Our feeding program remains at the top because of our experience, flexibility, and our commitment to the best possible outcome.
Feeding Therapy is Second Nature to Us
Years of experience of both handling feedings and managing the protocols make treatment an instinctive experience for us. Once we start working with your child, we will know your child’s mealtime behavior inside out.
Once therapy is completed, troubleshooting problems and advancing the feedings are simple propositions when done on a remote basis.
Each protocol is then continuously adjusted to the needs of each child until the optimal outcome is then achieved
Flexible Treatment Strategies
One of the advantages at the Feeding Clinic of Los Angeles is our ability to be extremely flexible in making feeding disorder treatment as effective and efficient as possible. We don’t work with 10–20 intensive cases at a time. Our philosophy is quality over quantity.
Instead of using a schedule that’s convenient for the clinic, which can compromise the effectiveness of therapy, our individualized approach allows us to work with families to find a treatment schedule that meets the child’s needs.
Efficient Feeding Therapy
Longer persisting problems are harder to correct, so we work quickly to develop a well refined protocol for your child. Dragging out an admission can not only jeopardize treatment, but can also be extremely stressful for families.
Some large hierarchical behavior based clinics put a cog in the process because everything is delegated. A particular case manager tells an assistant or lead therapist how to conduct therapy. A larger sample size of data is therefore needed because the case manager doesn’t really have a good feel for what is going on. The problem with this strategy is that instead of several changes being made in a day, there is typically only one every 1-3 days. When dealing with complex feeding issues it is always important to make rapid changes to ensure that all goals are met prior to discharge. The key to achieving this is to eliminate all disconnect by making the case manager the one to implement therapy.
Elimination of Feeding Tube Dependency
In regards to cases that involve a feeding tube, we have found that eliminating only some tube dependence is not effective because doing so creates a high probability of regression after discharge. At the Feeding Clinic of Los Angeles, we strive to completely eliminate ALL tube dependence prior to completing feeding therapy (i.e. all nutritional, caloric, and hydrational needs are met orally).
Anything less than the complete elimination of feeding tube dependence after completion of feeding therapy is considered to be a failure at the clinic.
Treatment of NG Tube Dependency
Cases involving NG tubes are notoriously difficult to treat. Most larger feeding clinics either cannot successfully treat these children or decline those cases. Most of the time clinics or therapists request that a G tube be placed prior to starting therapy in order to make treatment feasible.
At our clinic we believe that a G tube does not need to be placed for treatment of NG tube dependence to take place. We view it as unnecessary surgery if a child is safe to eat orally.
Continuous Therapy and Dedication
In cases where a child has a feeding tube and/or low weight it is important to not take any time off. When there is a break in treatment, progress is reverted substantially. We work through weekends, holidays, and birthdays to ensure that any progress is maintained.
We also do not substitute your therapist. Some clinics will fade in secondary feeders for the weekend only to find that once Monday rolls around that the feeding has regressed. It is very important to keep therapy as consistent as possible in order to perpetually build on any progress made.
In addition, changes in treatment regimes also need to be made during the weekend. If a case manager does not work during the weekend, making changes in the protocol may be difficult or impossible to do correctly. At our feeding clinic this difficulty does not occur because the therapist and case manager are one in the same.