Children with SPD might demonstrate:
Refusal of developmentally appropriate foods or liquids
Accepting a restricted variety of quantity of foods or liquids
Inappropriate behaviors during mealtime
Inability to master self-feeding skills expected for developmental levels
Inability to use developmentally appropriate feedings utensils
Often used with those diagnosed with ASD, or are "picky eaters"
Pediatric Feeding Disorder
Sensory Processing Disorder (SPD)
Patient will tolerate licking a previously preferred food item of any consistency for 2 seconds over three consecutive sessions as observed by SLP data.
To treat SPD, behavioral interventions are recommended based on the principles of behavioral modification. The Idea Is to increase appropriate behaviors during mealtimes like increasing compliance to various foods and reducing maladaptive behaviors related to feeding. (ASHA)
Food Chaining: This technique builds on food repertoire starting with preferred food (i.e., trying different colors of goldfish, different restaurants' french fries). See book link.
Sequential, Oral, Sensory (SOS) Approach to Feeding: A transdisciplinary program for assessing and treating. Integrating motor, oral, behavioral, medical, sensory, and nutritional factors (Toomey, 2011)
Children's Therapy Solutions, Inc
Previously preferred food of various consistencies.
Overview:
Observation of client performance, parent report of mealtimes throughout the week, expected outcomes that were and were not achieved, and difficulties encountered during the task.
Include the following:
Food presented and Its consistency
Prompt level and number of prompts required with each consistency
Number of trials food was presented
Home Management Training (HMT): any education/coaching, handouts or resources provided to the family/caregiver.
S: Subjective Information- Observation of client
O: Objective Information- Data collection
A: Assessment- Analysis of S & O
P: Plan- Treatment Plan, Counseling, Referral, Monitoring & Follow-Up
