Childing working with SLP in Feeding Therapy - peeling a banana

Pediatric Feeding Therapy

Siskin Children’s Institute is proud to offer pediatric feeding services to children
and families in Chattanooga. This program is sponsored by the Rotary Club of Chattanooga.

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What Is Feeding Therapy?

Any parent of young children can tell you that mealtimes can be a struggle. But when those feeding challenges impact your child’s health and ability to thrive, your child may benefit from pediatric feeding therapy.

Pediatric feeding therapy uses evidence-based care to support children with feeding difficulties such as trouble with breast or bottle feeding, transitioning to solid foods, or selective eating. The goal is to help children develop the skills and behaviors needed to enjoy a healthy, balanced, and varied diet.

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Individuals with limited English proficiency will have access to free interpretation and translation services.

Therapy Service Providers

Rachel Garber, OTR/L

Therapy Team Lead

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Meghan Robinson, OTD, OTR/L

Director of Therapy Services

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Meet Letty and discover how Siskin is helping her reach her goals.

When Letty was first born she didn’t eat well. Her parents were worried and knew something was wrong.

At five weeks old Letty was diagnosed with pyloric stenosis. Letty would later develop erosive esophagitis which created a food aversion. By five months old Letty decided that it hurt too much to eat and she wasn’t going to eat anymore. Letty’s family was worried and needed to find help for the daughter.

Then they were referred to Siskin Children’s Institute. At Siskin, Letty’s parents worked with the therapy team to get the services they need. Now Letty is showing improvements everyday and has the support she needs to grow.

Letty's Story

Feeding Therapy at Siskin

Siskin Children’s Institute takes a multidisciplinary, evidence-based approach to assessing and treating feeding difficulties in children. Our team includes pediatric feeding specialists from the fields of speech-language pathology, occupational therapy, and behavioral psychology/behavior analysis. We also collaborate closely with other specialties—such as gastroenterology, allergy/immunology, neurology, and pediatrics—to evaluate the many factors that may impact feeding. Together, our team is dedicated to understanding your child’s unique challenges and developing an individualized treatment plan that supports meaningful progress.

Who has feeding disorders?

There are a number of medical, nutritional, developmental/skill, and psycho-social factors that can contribute to the onset of a feeding disorder. Some common conditions that co-occur with feeding disorders include:

Avoidant restrictive food intake disorder (ARFID)
Behavior challenges
Delayed exposure to a variety of foods
Developmental disabilities such as autism
Duodenitis, or inflammation of the lining of a part of the small intestine
Esophagitis, or inflammation of the esophagus
Failure to thrive
Food allergies
Gastritis
Gastroesophageal reflux disease
Motility disorders
Oral motor dysfunction (dysphagia, swallowing problems)
Palate defects
Prematurity

What does the first appointment look like?

The purpose of your first appointment is to gather information related to the child’s developmental, medical, feeding, and social history and a family mealtime observation. Your child will be evaluated by one or more members of our team, who will also consult with other professionals to ensure that the child is medically stable and safe for intervention. Following the initial evaluation, our team will provide individualized treatment recommendations. Many children will receive ongoing therapy from one or more clinicians to work toward improved feeding.

What are the goals of feeding therapy?

Treatment goals are individualized to the child’s needs and family priorities. The team will work with you to identify clear and measurable goals for treatment that will allow you to objectively track treatment progress. Treatment goals for your child may include the following:

Decrease enteral tube feedings
Increase oral intake of solids and/or liquids
Decrease refusal or problem behavior at mealtime
Increase variety and/or texture of solid foods
Improve skills, independence, and flexibility within the meal routine
Caregiver coaching to develop a mealtime structure or routine

What does feeding therapy look like?

Pediatric feeding specialists use a wide variety of strategies to help children overcome feeding challenges, including:

Sensory exploration. Encouraging the child to touch, smell, and taste different foods to increase their familiarity and acceptance.
Oral-motor exercises. Helping the child develop the strength, coordination, and control of their mouth muscles for improved eating and swallowing.
Behavior modification. Teaching the child positive behaviors and routines around mealtimes and working with parents to create a supportive environment for the child’s eating.
Feeding equipment and positioning. Using specialized equipment or positioning techniques to support the child’s feeding needs.

How do outpatient services work?

Siskin’s outpatient services typically include 1–3 appointments per week. These appointments will occur onsite for children whose mealtime behavior is challenging but does not impact the child’s nutritional status. These sessions involve a combination of direct therapy with the child to develop routines and skills as well as caregiver coaching/consultation. Telehealth services may be incorporated following the demonstration of treatment gains in the clinic and the completion of hands-on caregiver training.

Track Your Child’s Communication Milestones

Wondering if your child is reaching age-appropriate speech, language, and feeding milestones? The American Speech-Language-Hearing Association (ASHA) offers free, easy-to-use developmental milestone handouts for children from birth to 5 years old.

These guides can help you recognize when to seek support and encourage early intervention when needed.

Download the handouts from ASHA

Take the First Step

If you have concerns about your child’s eating, ask your pediatrician about a referral to Siskin today. We look forward to meeting you!

Make a Referral

DEVELOPMENTAL HEALTHCARE CLINIC

Chattanooga, TN
Monday – Friday | 8:00 am – 6:00 pm
Saturday & Sunday | CLOSED
1101 Carter Street, Chattanooga, TN 37402
Direct – 423.490.7710
Fax – 423.490.7750

Referral Fax Line – 1.888.599.0828
(Referrals Only Please)

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Siskin Children's Institute seeks to affirm the dignity and worth of every person. It is, therefore, the policy of the Institute to practice and ensure the fair and equitable treatment of all constituents with respect to race, religion, ethnicity, national origin, political belief, socio-economic status, age, gender, sexual orientation, or disability. The Institute promotes the full realization of this policy through all organizational practices including admission and participation in programs and medical services.