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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
speech pathology continuing education email alerts
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Treatment of Picky and Problem Eaters Using Food Chaining Therapy

# e161   Treatment of Picky and Problem Eaters Using Food Chaining Therapy

by Cheri Fraker, CCC-SLP, CLC & Laura Walbert, CCC-SLP, CLC

0.3 CEUs

$ 59.00

This course instructs professionals in the treatment of children with complex feeding aversion. Multidisciplinary, evidence-based information will be presented with emphasis on Food Chaining© as a treatment technique for aversive feeding disorders. Participants will learn analysis of core diet, flavor mapping and flavor masking, and use of transitional flavors. Interventions discussed also apply to the adult population. Offered for 0.3 ASHA CEUs – 3 Contact Hours.

Content Disclosure: This presentation will focus on the technique of Pre-Chaining and Food Chaining© developed by Cheri Fraker. Other treatment approaches will receive limited coverage during this lecture. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

Course Format: Video PowerPoint presentation with author narration & downloadable handout.

At eCourse conclusion, participants will be able to:

  1. List the six steps of program development prior to implementation of a Food Chaining therapy.
  2. Describe the treatment techniques of Food Chaining: analysis of core diet, flavor mapping and
    flavor masking, use of transitional flavors.
  3. Utilize the Food Chaining rating scales to rate children's reactions to foods and group similar
    foods by taste, texture and temperature.

A score of 80% or better must be received on the post test in order
to receive a certificate of completion.

Domain of OT: Areas of Occupation: ADL; Activity Demands: Objects used and theri properties, required actions, required body functions and structures; Performance Skills: Sensory perceptural skills, motor and praxis skills

OT Process: Evaluation: analysis of occupational performance;  Intervention: Develop intervention plan and approaches, implementation of intervention; Outcomes: Occupational performance

Cheri Fraker, CCC-SLP, CLC, is an ASHA certified pediatric speech pathologist who earned her Bachelor’s and Master’s degrees in Speech Pathology from Eastern Illinois University, Charleston, Illinois, 1986. Cheri’s work in feeding is recognized internationally. She has published articles on Food Chaining in international medical periodicals, The Nest and Nutrition and the MD.

Cheri has worked in pediatrics for 28 years. She developed the techniques of Pre-Chaining and Food Chaining. Cheri has lectured on pediatric feeding disorders at ASHA, the UCLA/UMH Nutrition Leadership Conference, The American Academy of Cerebral Palsy and Developmental Medicine, The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition and the 2004 World Congress of Pediatric Gastroenterology, Hepatology and Nutrition in Paris, France.

She is the co-author of the books "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood” and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet." Cheri specializes in evaluation and treatment of pediatric feeding disorders and is lead therapist for the pediatric feeding team clinic at The Center for Selective Eating and Pediatric Feeding Disorders and the SIU-Koke Mill Pediatric Swallowing Clinic in Springfield, Illinois.

Speaker Disclosures:

Financial — Cheri Fraker is presenter of online CE courses offered by Northern Speech Services; receives royalty payments.

Financial — Cheri Fraker is the co-author of "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood" and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet"; receives royalty payments.

Nonfinancial — Cheri Fraker has no relevant nonfinancial disclosures.


Laura Walbert, CCC-SLP, CLC is an ASHA certified pediatric speech pathologist who earned her Bachelor’s and Master’s degrees in Communication Disorders and Sciences from Eastern Illinois University, Charleston, Illinois, 1996. Laura’s work in feeding is recognized internationally in medical journal periodicals and conference presentations on pediatric feeding disorders. Laura has also presented on evaluation and treatment of athlete’s with vocal cord dysfunction. She is the co-author of the books “Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood” and “Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet."

Speaker Disclosures:

Financial — Laura Walbert is presenter of online CE courses offered by Northern Speech Services; receives royalty payments.

Financial Laura Walbert is the co-author of "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood" and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet"; receives royalty payments.

Nonfinancial — Laura Walbert has no relevant nonfinancial disclosures.


Intended Audience

  • OT
  • SLP

This program is offered for 0.3 CEUs (Intermediate level; Professional area).

Offered for 3 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.


AOTA: Approved Provider of Continuing Education by the American Occupational Therapy Association, Inc. #4095.
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

ASHA CE Registry:  During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUS: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Florida: NSS is approved as a provider of continuing education by the Florida Speech-Language Pathology and Audiology Board. Provider #SPA-026.  
  • New Jersey: NSS is approved as a provider of continuing education by the New Jersey Department of Education.  Provider #1654.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 11/30/2016.

  • Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

  • Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

  • Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

  • ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

  • Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

  • More FAQ: Please click here.

"All of it was beneficial. The course was well presented with a lot of good information." – L.P. (Feb. 2017)

"I enjoyed the Chaining method as well as the organization of information and the case studies." – L.W.R. (Feb. 2017)

"The case study portion was helpful after the foundational knowledge of Food Chaining to 'hear it in action.' " – A.C. (Feb. 2017)

"The specific food chains provided were most beneficial and practical. Being a beginner to feeding therapy, I have not thought of how foods are related before and often feel stumped in creating chains. Could use more examples." – R.S. (Feb. 2017)

"I especially enjoyed the food chaining rules and the systematic process outlined." – S.P. (Feb. 2017)

"The discussions on the evaluation process and the food chaining process were very helpful. I enjoyed the case studies. However, I expected more examples of the oral motor intervention." – J.M. (Feb. 2017)

"The suggestions for chaining foods will help with my clients and my daughter." – M.I. (Jan. 2017)

"I appreciated the food chaining specifics." – L.M. (Jan. 2017)

"I found the rating scale to be most helpful. Lots of excellent info!" – G.P. (Jan. 2017)

"Cheri Fraker and Laura Walbert are outstanding SLPs with expertise in feeding and swallowing issues. I have worked with pediatric feeding/swallowing issues for 17 of my 19 years as an SLP. I seek out any opportunity to hear Cheri and Laura speak. They are the experts in this area and I love to learn from them and hear them speak! I am so thankful that there is an online course with them now. Thanks!" – K.E. (Dec. 2016)

"This course is one of the most excellent courses I have taken regarding problem eaters. The presenter was very engaging and communicated clearly. The powerpoint was clear and can be referred to later without too much explanation necessary. The flexibility is wonderful and a very important point was emphasized numerous times: Each child is very different and needs a tailor made program. I have been doing this for years and still appreciated hearing each part of this course." – S.S. (Dec. 2016)

 

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