Assessment and Interventions for Pediatric Feeding Disorders

Ronna Hochbein OTR/L

Assessment and Interventions for Pediatric Feeding Disorders

CE Information


Course Brochure

Contains CE information for additional professionals

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Course Highlights

  • Identify the latest research, resources, and treatment options and how they can positively impact even the most complex feeding issues
  • Confidently evaluate infant feeding skills and differentiate a child's picky eating from oral-motor or sensory-based feeding challenges
  • Problem solve oral motor deficits such as weakness and coordination, and construct an appropriate treatmentplan
  • Feel confident in providing parent education and coaching strategies to support carryover of strategies and skills
  • Case study examples to identify the best treatment approach

Additional Info

Research indicates that 25% of children present someform of a feeding disorder. For children with developmental delays, this number increases to 80%. Disordered feeding canbe the result of oral-motor dysfunction, sensory challenges,medical conditions, behavior, or a combination of theseconditions. From infants to toddlers, feeding challenges canalso have a profound effect on the child/caregiverrelationship. Finding treatment methods that produce the best results for Autism Spectrum Disorder (ASD), Sensory Processing Disorder (SPD), and feeding disorders is critical to positively impact overall development.

This vital one-day course will educate therapists on their options and how to identify the behavioral and sensory cluesthat indicate which modality will benefit a specific child'sprofile. Diagnosis, anatomy and physiology, and differentiation between sensory and oral motor issues, are first addressed. Then we'll follow an overview of multiple feeding paradigms and how they may fit with individual children. An emphasis will be placed on children's individuality and how to tailor a feeding program based on the child's needs. This course willtouch on relevant past medical histories common to feeding, tools of the trade and their application (chewy tubes, stoppered straws etc.), feeding tubes, feeding play ideas, and will give the therapist a solid foundation on how to choose what instrument to use for success. This course also includes relevant handouts that can be immediately put into use.

[ASHA:Intermediate level, Professional Area]
  1. Identify sensory seeking/avoiding behaviors and their relationship to feeding issues.
  2. Recognize which treatment approaches best fit specificbehaviors.
  3. Discuss feeding paradigm options and match them with patient profile through clinical reasoning.
  4. Cite resources and studies to direct parents and interested professionals to further education.
  5. Describe eclectic treatment paradigms for further professional application.
  6. Examine how to problem solve for oral motor deficits such as weakness, coordination, and construct an appropriate treatment plan.
  1. Therapeutic Treatment Options for Feeding Issues
    • Discussion of relevant past medical history (PMH) differences between feeding tube types
    • Overview of anatomy and physiology of swallowing
    • Overview of vestibular system and its relevance tofeeding problems
    • Overview of oral motor dysfunction and its application to food intake
  2. Confident Assessment of Feeding Disorders
    • Feeding history
    • Identifying behaviors, perseverations, fixations, and stimming-discrimination between sensory and oral issues
    • Case study examples and videos
  3. Selecting the Most Appropriate Tools of the Trade and Treatment Ideas Based Upon Feeding Issues
    • Nipples, bottles, cups, straws, utensils, and tubes
    • Seating and positioning
    • Gastrointestinal issues
    • Airway restrictions
    • Diets - Casein Free (CF)/Gluten Free (GF), specific carbohydrate
    • Food chaining - What does that mean?
    • Treatment Ideas for immediate use in your practice
  4. Solutions for the Most Problematic Feeding Challenges
    • In small group settings, each group will observe their video or child case study
    • Each group will problem solve oral motor and sensory issues observed
    • One person per group will present their case studyand their ideas for treatment
    • Hands-On Lab
  5. Best Practices for Implementing the Most Effective Feeding Strategy
    • Groups will be provided with a picky eater sample food list
    • Groups will work together, provided with a food chart, of potential food choices to suggest for parents
    • One member per group will read their suggestions, and instructor will add to it if indicated
    • Problem-solving - Examples of chemistry/behavioralpairings and research hypothesis and the suggestedtreatment options available
    • Hands-On Lab
  6. Research, Recourses, and Support for Therapists and Parents
    • What now? How to use research studies, articles, and case studies for parents and team education for maximumtherapy outcomes
    • Websites and reading lists - Using group or parent/therapist Pinterest boards to share ideas
    • Professional organizations

Ronna Hochbein is a licensed OT with 28 years of experience specializing in early intervention, outpatient pediatrics, sensory integration and autism training. She serves as the Director of Rehab in a private practice, and has guest lectured in universities on the topics of autism, sensory processing, and feeding disorders. She is a parent to a young adult on the spectrum and is a mentor for Autism Community in Action & Generation Rescue.Ms. Hochbein is certified in Therapeutic Listening and Level One Samonas Sound Therapy. She and has over 450 hours of continuing education in biochemistry for autism and is the author of Sensory Processing, From the Inside Out. She is a medical writer for the Age of Autism online journal, posting case studies and recovery stories of ASD children. She was also the autism consultant to New York Times Best Seller Jodi Picoult for her book, House Rules. Ms. Hochbein attended the University of Pittsburgh where she graduated with honors, with a degree in Occupational Therapy.


FINANCIAL: Ronna Hochbein is compensated by Summit as an instructor. She is the Owner/Director of Rehab at Therapy House, LLC for which she receives a salary. She is the author of Sensory Processing, From the Inside Out for which she will receive a portion of the sales once published.

NONFINANCIAL: Ronna Hochbein is a parent to a young adult on the spectrum and is also a mentor for Autism Community in Action and Generation Rescue.

Search your profession and state above to see CE approval for your selected course.

Content Level: Intermediate

SATISFACTORY COMPLETION: Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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On-Demand: What to Expect

We want to make sure that you are 100% comfortable with what you are purchasing, so this is a rundown of the experience you should expect.

Here's what you can expect from our media player:

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Continuing Education Credit FAQs

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Online course completions are reported to ASHA following the below schedule:

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Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL PTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

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Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

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Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

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Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

Yes. For your convenience, you may fast-forward or rewind while watching the course. However, please note you will be required to certify you have watched the entire course to obtain CE credit.

Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

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Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Safari 12.0+ for Mac OSX 10.13 and above

Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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  • Safari on iPadOS 13+
  • Chrome on Android 9.0+
  • Any running Android 9.0+

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All of the videos stream from the media player.

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Because of our streaming video approach, this rarely happens. If it does, it's typically because of customer internet access quality issues and we will provide troubleshooting tips as well as telephone support from our help desk.

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