This course presents strategies to help establish solid foundations for the development of normal speech and feeding behavior for young children ages birth to 2 years. There are many children on our caseloads who were born with typically developing mouths, but then something went wrong – particularly in the first year. These children develop low tongue resting positions, high narrow palates, small nasal airways, and feeding and speech problems. These difficulties could be avoided if parents and caregivers beginning at birth used appropriate feeding, speech, and mouth development techniques and activities. In this course, participants will learn how to keep babies and young children (birth to 2 years) on track to prevent or reduce life-long feeding, speech, and mouth development problems. Offered for 0.7 ASHA CEUs – 7 contact hours. The Illinois Early Intervention Training Program has approved this course for 5 hours of EI credential credit in the area of Intervention, and 2 hours in Typical Development (7 Total).
Run Time: 7:04:28
Course presenter is author of the book "Nobody Ever Told Me (or My Mother) That! Everything from Bottles and Breathing to Healthy Speech Development" and the text "Oral Motor Assessment and Treatment: Ages and Stages". The presenter will refer to these books during the presentation, though participants do not need to purchase these books to complete this course. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout.
Domain of OT: Areas of Occupation: Client Factors/Activity demands: ADL, Body structiures and functions; Performance Skills: Motor and praxis skills, communication skills
OT Process: Evaluation: analysis of occupational performance; Intervention: Develop and implement intervention plan; Outcomes: Occupational performance, Prevention
Diane Bahr, MS, CCC-SLP, CIMI, is a certified speech-language pathologist and infant massage instructor. She has practiced speech-language pathology since 1980 and has been a feeding therapist since 1983. Her experiences include teaching Graduate, Undergraduate, and Continuing Education courses; working with children and adults who exhibit a variety of speech, language, feeding, and swallowing disorders; and publishing/presenting information on oral sensory-motor function, assessment, and treatment. She is the author of the textbook "Oral Motor Assessment and Treatment: Ages and Stages" (Allyn & Bacon, 2001). She has also written a book for parents and professionals entitled Nobody Ever Told Me (or My Mother) That! Everything from Bottles and Breathing to Healthy Speech Development (Sensory World, 2010) Diane maintains a private practice, writes articles appearing in a variety of publications, is interviewed frequently on radio and in magazines, and is an international presenter.
Financial — Diane Bahr is the presenter of an online CE course sponsored by Northern Speech Services; receives royalty payments.
Financial — Diane Bahr is author of two books "Oral Motor Assessment and Treatment: Ages and Stages" (Allyn & Bacon, 2001) and "Nobody Ever Told Me (or My Mother) That! Everything from Bottles and Breathing to Healthy Speech Development" (Sensory World, 2010); receives royalties. She is also the co-owner of Ages and Stages®, LLC for which she is paid.
Nonfinancial — Diane Bahr is a member of the American Speech-Language-Hearing Association, the International Association of Infant Massage instructors, and the International Association of Orofacial Myology; she receives no compensation in these roles.
This program is offered for 0.7 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
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:
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.
