Taught by Dr Isabelle Beaudry Bellefeuille, this workshop is about clinical reasoning concerning children who are very selective in their food choices, or refuse to eat without apparent cause.Learning Outcomes
Identify the factors associated with feeding difficulties.
Learn to carry out a basic evaluation and treatment.
Understand the multidisciplinary approach in the treatment of feeding difficulties.
This course is open to Occupational Therapists, Speech-Language Therapists, Paediatricians and Dietitians.Overview: A proposed methodology of evaluation and treatment planning is presented. During the workshop, we review the different causes of food refusal, food selectivity, and mealtime participation difficulties to ensure a proper understanding of the feeding problem. Differential diagnosis is very important, as it is the first step in choosing the correct treatment. We therefore spend a lot of time tweaking out psychological, sensory, motor and medical issues that may all coexist, be confounded and lead to feeding problems. A multidisciplinary approach is presented through discussion of case studies. This workshop is about understanding the underlying issues so that one can choose the treatment approach which most suits the child and refer to the professional who can best meet the needs of the child. There is not a single therapeutic approach or professional domain which can effectively respond to all feeding refusal issues. Many children need a broad view of their difficulties with food acceptance and mealtime participation. The key is identifying the underlying problem or problems in order to create an individualised, often multidisciplinary, treatment plan.This workshop covers children from 6 months to toddlers; neurotypical children, children with ASD and children with subtle developmental issues. It does not focus on adults or children with cerebral palsy. Places to stay in Cornwall
[Example Course Programme (may be subject to change]
DAY 1 IntroductionBrief review of oro-facial anatomy.
Motor and sensory processes involved in feeding.
Phases of swallowing.
Brief review of normal development of feeding skills.
The new born: reflexes, anatomical considerations, development of sucking.
From 4 to 6 months: reflexes, anatomical considerations, introduction of spoon feeding.
From 5 to 8 months: reflexes, anatomical considerations, first steps towards chewing.
From 12 months on: the development of chewing.
Lunch break AfternoonFood texture workshop
Sensori-motor properties of food.
Sensori-motor skill requirements for different foods.
Evaluation process (part 1).
DAY 2 Evaluation process (part 2).
Methodology for the analysis of problem areas.
Specific treatment techniques.
Lunch breakAfternoonWorkshop on specific treatment techniques.Clinical cases presented by the instructor. Participants should be encouraged to bring in videos of some of their cases for discussion as well.DAY 3 (1/2 day) Demonstrations