Feeding and Swallowing – Feeding Therapy Sessions – The Children’s Hospital of Philadelphia (3 of 6)

>> WHEN IT IS TIME FOR YOUR
CHILD’S FEEDING THERAPY SESSION, OUR STAFF WILL WATCH YOUR
CHILD WHILE YOU MAKE YOUR WAY TO THE OBSERVATION ROOM. THE GOAL OF EACH FEEDING THERAPY
SESSION IS TO HELP YOUR CHILD SUCCESSFULLY EAT BY HAVING THEM
FOLLOW A SET OF MEALTIME RULES. AT THE BEGINNING OF EACH MEAL,
YOUR CHILD WILL HEAR THE SAME BASIC RULES. >> JAKE, IF YOU TAKE YOUR BITE,
THEN WE GET TO PLAY. IF YOU DON’T TAKE YOUR BITE,
I’M GOING TO HELP YOU. AND IF YOU STILL DON’T TAKE YOUR
BITE, YOU WON’T GET TO PLAY. GIVE ME FIVE. >> WHEN YOUR CHILD FOLLOWS THE
THERAPIST’S INSTRUCTIONS TO TAKE A BITE THEN THEY’LL BE REWARDED
WITH TOYS AND CHEERING. AFTER THEY HAVE HAD A CHANCE TO
PLAY THEN WE’LL TAKE THE TOYS AWAY AND THEN INSTRUCT THEM AGAIN. >> TAKE YOUR BITE. >> IF YOUR CHILD DOES NOT FOLLOW
THE INSTRUCTIONS THEN THEIR CONSEQUENCE WILL BE VERY DIFFERENT. RATHER THAN GETTING THE TOYS
AND OTHER REWARDS, ALL THE TOYS WILL BE PLACED OUT
OF THEIR REACH AND THE THERAPIST WILL TURN AWAY FROM THEM. THIS IS TO TEACH THEM THAT THEY
WILL NOT GET ANY ATTENTION OR ANYTHING FUN WHEN THEY REFUSE TO EAT. AFTER BEING IGNORED FOR A SHORT
PERIOD, THE THERAPIST WILL OFFER ANOTHER BITE AND INSTRUCT YOUR
CHILD AGAIN, “TAKE A BITE.” THE PRIMARY GOAL OF THESE
FEEDING SESSIONS IS TO ESTABLISH A CONSISTENT SET OF EXPECTATION
FOR YOUR CHILD’S BEHAVIOR. THE RULES THAT YOUR CHILD IS
LEARNING PUTS YOU IN CHARGE OF THE MEAL. WE USE POSITIVE REINFORCEMENT
TO ENCOURAGE YOUR CHILD TO EAT BY PROVIDING PRAISE AND ATTENTION
FOR GOOD BEHAVIORS SUCH AS CHEWING, SWALLOWING AND ACCEPTING THE BITE. IGNORING REFUSAL BEHAVIORS SUCH
AS THROWING FOOD OR CRYING WILL DISCOURAGE YOUR CHILD FROM
DEMONSTRATING THOSE BEHAVIORS. KEEP IN MIND THESE FEEDING
THERAPY SESSIONS WILL NOT LOOK LIKE A TYPICAL MEALTIME. FOR EXAMPLE, YOUR CHILD WILL
ONLY EVER SEE ONE BITE OF FOOD AT A TIME AND ONLY VERY SMALL BITES. THIS WILL KEEP YOUR CHILD FROM
FEELING OVERWHELMED BY SEEING TOO MUCH FOOD IN FRONT OF THEM. OUR GOAL IS TO HELP YOUR CHILD
BE SUCCESSFUL WITH FOLLOWING THE MEALTIME RULES
AND ACCEPTING THEIR BITES. THE ULTIMATE GOAL IS TO PROVIDE
YOU A WAY OF MANAGING YOUR CHILD’S BEHAVIORS AT
MEALTIMES EFFECTIVELY. THE FIRST STEP IN THE TRAINING
PROCESS IS TO OBSERVE YOUR CHILD’S THERAPY SESSIONS. YOU WILL LEARN ABOUT THE FEEDING
THERAPY STRATEGIES BY WATCHING THE THERAPIST AND YOUR CHILD
INTERACT WITH ONE ANOTHER. YOU WILL SEE HOW THE THERAPIST
RESPONDS TO ANY REFUSAL BEHAVIORS MANAGING THEM THROUGH
THE USE OF THE STRUCTURED MEALTIME PROTOCOL AND HAVING
YOUR CHILD TAKE THEIR BITES. THE GOAL IS FOR YOU TO LEARN TO
USE THE SAME TECHNIQUES AS THE FEEDING THERAPISTS TO INCREASE
YOUR CHILD’S ACCEPTANCE AT MEALS. STAFF WILL SPEAK WITH YOU ABOUT
THE SESSIONS YOU ARE WATCHING AND WILL BE ABLE TO ANSWER
QUESTIONS THAT YOU MAY HAVE. YOU ARE ENCOURAGED TO ASK
QUESTIONS TO LEARN AND UNDERSTAND AS MUCH AS POSSIBLE ABOUT THE MEALTIME
RULES BEING USED WITH YOUR CHILD. WHEN YOU WATCH THE MEALS, PAY
ATTENTION TO BOTH THE THERAPIST AND YOUR CHILD. WHAT IS THE THERAPIST DOING? WHAT IS YOUR CHILD DOING? HOW DOES THE THERAPIST REACT
TO YOUR CHILD’S BEHAVIORS? THERE ARE HANDOUTS IN THE
OBSERVATION ROOM THAT CONTAIN HELPFUL INFORMATION ABOUT THE
FEEDING STRATEGIES THAT WE USE. EACH MEAL WILL BE RECORDED FOR
REVIEW BY STAFF AND CAREGIVERS. WHEN THE THERAPY SESSION IS OVER,
YOU WILL MEET YOUR CHILD AND YOUR THERAPIST AGAIN. BE HAPPY AND EXCITED FOR YOUR
CHILD WHEN YOU SEE THEM AGAIN. THEY DID A LOT OF HARD WORK
AND ARE LEARNING TO FOLLOW THE MEALTIME RULES. YOUR TIME IN THE OBSERVATION
ROOM IS A GOOD OPPORTUNITY TO START THINKING ABOUT THIS NEW
WAY YOU WILL EAT WITH YOUR CHILD AT HOME AFTER YOU HAVE BEEN TRAINED
IN THE FEEDING THERAPY TECHNIQUES.

12 comments

  1. My child 3.6 years old  she did not eat well she didnot feel hunger and not like any food plz give me some suggestiins she refuse any meal.

  2. I need to try this at home with my son I’m having problems with him he doesn’t wanna eat anything and was already referred to a dietitian.

  3. My 10 months old daughter is such picky and I am trying hard to learn how to feed her in a happy environment. Do you offer online help?

  4. That therapist is the real captain of America to me 🌷 😁
    Ur family is / will be so blessed with such a father

  5. I have been doing this from long time before seeing this video. Now she is 5 year old and if I feed her normal dinner she cant keep it in she vomits

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