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.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
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 are currently not accepted for online orders, if you wish to submit a purchase order please do so at firstname.lastname@example.org or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs 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 CEU limits related to home-study courses prior to enrolling in an online course.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"I enjoyed learning about the topic of vowels the hand-mouth connection, particularly about mouth breathing, drooling, and tongue development. I also liked the in-depth discussion about speech development. After I gave birth to my second daughter, I wanted to learn more about breastfeeding and infant swallowing/feeding, so I bought Diane Bahr's book "Nobody Ever Told Me (or my Mother) That!" Such a fabulous book! So much wonderful information and helpful in so many ways. So when I found this online course, I was thrilled! Thank you, Diane Bahr, and thank you, Northern Speech Services." A.H. (Sept. 2021)
"Loved the idea of using different techniques to facilitate sound development. Also very interested to look more into the tongue thrust swallowing mentioned and programs to assist in this. The course was very thorough and well done. Great explanations and clinical applications." K.C. (Aug. 2021)
"The LabsMassage and jaw exercise techniques norms/expectations and remediation strategies are helpful for my daily practice. The course was clear, well organized, and clearly presented." R.S. (Aug. 2021)
"It really helped to learn more about the structures and development of babies' mouths comparing typical to atypical, as well as, any milestone references. I have so many parents that ask what is "normal" for a baby and it really helps to have these charts and references that clearly mark out by months what baby should be able to do. I liked the video portions where Diane Bahr had us participate along with her using foods and tools." K.U. (June 2021)
"The jaw work, eating, and drinking work with babiel and toddlers was beneficial for my daily practice. I liked that the course was straight-forward and very informative--I love that she included visual demonstrations. S.T. (June 2021)
"I loved everything! This course was very thorough, and all information was applicable for SLPs. I enjoyed how Dr. Bahr appealed to different learning styles, especially by including the demonstrations. If more courses are offered by Dr. Bahr, I will be signing up and telling my colleagues about this course!" K.M. (June 2021)
"This was such a great course! So clearly presented and referenced. It was so helpful to have access to the post-test to really help me focus in details during the presentation. I really liked being able to complete this course online at my own pace so I could take time to really let the information sink in before moving on.
-For me it was a great review of development from other feeding courses I have taken in the past. I loved the clear examples and hands on sections." A.P. (June 2021)
"I found the section regarding typical and aytpical mouth and airway development and infant feeding section (breastfeeding, introduction of foods for oral discrimination and development, and cup drinking) particularly interesting and helpful since I have an infant son with some atypical oral anatomy and function.
-I enjoyed everything about this course. I had one anatomy class in undergraduate courses, but I don't remember learning about infant oral development. It was extremely beneficial in learning more about development, how to encourage good mouth development, and how to work on infant feeding.
-It might be nice for Diane to include some videos of her implementing some of the strategies . She did a nice job modeling by herself, but I would like to see more videos of her working with clients/patients and maybe with some of the diagnoses she mentioned." N.G. (June 2021)
"That it was specifically geared towards the under 3 population." J.L. (May 2021)
“I found the examples with children diagnosed with down syndrome to be very helpful. There are many cases of children with down syndrome in my practice, so now I feel better trained. I also enjoy her book that goes along with the course.” – I.R. (Feb. 2021)
“I found the section regarding typical and atypical mouth and airway development and infant feeding section (breastfeeding, the introduction of foods for oral discrimination and development, and cup drinking) particularly interesting and helpful since I have an infant son with atypical oral anatomy and function.” – N.G. (Dec. 2020)
“I liked the convenience that I could complete at my own pace. It was AWESOME and full of a ton of great details. Very easy to understand and offered great ideas for therapy.” – K.Z. (Oct. 2020)
“This course provided excellent demonstrations and a thorough description of programs/exercises to use in practice.” B.C. (Sep. 2020)
