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    Handout: Feeding and Swallowing Interventions: Sensory Considerations

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Course Description and Learning Outcomes

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.

  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.



Course Presenters

Director of Continuing Education, SLP Nerdcast Tracey Callahan, MS, CCC-SLP, CLC

Tracey has been been a Speech Pathologist for over 10 years and has worked in public and private schools, early intervention, outpatient, inpatient rehabilitation, and most recently private practice. She has experience with children and adults addressing swallowing, language, and cognition. She has a lot of experience with feeding and swallowing and has presented on the topic locally, at the annual ASHA convention and also internationally. Tracey Callahan financial disclosures: Tracey is employed in a private practice setting in Boston MA, owns a private practice, and is the owner of an online learning platform called Guest Monster Games. Tracey Callahan non-financial disclosures: Tracey a member of ASHA and the corresponding special interest group (SIG 13) for Dysphagia.

SLP/BCBA; SLP Kate Grandbois (she/her) & Amy Wonkka (she/her

Kate and Amy are co-founders of SLP Nerdcast. Kate is a dually certified SLP / BCBA who works primarily as an "AAC Specialist." She owns a private practice with a focus on interdisciplinary collaboration, augmentative alternative communication intervention and assessment, and consultation. Amy is an SLP who also works as an "AAC Specialist" in a public school setting. Amy's primary interests are AAC, typical language development, motor speech, phonology, data collection, collaboration, coaching, and communication partner training and support.

Speaker Disclosures

Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast. Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also 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. 

Amy Wonkka financial disclosures: Kate is an employee of a public school system and co-founder of SLP Nerdcast.  Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.

Tracey Callahan financial disclosures: Tracey is employed in a private practice setting in Boston MA, owns a private practice, and is the owner of an online learning platform called Guest Monster Games. Tracey Callahan non-financial disclosures: Tracey a member of ASHA and the corresponding special interest group (SIG 13) for Dysphagia.



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



References and Resources

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] 


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




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! We'd love to hear from you!





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