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Practical strategies for parents and teachers when supporting a child who is struggling to eat

Once we understand the many reasons a child in our care may struggle to eat, and we understand that selective eating may be a red flag for an underlying neurodevelopmental or sensory integration difference. Then as caregivers, we ask what can I do next? Which practical strategies can I use at home or in school to support a child who is struggling with eating?

The first and most important step is to have a child evaluated by a trained and registered medical professional, it is important to rule out medical conditions. A specialist speech and language therapist will be able to check that a child can swallow safely.

An occupational therapist can assist with feeding and eating difficulties because both feeding and eating are occupations, and so this is their area of expertise. The therapist might look at how eating can be broken down into smaller easier steps that a child can manage, or suggest that you change something in the environment such as finding more suitable seating, reducing noise, smells or distractions. An occupational therapist with post-graduate training in Ayers’ Sensory Integration will be able to both assess and treat any underlying sensory integration and processing difficulty which can be interfering with eating. In this post-Kath Smith (OT) talks about how a child’s gross motor movements, seating and posture can interfere with eating, and how these can be addressed by an occupational therapist.

But what next? what can we do at home and in school to support therapy? How can we transfer the things we have learned from the therapist to our own environments and to the (at least) 6 opportunities a day we get to interact with our kids to support them to become confident, adventurous eaters.

Here are some of the strategies we have tried, every child is an individual and so some ideas will work and some won’t. I also say, its best to take baby steps in the right direction, big changes that happen quickly are not helpful for anxious children. Just make one small change, as they say, Rome was not built in a day!

  1. Keep an open mind, Listen to what the occupational therapist is saying, you are the expert in your child, but she is the expert in supporting our kids to overcome the difficulties they face. It is very likely that your therapist has seen and treated other children with similar issues before. This works best when we collaborate.
  2. Ditch the rewards, punishments and star charts.
  3. Think about seating
  4. Reduce sensory overload from the environment
  5. Reduce stress and pressure
  6. Pick your battles
  7. Use a visual support
  8. Try to understand how your child views food
  9. Make it fun
  10. Serve a buffet
  11. Model Model Model…

For more ideas have a look at these blogs and websites

From the Empowered Educator – 15 Strategies to encourage SPD toddlers to eat!

From Ellyn Satter Institute – The Division of Responsibility in Feeding 

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Get moving and have fun over the festive season

Make sure you get your body moving to stay warm and get in the Christmas spirit.

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Research Updates: DCD and Sensory Integration

So often people ask about DCD and sensory integration, and often the reply given is a quote from Bundy Lane

A recent study concluded that

“Our findings indicate that sensory processing abnormalities may contribute to the pathophysiology of DCD, suggesting the importance of assessing sensory processing functions in children with DCD.”

MIkami et al, 2020

This useful article from Pathways is often also referred to; https://pathways.org/developmental-coordination-disorder-and-sensory-processing-issues-in-children/

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Connection and community matters

Summer is here, and we have hope that we are now leaving behind the struggles of Spring 2020 and C-19. The world has been reminded about the importance of social relationships – we have all realised how much we value family, friends and having strong support and connections. Stay with us or join us and be a part of our Sensory at Home communities as we enter a new phase after being ‘sensory stuck at home’.

Sensory at Home

Sensory at Home Teens

Sensory at Home Grown-Ups

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Practice Update: The Brain and Covid-19

A great clip from the BBC – with input from Dr Susan Whitbourne who has been providing insight into our behaviours throughout this pandemic.

Creating Sensory Ladders online during telehealth has been one way OT’s across the UK have been supporting the mental health of children, teens, adults and students manage their health and well-being during COVID lockdown. You can see some of these and read more here. http://www.sensoryladders.org

If you have made a Sensory Ladder during Covid-19 you are happy to share, please post to our Sensory Ladder FB page community or send to us via our Contact Us link on this website.

‘But, in our brains, there’s a lot of screaming going on right now…’

Whitbourne, Susan (2020)

You can read the full article here.

https://www.magzter.com/article/Culture/The-Walrus/Your-Brain-on-COVID-19

Dr Whitbourne’s commentary and views about why some people felt and may still feel that they won’t be affected by this virus is fascinating and will help healthcare professionals understand why some people struggle with the idea of lockdown and guidance on social distancing. https://www.psychologytoday.com/gb/blog/fulfillment-any-age/202004/why-do-some-people-think-theyre-invulnerable-covid-19