Image of Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Di
Live Webcast

Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Disorder (ARFID)


Faculty:
Dr. Kay Toomey
Duration:
Full Day
Product Code:
LWC063505
Brochure Code:
PLW76433
Media Type:
Live Webcast - Also available: Digital Seminar


Description

Pediatric feeding disorders make it difficult or impossible for a child to eat, drink, or digest food normally, often compromising their health and development.

The limited intake seen in these children reflects concern such as:

  • Food aversions
  • Lack of interest in eating or food
  • Avoidance based on sensory characteristics of food
  • Fear of choking or other adverse consequences
  • Serious medical and psychological complications consist of
    • Severe malnutrition
    • Growth failure
    • Marked interference with psychosocial functioning

Watch feeding expert, Dr. Kay Toomey, who has over 30 years of clinical experience assessing and treating children with a wide range of feeding challenges. She will show you clear guidelines to utilize the appropriate therapy approach.

Learn practical therapeutic interventions to use with children from each diagnostic group and ways to improve family meal routines and increase children’s intake of more nutritious foods

  • Identify physical, motor, sensory, oral-motor, environmental, nutritional and behavior factors necessary to consider, to properly assess feeding problems.
  • Delineate differential criteria for determining a child’s diagnosis as a typical eater, picky eater, problem feeder or a child with ARFID.
  • Learn when to refer to a specialist for additional treatment.

Change the lives of the children you work with … Register today!

Credits


*

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.


Illinois Early Intervention Professionals

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After completing and passing the online post-test/evaluation you will also need to complete the ISBE required “Evaluation for Workshop, Conference, Seminar, Etc.” form found on the “materials” tab. Please mail this completed form and $20 enrollment fee (if not already paid with, and in addition, to your registration fee) to PESI, Inc., CE Department, PO Box 1000, Eau Claire, WI 54702-1000, along with your name, the full title of the webcast, and date of live broadcast.


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This program is offered for 6.0 Renewal Units. PESI, Inc. is an Approved Renewal Unit Provider with the Montana Office of Public Instruction. 


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PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


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KANSAS PARTICIPANTS ONLY: To receive the special Kansas Occupational Therapy certificate, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com to have your participation verified and the special certificate mailed to you. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name, your license number and mailing address in the email.


Physicians

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PESI, Inc. designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


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PESI, Inc. is an approved provider with the Florida Board of Psychology. Provider Number #50-399. This course qualifies for 6.3 continuing education credits.


Illinois Psychologists PESI, Inc is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 268.000102. Full attendance at this course qualifies for 6.0 contact hours.
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Minnesota Psychologists

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Kansas Speech-Language Pathologists or Audiologists

Approved for 7.5 continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Speech-Language Pathologists & Audiologists

ASHA

This course is offered for .6 live ASHA CEUs (Intermediate level, Professional area).

** Please note that Speech-Language Pathologists & Audiologists must complete the post-test and evaluation within two weeks of attending the live webcast if they would like their participation submitted to the ASHA CE Registry. Detailed instructions will be provided the day of the program under the Handouts section of the online program.


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COLORADO PARTICIPANTS ONLY: To be reported to the Colorado Chapter of the NASW, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com and provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


Florida Social Workers

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This course qualifies for 6.25 continuing education credits.


Illinois Social Workers

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Minnesota Social Workers

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New York Social Workers

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Ohio Social Workers

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Other Professions

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Handouts

Faculty

Dr. Kay Toomey Related seminars and products: 2


Dr. Kay A. Toomey, is a Pediatric Psychologist with over 30 years of clinical experience assessing and treating children with a wide range of feeding challenges. She developed the SOS Approach to Feeding as a family-centered program for assessing and treating children with feeding problems. Dr. Toomey helped to form The Children’s Hospital – Denver’s Pediatric Oral Feeding Clinic, as well as the Rose Medical Center’s Pediatric Feeding Center.

She also acts as a consultant to Gerber Products. Dr. Toomey co-chaired the Pediatric Therapy Services Department at Rose Medical Center prior to entering private practice. She acted as the Clinical Director for Toomey & Associates, Inc.’s Feeding Clinic for six years and SOS Feeding Solutions at STAR Institute for eight years, and speaks nationally and internationally about her approach. Dr. Toomey is currently the president of Toomey & Associates, Inc., and acts as a clinical consultant to the Feeding Clinic at STAR Institute.

Speaker Disclosures:

Financial: Kay Toomey is in private practice. She receives a consulting fee from Nestle Infant Nutrition/Gerber division. She receives a speaking fee from Education Resources, Inc.; and SPD Foundation/STAR Institute. Dr. Toomey receives a speaking honorarium from PESI, Inc.

