 2016: Jenny McGlothlin)
When incorporating the STEPS+ approach into therapy, you can’t separate the child’s reactions to food from the larger feeding context, just as you can’t separate the sensory and motor systems when viewing feeding skills.
The dynamic triangle helps us understand the relational aspect of therapy.
- Child relationship with parent/therapist: child learns what and who to trust when it comes to food, with the child’s challenges filtered through that dynamic
- Parent relationship with therapist: parent learns new way to view their child’s behaviors and how to promote improved skills
SAMPLE OF RECOMMENDED COURSES
you may need to google upcoming dates
- AEIOU feeding therapy with Nina Ayd Johanson
- Catherine Shaker MS/CCC-SLP, BCS-S
- SOFFI (Supporting Oral Feeding in Fragile Infants) with Erin Ross PhD, CCC-SLP
- Diane Bahr CCC-SLP live and online e-courses
- Debra Beckman Beckman Oral-Motor
- Can EAT approach from Mealtime Notions (Marsh Dunn-Klein MEd OTR/L)
- New Visions Mealtime Partners workshop with Suzanne Evans-Morris PhD SLP
SOME OF OUR FAVORITE BOOKS AND BLOGS
- Interview with Marsh Dunn-Klein on Get Permission approach, techniques and EZPZ products
- Pre-Feeding Skills (2nd Edition) Suzanne Evans-Morris, Marsha Dunn-Klein
- Nobody Ever Told Me (Or My Mother) That!: Everything from Bottles to Breathing to Healthy Speech Development: book by Diane Bahr, SLP
- New Visions Online Articles a treasure trove from Suzanne Evans-Morris PhD, SLP
- Mealtime Notions Articles and Tube Feeding Recipe book and resources from Marsha Dunn-Klein OT
- Mama OT blog and resources from a pedi OT and feeding therapist
- Catherine Shaker MS/CCC-SLP, BCS-S blog
- Spectrum Pediatrics blog by pediatric speech and feeding therapists, and resources
- YourKidsTable blog by Alisha Grogan, mom and Pediatric OT
Helpful Articles and Research
- Kerzner paper in Academy of Pediatrics Classifying and managing feeding challenges
- Mei 2004 article on shifts in percentiles in children’s growth http://1.usa.gov/1RlEthS
- Failure to Thrive Current Clinical practice, Jaffe, Pediatric Review 2011
- Legler paper Assessment of Abnormal Growth Curves
- Hobart Davies paper Reconceptualizing Feeding and Feeding Disorders in Interpersonal Context
- Zucker article on psychological and psychosocial impairment with selective eating
- 5 Common Problems behind extreme picky eating Real Mom Nutrition blog
- Suzanne Evans-Morris SLP PhD on the importance of happiness at mealtimes
- Autism and branching out article by Marsha Dunn-Klein MEd, OT
- Sensory input and the mouth article by Suzanne Evans-Morris SLP, PhD
- Black and Aboud framing of Responsive Feeding
- Mothers with eating disorder may struggle with feeding cues and responsive feeding Squires 2014 paper
- Concept of Pediatric Feeding Problems from the Parent Perspective Estrem, et al. 2016 paper
“Responsive feeders follow the concept of a division of responsibility…”
RESPONSIVE FEEDING RESOURCES
- Feeding With Love and Good Sense II DVD: from Ellyn Satter. Typical feeding and development with family videos from birth to age five.
- Child of Mine book, Ellyn Satter
- Secrets of Feeding a Healthy Family: How to Eat, How to Raise Good Eaters, How to Cook book, Ellyn Satter