"I am a retired SLP with a 27-month-old grand-daughter with feeding delays. She was born a couple of weeks early with Down Syndrome and is currently on a g-tube struggling with oral intake. All of the information is relevant to her development. I loved the entire course. Typical mouth development, problems that can occur when development is atypical, and ways to facilitate next step development, it is so interconnected. Speech sound production as it relates to jaw grading and stability." – S.S. (Aug. 2020)
"It's hard to choose one specific topic or discussion. I'd have to say the recommendation to use a bite block for jaw grading to teach vowels was extremely helpful. It covered such a broad area, but still gave very specific information about everything and was very cohesive. Using the phonological processes that children typically display in their articulation development made a lot of sense. It was also easy to follow Nancy's examples and logic." – M.M. (Jun. 2020)
"The presenter was very comprehensive. I appreciate that she demonstrated several oral motor exercises and tools to increase oral awareness and jaw strength. I liked the amount of resources and examples of materials the presenter uses during her therapy sessions. I also loved the video demonstrations." – A.C. (May 2020)
"The entire course was filled with things I will be addressing in my practice…from feeding to speech. It was very comprehensive!" – G.S. (Apr. 2020)
"All of the material was pertinent to my job and was able to take away many of the strategies to share with parents. I liked the video samples presented. I enjoyed all the strategies shared for treating children with swallowing difficulties that will improve their efficiency of swallow and speech skills." – T.B. (Mar. 2020)
"The feeding portion of the course was most beneficial for me. I liked when she demonstrated techniques." – K.A. (Feb. 2020)
"I appreciated the discussion on feeding techniques and chart for what, when, and how to feed liquids and food to babies under 1 year." – S.S. (Jan. 2020)
"The topics regarding feeding and drinking development - this was a great and informative basic overview! The videos describing oral massage and jaw work activities were beneficial to have as extra visuals." – H.B. (Dec. 2019)
"This webinar was both helpful to me as a professional and a parent. I think I will use all of it. I was particularly interested in the feeding portion and the sections about tongue tie. Even though it was a webinar, it was hands on and VERY practical." – J.P. (Dec. 2019)
"All of this presentation was helpful! I so enjoyed the in-depth analysis of feeding development across typical and atypical anatomy. I loved the formatting. It was so helpful to hear it and then see Dianne completing examples to reinforce it!" – E.C. (Nov. 2019)
"Every single slide was so informative and was such a great review of this information. Not to mention, the many practical tools and strategies that Diane provides." – C.M. (Oct. 2019)
"The discussion of the new born-maxillary arch, mandible, and fatty pads was most beneficial. I liked the integration of motor speech therapy." – G.C. (Sept. 2019)
"Very detailed and informative; appreciated the videos with examples of exercises." – A.H. (Aug. 2019)
"Great review, learned new things and synthesis into practice. The techniques to improve oral function for feeding and speech." – E.K. (Aug. 2019)
"Very well-organized. I especially enjoyed the discussions of jaw exercises and problems that can occur as a result of mouth breathing." – A.M. (Aug. 2019)
"I appreciated the specific developmental information in the areas of feeding, vocal play, and language development. The course pace was excellent. It allowed me to take comprehensive notes and integrate the information." – B.C. (July 2019)
"This course provided a lot of great literature-based developmental and treatment information in a manner that engaged my attention. I appreciated all of the resource information for future use." – J.B. (July 2019)
"The oral massage techniques taught and vowel production information will be very helpful to me." – L.B. (July 2019)
"This course provided a lot of great literature-based developmental and treatment information in a manner that engaged my attention. I appreciated all of the resource information for future use." – J.B. (July 2019)
"It was incredibly thorough. The information on utensils, bottles, and straw use was most beneficial. I enjoyed all of it." – M.L. (July 2019)
"I appreciated the feeding elements and specifically the hand and mouth connection!" – M.E. (June 2019)
"The information provided on normally developing anatomical structures and oral motor function beginning at the newborn age will be helpful. Also, the advice on how to transition to open cup drinking will be beneficial for many of my clients." – A.M. (June 2019)
"The course was very informative. There is a nice review of anatomy and physiology of mouth muscles and great ideas to prevent problems with feeding, speech, and mouth development. I liked the discussion of the appropriate use of mouth toys and activities." – S.G. (May 2019)
"I liked the entire course, but especially enjoyed the video demonstration of the use of the different tools and techniques." – S.S. (Apr. 2019)
"The jaw exercise techniques were most beneficial, particularly for working on grading and disassociation. This is an area that I have not given as much attention as it needs mostly because I've lacked confidence in my knowledge. No longer!" – L.D. (Mar. 2019)
