Feeding Tube to Family Table

By: Jamie Hinchey, MS, CCC-SLP

The Thrive by Spectrum Pediatrics Tube Weaning Program focuses on the importance of establishing a strong foundation before expecting any progress in skill development, variety, or intake. The foundational pieces include Do No Harm, Build Trust, and Create Responsive Mealtimes. After building … Read More

Responsive Feeding Therapy

By: Jennifer Berry, MS, OT/L and Heidi Moreland MS, CCC-SLP, BCS-S, CLC

We know that adult directed food interactions, pressure, and rewards can be damaging to a child’s relationship with food, but we are often at a loss for what else to do as parents and therapists when our little ones struggle with eating.  Responsive … Read More

Family Mealtimes for Tube-Fed Kids

By: Jamie Hinchey, MS, CCC-SLP

When measuring progress, it is so important to look at much more than the numbers. At Thrive, we encourage parents and medical teams to shift their focus from a number-based measure to a more qualitative measure. Mealtimes should focus on building … Read More

Throwing at Mealtimes

By: Jamie Hinchey, MS, CCC-SLP & Jennifer Berry, MS, OT/L

Throwing food is a universal phase that all children go through when learning how to eat and participating in mealtimes. Here are a few common reasons why children throw food:   Gravity – It is developmentally appropriate to begin throwing objects from … Read More

The Cart Before The Horse: Why do you feel stuck?

By: Jamie Hinchey, MS, CCC-SLP

A common mistake made by well-meaning therapists and parents is trying to work on oral motor skill development before they work on a child’s trust and understanding of food. These programs start therapy with a focus on the “how” to eat … Read More

The Thrive Parent’s Bill of Rights

By: Jamie Hinchey, MS, CCC-SLP

Kiddos with a medically complex history often have many providers that each have a specialty in a different area.  In order for this to work well, there needs to be someone who can pull it all together.  In our program, we have had … Read More

What’s Missing in Feeding Therapy?

By: Jamie Hinchey, MS, CCC-SLP & Brianna Brown, MS, CCC-SLP

The Thrive Treatment Progression Pyramid is a great visual representation of the specific steps we address throughout feeding therapy and our tube weaning program. This looks a little different than other treatment approaches because we believe that a strong foundation … Read More

Where Should Feeding Therapy Take Place?

By: Jamie Hinchey, MS, CCC-SLP

Think about where your kiddo is most comfortable and feels safe…at home! Feeding therapy should take place in the environment where your child feels comfortable. The clinic setting is one of the most common and traditional approaches to feeding therapy and … Read More

Reframing Refusal: What do you do when your child rejects food?

By: Jamie Hinchey, MS, CCC-SLP

When your child flat out refuses to eat or eats very little it can make you worry about their energy, growth, sleep and health.  While this worry is completely normal it is helpful to keep in mind that it is also completely … Read More

Dealing with Drinking

By: Heidi Moreland, MS CCC-SLP, BCS-S, CLC

Many of the kids who wean from the feeding tube struggle with drinking.  Nursing and bottle drinking are supported by reflexes in the early days of infancy and designed to progress as a team with a caregiver.  Most kids who … Read More