During my first year of grad school, I was assigned to work with a client that required feeding therapy. I had no idea where to begin or what to do. I did A LOT of research and created some helpful materials along the way! I am not claiming to be an expert…I have SO much more to learn. I hope that I can share some materials, activities, tips and tricks I learned to help someone else.
Where to start?
The first thing I did was gather a basic case history. After that, I provided the child’s family a food log. This food log gave me insight into what the child typically eats, a glimpse into mealtime in their home, behaviors that occur, and how the parents are handling those behaviors. I asked the family to complete the food log for seven days, so I could get an accurate representation of the child’s diet.
- 7 days
- time of meals
- location and people present at meal time
- foods offered/foods introduced
- reaction to foods
- amount of foods/drinks consumed
- behaviors that occurred
- how parents reacted to behaviors
After that, I provided the family with a detailed questionnaire. This gave me additional insight into sensory concerns, preferred and non-preferred foods/drinks, escape behaviors, anxiety, food jags, parent concerns, parent priorities, behavior concerns, and medical concerns. Any time there is a feeding/eating concern it is important to rule out a medical cause/gastrointestinal health issues. This information can help you determine the root of the issue.
- 40 questions analyzing the following:
- family dynamic
- food aversions and sensitivities.
- This questionnaire can help plan treatment, assessment, and intervention for individuals with feeding, anxiety, or sensory concerns.
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Determining the root of the problem:
The information obtained from the case history, food log, and detailed parent questionnaire can help narrow down the root of the problem. Here are some options to consider…
- sensory based
- behavior based
- anxiety based
- lack of exposure