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How to teach your child to eat different foods at home

How to teach your child to eat different foods at home. Mariana Fraga, M,Ed , BCBA Lead BCBA and Manager CADD ABA Therapy Hannah Tilton, BA ABA therapist and BCBA student at CADD ABA Therapy. Objectives. Educate parents on what a feeding problem is

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How to teach your child to eat different foods at home

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  1. How to teach your child to eat different foods at home Mariana Fraga, M,Ed, BCBA Lead BCBA and Manager CADD ABA Therapy Hannah Tilton, BA ABA therapist and BCBA student at CADD ABA Therapy

  2. Objectives • Educate parents on what a feeding problem is • Educate parents on the different kind of feeding problems • Teach caregivers strategies to promote trying new foods at home • Educate parents when to seek help • Educate parents on where to find good programs

  3. What is a feeding problem? • The child is not gaining weight consistently and has been diagnosed with “failure to thrive” • The child is dependent on tube feedings but has the skills needed to eat by mouth • The child has problems eating age-appropriate textures • The child refuses to eat an age appropriate variety of foods

  4. What is a feeding problem? • Mealtime problem behaviors are disruptive to family functioning. • Crying, throwing food, tantrums, packing, spitting food, gagging, vomiting • Chewing and swallowing problems are evident or suspected

  5. What are the different kind of feeding problems? Selectivity Other Feeding Problems Chewing-skill deficit Excessive fluid intake Adipsia Refusal to self-feed Refusal to sit at the table • Selectivity by type of food  • Selectivity by color  • Selectivity by brand • Selectivity by texture  • Selectivity by appearance

  6. Behavioral vs Medical • Is it a oral motor skill deficit or is it behavioral? • Oral motor deficiencies • Chewing problems • Swallowing problems MEDICAL BHEAVIORAL

  7. What to consider before starting a feeding intervention • Medical concerns • Family preferences • Know what to expect- Things will get worse before they get better

  8. Preventing eating problems • Establish a meal and snack schedule • 2 meals, 2 or 3 snacks a day • Avoid milk/juice between and during meals • Repeatedly offer new foods • Children need to try a food numerous times before showing preference • Use the “no thank you” bite strategy during meals

  9. Preventing eating problems • Offer age appropriate portions of a variety of foods • Serve meals in kitchen or dining area, while the child is seated • Do not allow your child to wonder while eating • Model eating a variety of foods and exhibiting appropriate mealtime behaviors

  10. Preventing feeding problems at home • Ignore minor inappropriate behavior and age-appropriate messiness • They need to get messy to develop motor skills to eat • Limit mealtime or snack time to 15 to 20 minutes • Provide positive social interaction • Limit distractions • Encourage self-feeding

  11. Strategies to improve feeding at home • Grandma’s rule-First Lunch, then dessert • Texture: Start gradually introducing textures. • Selectivity by type: First/then • Selectivity by brand: First/then • Start with foods that they used to eat • Start with tiny small bites (pea size)

  12. Strategies to improve feeding at home • Save the most powerful rewards for meals • Follow through! (if there are no medical reason why your child is not eating)

  13. Strategies to improve feeding at home • Instructions should be clear and concise in the form of a statement, not a question.  • Use attention contingently and sparingly  • Model the behavior you are looking to improve • Create eating-related habits

  14. Consistency is the

  15. When to seek professional help • If the child's growth and development are being adversely affected • If the family's mealtime, and possibly daily functioning, is severely disrupted • When simple interventions are not working

  16. References • Williams, K. E., & Foxx, R. M. (2007). Treating eating problems of children with autism spectrum disorders and developmental disabilities: Interventions for professionals and parents. Austin, TX: PRO-ED.

  17. Resources for parents • Broccoli Bootcamp Basic training for parents of selective eaters, Keith Williams • Treating Eating Disorders of children with Autism Spectrum Disorders, Keith Williams and Richard Foxx • Autism Alliance of Michigan

  18. Questions?

  19. Thank you! • mfraga1@hfhs.org • htilton1@hfhs.org • (313)640-2315

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