Private Local Resources
Lacey Engel, Dietitian – Beyond Baby Nutrition
Speech Language Pathologists – Regina Speech Centre
Other Online Resources
Melanie Potock, Speech Language Pathologist – mymunchbug.com
Ellyn Satter Institute – www.ellynsatterinstitute.org
Kids Eat in Color, Dietition – kidseatincolor.com
Food Chaining – Cheryl Fraker
What do OTs (Occupational Therapists) do? Many people have no idea what an OT is when I tell them what I do! Many people think that we help people get jobs, but that is not the case (mostly anyways!). OTs focus on the areas of self-care, productivity and leisure. So depending where an OT is working they are helping people with very different things. OTs are trained in the areas of anatomy & physiology, neurology, child development, mental health, counselling, older adult disabilities, among other areas.
In acute care (hospitals) we focus a lot on self-care, helping people to be independent in their basic daily activities such as getting themselves dressed, having a bath, preparing a meal or moving around their homes/community. We prescribe equipment and provide education about how they can become more successful completing their activities of daily living in a safe manner. An independent study by health policy researchers published in Medical Care Research and Review (Rogers, Bai, Lavin, & Anderson, 2016) found that “occupational therapy is the only spending category where additional spending has a statistically significant association with lower readmission rates” for the three health conditions studied: heart failure, pneumonia, and acute myocardial infarction. Yay OT!
When working with children as we do at Bright Horizons OT, the focus looks very different. We use play as a means to achieving the child’s/family’s goals. In order to achieve the goals, we either use remediation (treating the underlying deficit) or compensation (adapting activities or environment) to make the child more successful in their everyday activities. The goals of OT can be many different things, here are some examples of general goals:
- Increase ability to pick up small objects and release them
- Increase ability to use both hands together (e.g. stabilizing the paper while writing with the other hand, holding a jar while using the other hand to twist the lid, etc.)
- Increase handwriting legibility and/or speed
- Increase accuracy while cutting with scissors
GROSS MOTOR/CORE STRENGTH:
- Increase core strength/postural stability in order to increase gross and fine motor skills
- Increase the child’s support while sitting in a chair at school (proper seating in order to maximize their ability to complete school activities)
- Making adaptations in gym class/sports/leisure activities to increase participation
- Increase self-care abilities such as getting themselves dressed, doing up buttons, zippers, tying their shoes, etc.
- Provide adaptive equipment/education to help make bathing independently or with assistance easier
- Increase self-feeding abilities (using a spoon, fork, knife, open cup, straw cup, etc.)
- Expand the number of foods a picky eater/problem feeder will eat
- Decrease sensitivities to sensory input (lights, sound, touch, etc.) and/or make environmental adaptations to help them cope with these sensitivities
- Increase the child’s ability to engage in hair brushing, hair washing, hair cutting, etc. for those that are sensitive to these activities
- Make adaptations/find clothing that the child will wear without being bothered by tags, seams, fabrics, etc.
- Increase on task behaviour in children who have attention difficulties (teaching self-regulation skills)
These are just some examples of the things that are addressed when you see an OT. One of the greatest parts of our job is we get to look at such a wide variety of areas!
What is a food jag? It is when a child (or adult for that matter!) eats the same food prepared the same way everyday or at every meal.
The problem with food jags is that kids get tired of these foods and may eventually avoid them permanently.
Tip for preventing food jags:
- Make a list of all the foods the child eats regularly.
- Put these foods in a menu format where no food is repeated across 2 days.
||Oatmeal with Bananas
||Toast with Peanut Butter
||Yogurt & Strawberries
||Ham Sandwich & Pickles
||Soup & Salad
||Hummus & Carrots/Crackers
||Spaghetti with Meat Sauce
||Chicken & Rice
The idea behind this strategy is that by not offering the same foods everyday, the child will not get stuck on eating one food all the time and will expand their number of accepted foods.
For children who are very picky eaters and have a very small number of accepted foods, try to not repeat a food over a 2 day period (as shown above). For children that accept more foods, you can try not offering the same food over a 3+ day period.
*This is an example to illustrate how to make a menu, please do not take this as nutrition advice, for that please see my colleague Lacey at Beyond Baby Nutrition!
Please contact me if you have any comments or questions about your child!
I recently attended the SOS Approach to Feeding conference in Edmonton, AB. What a fascinating 4 days jam packed with information about kids who are picky eaters and problem feeders! Here are a few things that I learned:
- most picky eaters are picky because they either do not have the required oral motor skills (ability to chew, move their tongue, close their lips) or have difficulties with the sensory input (taste, texture, colour, shape, sound, etc.)
- it is important to assess if there are any medical reasons for the picky eating behaviours (e.g. reflux, food allergies or intolerances) as a child will not want to eat if it makes them hurt or feel uncomfortable
- it is very important to introduce foods at a pace that the child is comfortable with, stress actually turns off a child’s appetite so it is counterproductive
An OT can help assess your child to determine the underlying skills that they need to work on in order to be more successful in their eating. Please contact me if you have any questions or would like more information on the services I provide.