Non-financial: Kay Toomey is a member of Feeding Matters.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.


Additional Resources

To order the book, Self-Regulation and Mindfulness, please visit our product store.

To order the book, Calm & Alert, please visit our product store.


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Identify physical, motor, sensory, oral-motor, environmental, nutritional and behavior factors necessary to consider, to properly assess feeding problems.
  2. Delineate differential criteria for determining a child’s diagnosis as a typical eater, picky eater, problem feeder or a child with ARFID.
  3. Evaluate the diagnosis of ARFID to discover sensory sensitivity, fear of aversive consequences and/or apparent lack of interest in eating or food.
  4. Utilize practical treatment strategies to advance children’s feeding skills, improve family meal routines and increase children’s intake of more nutritious foods.
  5. Conduct more thorough and accurate diagnoses, to implement the right treatment approaches for the distinct types of feeding/eating problems.
  6. Discriminate when a child needs additional evaluation and intervention by specialists for more intense treatment.

Outline

Prevalence of the Problem
  • Picky eating
  • Problem feeding
  • ARFID
The Complexity of Feeding/Eating
  • 7 areas of human function
  • How children learn to eat (or not)
How to Complete a Comprehensive Feeding Assessment
  • Medical/organs
  • Oral-motor skills
  • Sensory-motor skills
  • Postural and motor skills
  • Nutrition
  • Learning/cognition
  • Environment
Differential Diagnoses Criteria, Research and Limitations
  • Picky eating
    • Able to tolerate new foods on plate
    • Decreased range or variety of foods that will eat
    • Frequently eats a different set of foods than the rest of the family
  • Problem feeding
    • Restricted range or variety of foods
    • Refuses entire categories of food textures
    • Cries and “falls apart” when presented with new foods
  • ARFID
    • Accept a limited diet in relation to sensory features
    • Food refusal is related to aversive or fear-based experiences
    • Extreme pickiness; distractible and forgetful
Treatment Approaches – Align Treatment w/Diagnosis
  • Systematic desensitization
  • Flooding/escape extinction
  • Eating disorders
Case Studies: When Assessments Go Well, and When They Don’t
  • Picky eating -
    • Case 1 = 2 ½ year old male with limited number of accepted foods he will eat, variable eating from one day to the next, issues staying at the table
    • Case 2 = 2 ½ year old female with restricted food range, over reliance on liquids for calories and swallowing assistance
    • Case 3 = 9 year, 8 month old male with lack of healthy proteins per parents, and no vegetables in his food range
  • Problem feeding -
    • Case 1 = 3 year, 10 month old female with a G-tube, born at 26 weeks gestation, complicated medical history
    • Case 2 = 4.25 year old female born with congenital Rubella, poor weight gain, restricted food range, episodes of gagging and coughing, episodes of refusing to eat
  • ARFID -
    • Case 1 = 15 year old male with chronic “chok-y” sensation, significant weight loss, hospitalized in an Eating Disorders program
    • Case 2 = 13 year old male with difficulties eating food at school, restricted food range per parental report, refusal to eat vegetables
Practical Feeding Strategies for Pediatric Feeding Disorder
  • Routines and environmental supports
  • Matching foods to a child’s skillset
  • Reinforcement
  • Management of maladaptive behaviors
When to Refer
  • Red Flags
  • Picky Eater vs Problem Feeder criteria

Target Audience

  • Psychologists working with Feeding Disorders, Eating Disorders and/or AFRID
  • Other mental health providers working with Feeding Disorders, Eating Disorders and/or ARFID (e.g. social workers, counselors)
  • Pediatric Occupational Therapists
  • Pediatric Speech Pathologists
  • Pediatric Feeding Specialists
  • Physicians and/or Psychiatrists working with Feeding Disorders, Eating Disorders and/or ARFID
  • Registered Dietitians working with Feeding Disorders, Eating Disorders and/or ARFID
  • Day care providers
  • Teachers/Educators
  • Nurses

Reviews

5
4
3
2
1

Overall:      4.3

Total Reviews: 888

Comments

Rebecca E

"great course! happy I participated! "

Carrie W

"Finally happy to take a course regarding feeding. I am an Occupational Therapist and I am seeing more of these children in my practice. "

Tricia T

"Excellent program"

Amy R

"Course objectives were met, I learned quite a bit that I will be able to incorporate into my practice."

Lindsey S

"Very informative. Great ideas for treatment in feeding."

Holly W

"I could listen to Kay Toomey everyday. I have learned so much from her over the years and today was no exception."

Amber G

"Wonderful course! Thank you! I am excited to put into place things I have learned right away. First step will be giving a few of my patients families the picky eaters vs problem feeders check list."

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