Picky Eaters vs Problem Feeders vs Avoidant/Restrictive Food Intake Di
Digital Seminar

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


Faculty:
Dr. Kay Toomey
Duration:
6 Hours 12 Minutes
Format:
Audio and Video
Copyright :
Oct 26, 2018
Product Code:
POS063505
Media Type:
Digital Seminar - Also available: Live Webcast


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 concerns 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

Feeding expert, Dr. Kay Toomey, who has over 30 years of clinical experience assessing and treating children with a wide range of feeding challenges, 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

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 non-interactive self-study package. Please note, your state licensing board dictates whether self-study is 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


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PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Mental Health Counselors. #MHC-0033. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance


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Counselors, Marriage & Family Therapists and Psycho-Educational Specialists - South Carolina (Self-Study)

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Educators (Self-Study)

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6.0 Professional Growth Points are available for full attendance of this self-study package per the Indiana Department of Education standards.


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Nurses - Florida (Self-Study)

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Occupational Therapists & Occupational Therapy Assistants - Florida (Self-Study)

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PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This course qualifies for 6.3 self-study continuing education credits.

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Psychologists - ACCME

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PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education. PESI, Inc. designates this self-study activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 10/26/2018. It was last reviewed on 11/15/2018 and is valid until 11/15/2021.

 

Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.


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** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com to have your Florida credits reported to CE Broker. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


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Social Workers - Canadian (Self-Study)

PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2017-January 27, 2020. Licensed Social Workers should contact their regulatory board to determine course approval for continuing education credits. Social Workers participating in the course will receive 6.25 (Clinical) continuing education clock hours for completing this intermediate self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation and pass the post-test. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


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Social Workers - Illinois (Self-Study)

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Social Workers - Minnesota (Self-Study)

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Social Workers - New York (Self-Study)

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Social Workers/Counselors/Marriage & Family Therapists - Ohio (Self-Study)

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


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This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Social Workers/Counselors/Marriage & Family Therapists/Licensed Educational Psychologists – California (Self-Study)

This intermediate activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Social Workers/Marriage & Family Therapists/Mental Health Counselors - Florida (Self-Study)

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number BAP #77. This self-study course qualifies for 6.25 continuing education credits.

** Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the activity, speaker name, date of live broadcast, your name and your license number in the email.


Speech-Language Pathologists - Kansas (Self-Study)

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Speech-Language Pathologists & Audiologists - ASHA (Self-Study)

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

** ASHA Self Study CEUs are available on this course from 12/01/2018 to 11/30/2023. PESI, Inc. will submit ASHA CEU Requests to the ASHA CE Registry on a monthly basis; ASHA CEU Requests received before 12/01/2018 or after 11/30/2023 cannot be reported.

** Please note that Speech-Language Pathologists & Audiologists who participate in the self-study (Digital Seminar or Online Course) will be required to complete additional steps if they want their participation submitted to the ASHA CE Registry. Detailed instructions will be provided under the Handouts section of the online program.


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PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Handouts

Faculty

Dr. Kay Toomey Related seminars and products: 1


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.


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 for Self-Study (Non-Interactive)

Access never expires for this product.


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 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 healthly 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 
  • Social Workers
  • Counselors
  • Pediatric Occupational Therapists
  • Pediatric Speech Pathologists
  • Pediatric Feeding Specialists
  • Physicians and/or Psychiatrists
  • Registered Dietitians
  • Day Care Providers
  • Teachers/Educators
  • Nurses

Reviews

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Overall:     4.2

Total Reviews: 195

Comments

Amber G - Meridian, Idaho

"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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