"I liked that it had a lot of material and resources that will help in the treatment of Birth to 2-year-olds." – K.R. (Feb. 2019)
"I think that the information about the workings of the jaw, tongue, facial muscles, etc. is very practical in my working with students on articulation therapy. Even though this was a course on feeding, I learned so much in regards to appropriate movements of the mouth, and how to tell if a child has adequate support to move the articulators for speech/ feeding, or if they are relying on other muscles/structures. I have already used concepts that I have learned in this course to help stabilize jaw movements with some of my students." – A.H. (Jan. 2019)
"I enjoyed the practical therapy application examples and techniques with supporting videos." – H.K. (Dec. 2018)
"The content was amazing and applied directly to what I do on a daily basis. I especially enjoyed the discussion on all the mechanics and benefits of jaw exercise related to feeding milestones." – A.T. (Dec. 2018)
"I especially appreciated going over the exercises I could do to improve jaw grading, vowel production, and intelligibility. I liked learning about typical oral motor development and how to identify abnormalities in oral motor structures." – G.V. (Nov. 2018)
"I found the breastfeeding component as well as the discussion about apraxia most beneficial. I liked the overview of many important strategies for providing excellent therapy for children aged birth through 2." – L.M. (Oct. 2018)
"I thought the charts, examples and different examples were valuable. It was beneficial to have the sections differentiated into different topics with specific developmental expectation. Overall, it was a good thorough presentation." – C.S. (Sept. 2018)
"Going over the use of the bite blocks and jaw closure tubes for the vowels. I sometimes find it hard to work on vowels with children. These tools would help me achieve better placement for the vowels that we are working on. There was a lot of very useful information in this course." – I.C. (July 2018)
"I appreciated the developmental information for feeding and speaking as a child grows. I liked the specific feeding tips with the use of feeders, spoons, and cups." – F.E. (May 2018)
"The presenter was very organized and provided many clear examples of her treatment techniques. I especially enjoyed the discussion on how to support optimal mouth development from birth to achieve optimal feeding skill development." – A.F. (Apr. 2018)
"Everything was beneficial! This course has helped with development for my entire caseload as I work with infants to early childhood. I really liked the YouTube videos with demonstrations and examples of exercises and treatment strategies. Great course!" – M.P. (Feb. 2018)
"The specific techniques for chewing were very helpful. I also liked the practical advice on eating for babies." – J.D. (Jan. 2018)
"I found the topics on Appropriate Feeding and Appropriate Speech Development and activities to be the most beneficial. I liked that she took the time to demonstrate the activities she was talking about." – L.C. (Dec. 2017)
"Everything about feeding I find helpful as I feel that was severely lacking in my graduate education." – N.C. (Nov. 2017)
"I really enjoyed the whole course. Excellent presenter; very clear and organized. I especially appreciated the discussions on breastfeeding problems and solutions, starting foods, oral structures, suggestions for cups, and information on checklists and books." – J.A. (Oct. 2017)
"Loved the in-depth information on newborn development of oral/mouth structures! I will really use the information on drooling, cup drinking, chewing and sound production with my Birth to Three children. Diane Bahr is a wonderful instructor and provides verbal and visual explanations to help increase confidence in learning the information." – W.R. (Oct. 2017)
"I really enjoyed the demonstrations of oral motor exercises and jaw grading for vowels. It was very practical, and I think I have a lot of take aways that I can apply directly to my therapy." – C.L. (Sept. 2017)
"The milestones for typical feeding and oral motor development were very helpful. I liked the pacing of the information and the videos to repeat and demonstrate the information." – S.M. (Sept. 2017)
"I appreciated the information on introducing feeding & cups to infants - information that would be valuable to share with parents. I like that there was lots of great information, and the demonstrations were valuable." – K.F. (Aug. 2017)
"Going over the facial characteristics of newborns and how it changes over time as well as how we can help prevent/avoid problems was very beneficial. The handouts and demonstrations were fantastic!" – J.E.F. (July 2017)
"It was a very good course. I especially enjoyed the swallowing strategies and lots of examples and modeling." – W.R. (June 2017)
"The information about oral, feedings, speech development of this population was a great review with more information than I had learned in school. I found the demonstrations of techniques very beneficial." – A.K. (June 2017)