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Jessica Hunt & Angela Mansolillo – Treating Complex Feeding & Swallowing Issues in Children: Targeted Sensory, Motor, and Behavior Techniques for Dysphagia, Autism, Cerebral Palsy and other Developmental Delays
…Do you work with special needs children who cry or scream, throw food, refuse to sit at a table and eat, or refuse to try new foods?
…Do you know children who eat only a limited number of foods or only eat the same food over and over?
…Is going to a restaurant out of the question for the families you work with?
By the time you see a family dealing with complex feeding issues, they’re often in severe distress and extreme dysfunction. They’re exasperated and frustrated from bribing their child to eat, and they have read every parenting blog on how to help a “picky eater.” They just want their child to get the nutrients they need to thrive.
After working with families and complex feeding issues for over 17 years, I’ve discovered the interventions that work. And now I want to show you the customized tools, strategies and interventions you need to improve treatment outcomes.
Join me for my new online course, and I’ll give you step-by-step guidance on how you can make mealtimes more peaceful and positive. Through comprehensive lessons, case studies, and video case examples, you will learn exactly what you need to do to successfully treat feeding difficulties in children with Autism, Cerebral Palsy and more.
You’ll walk away with advanced techniques to:
- Evaluate the causes of mealtime difficulties: behavior, sensory, oral motor, or a combination
- Increase range of foods, decrease food jags
- Improve jaw strength and decrease ineffective lip closure, or poor tongue lateralization
- Integrate deep breathing and proprioceptive input to address self-regulation at the table
- Increase self-regulation around feeding
- Use food play and exploration to improve food acceptance
- Educate parents and caregivers to promote carryover at home
- … and so much more
Don’t wait to join me for this top-tier training on Treating Complex Feeding & Swallowing Issues.
Yours in learning,
Jessica Hunt, OTR/L
What will I learn?
Through intriguing videos, case studies, and masterful explanation, you will learn how to apply the latest findings from research to your treatment protocols in practical, effective ways.
This intensive session will provide you the knowledge you need to:
- Evaluate how sensory processing, behavior and oral motor skills impact or interfere with each child’s ability to eat
- Role play how to implement sensory techniques during and prior to meal times to address difficulities such as not wanting to touch certain foods or sit at the table
- Implement oral motor exercises and strategies to promote feeding patterns such as rotary chewing pattern, lip closure and tongue lateralization
- Explore the misconceptions about feeding that impact special needs children
- Understand the behaviors that interfere with eating and devise strategies to address the behavior
- Support and guide parents and caregivers through often emotional or stressful meal times
Sensory, Motor, and Behavior Techniques for Autism, Cerebral Palsy and other Developmental Delays
The Complexities of Feeding
- Definition and prevalence – new information; move toward Pediatric Feeding Disorder
- Overlap of sensory processing skills, oral motor skills and behaviors
- Normal developmental key points
- Neurological foundations
- Trauma, feeding and impact on brain
- NICU and medical trauma, NG Tubes, trachotmesty, etc.
- Negative experience around feeding gagging, retching, pain with eating
Evaluation of Feeding Skills
- Differentiate between sensory overload and behaviors during feeding
- Activity analysis of feeding – Evaluation videos and group analysis
- Information obtained – what questions to ask
- Oral motor evaluation – jaw, lips, tongue strength; range of motion for feeding
- Hands-on draw to learn lab
Sensory Integration Strategies
- Research-backed sensory play-based approach
- Decrease sensory over-responsivity to foods
- Use food exploration/cooking for older kids
- Self-regulation to engage body during feeding
- Core engagement
- Breathing exercises
- Therapeutic use of music
- Heavy work
Oral Motor Skills
- Lab – Oral motor exercises, kineseotaping, stretching
- Children who don’t swallow safely – saliva management, increase swallowing
Taste Lab – Sensory feedback and motor requirement needed for each food texture
- Progression of food texture
- Match food presented in therapy to child’s sensory needs and motor skills
- Nutritional considerations
Behaviors During Mealtimes: Environmental Strategies to Set Children Up for Success
- Manage common mealtime behaviors – throwing foods, not sitting, crying during mealtimes
- Increase cooperation using the “just right challenge”
- Shift between treatment frameworks
- How to use the “feeding roadmap”
Special Considerations
- Autism
- Cerebral Palsy
- Down Syndrome
- Children who don’t eat by mouth/G-Tube
- Medically complex children
Promote Carry-Over At Home
- Educate parents who are stressed and in survival mode
- Help families have realistic expectations
- Easy-to-implement home programs that parents will do
- Help parents to change the relationship between child and food
Meet the Course Experts:
Previously, she worked for 10 years at Kaufman Children’s Center as the director of occupational therapy and sensory integrations programs and then as the director of feeding and oral motor programs. She is certified in sensory integration, receiving her Sensory Integration and Praxis Test (SIPT) certification in 2008, and studied with Lucy Jane Miller, PhD, OTR, who is nationally recognized for sensory research, education, and treatment.
She gained expertise in “picky eating,” oral-motor therapy through trainings that include the Beckman Protocol and Talk Tools, behaviors issues with feeding, feeding strategies for children who have autism, and treating medically challenging children. She is also trained in craniofacial therapy, advanced training in Therapeutic Listening, Integrated Listening System, and Handwriting without Tears.
She received her bachelor’s degree in occupational therapy from Wayne State University in 2003.
Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and Board Recognized Specialist in Swallowing Disorders with over 21 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she is involved in evaluation, treatment, and program planning for adults and children with dysphagia.
In addition, she is a clinical supervisor and adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. For over 15 years, she has worked in a variety of clinical settings, provided numerous regional and national presentations and served as guest lecturer at several colleges and universities throughout Massachusetts.
Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College and earned her Master of Arts in speech-language pathology from the University of Connecticut. She is a member of the American Speech-Language-Hearing Association and is a member of Special Interest Division 13, which focuses on swallowing and swallowing disorders.
Speaker Disclosures: Financial: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a speaking honorarium from PESI, Inc. Non-financial: Angela Mansolillo is board certified specialist, Swallowing and Swallowing Disorders of the American-Speech-Language-Hearing Association.
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