Do you accept medical Insurance?
Bite-Sized Feeding Therapy is an out-of-network provider. Medical Insurance can be used to pay for feeding therapy in some circumstances. Contact your insurance provider to inquire whether superbills are accepted. If so, the statement can be tailored to reflect the information your insurance company will likely require. For assistance filing a claim, upload your superbill and insurance information to the app Reimbursify and their team can help guide you through the process.
When should I start feeding therapy for my child?
Generally it is best to start services as early as possible. I work with children of all ages; infants through adolescence, and across a wide range of complex feeding challenges including but not limited to oropharyngeal dysphagia, tube weaning, and selective eaters. Regardless of age, we encourage and implement strategies to promote autonomy and internal motivation for the child to eat and drink a variety of foods and liquids.
How frequently will my child need therapy?
Recommended frequency of therapy varies on the complexity of the child's needs and will be modified as the child progresses in therapy. Children can be seen weekly, multiple times a week, or consultatively as indicated. Consultative services are suggested if chewing and swallowing issues are ruled out and if goals can be met with a home program alone.
Where do you provide services?
We offer in-person and virtual services. In-person session may be completed in the child’s home or a mutually agreed-upon location such as school, grandma’s house, or anywhere feeding challenges arise. Virtual sessions are available depending on the child’s age and nature of the concerns.
How fast can I expect to see progress?
Every child progresses at their own rate. Some make progress quickly while others take additional time. Progress can be achieved more rapidly when caregivers consistently implement the Home Therapy Program. Ultimately, my goal is to provide caregiver training to reduce the need for ongoing therapy.
Why is caregiver participation crucial to success in feeding therapy?
Mealtime is a joint effort between the caregiver and the child. Caregivers control the mealtime environment, routines, what foods to serve and when. Children choose which of the offered foods to eat and how much. When a child feels comfortable, safe and supported, they will develop the necessary skills to achieve their feeding goals. It is essential caregivers actively participate in sessions so they can cultivate an environment best suited to help their child.
What are safety concerns with a child eating? Why will addressing these early be essential to progress in therapy?
When a child does not have the skill set to eat or drink a specific food or liquid, they will often refuse the item to keep their body safe. Safety concerns can include but are not limited to difficulties chewing, limited tongue movement and unsafe swallowing (oropharyngeal dysphagia). Targeting the specific skill set in therapy to improve safety while providing a supportive environment can increase the child’s confidence to expand their food variety to these formely difficult items.
How will I know when my child is ready to discharge from feeding therapy?
There are a number of reasons for a child to “graduate” from feeding therapy.
The child has mastered the appropriate skill to eat developmentally appropriate food safely and comfortably.
The caregiver has learned and implements strategies to alleviate mealtime stress by following the child’s lead with responsive feeding.
The child has a variety of foods from each food group and is somewhat flexible in the food presentation.
We work closely with caregivers and children to create a transition plan for safe, healthy and happy eating independent of our care.
What are your Covid precautions?
I am fully vaccinated and boosted and practice safety in both my work and personal life. Depending on your comfort level, the child’s age and specific therapy goals, sessions may be completed virtually or in-person. If in-person sessions are mutually agreed upon, to keep everyone safe and healthy, I have a strict sick policy and follow current CDC guidelines including the use of PPE and request parents and children over the age of 5 are vaccinated. I realize there are circumstances in which this is not possible. Please let me know and we can discuss.