Hi and welcome to Ask Missy Mondays where I respond to email questions from parents who are having difficulty with their child’s behavior. Today, we have a question in from Melany who writes:
“I would like to create a program for a young boy who has difficulties with some specific textures. I thought about a fading procedure but there is maybe a better one?”
Before recommending anything specific for this child, it will be important for you to assess and have others assess the child thoroughly. We have learned that children with food allergies/sensitivities often have oral sensory issues. We have also learned that children who have oral motor deficits may have difficulties with certain textures. However, some children are simply scared of textures. Thus, a good assessment of the child’s medical and oral motor condition is important before commencing treatment for this child.
A substantial amount of research has proven a texture fading model to be effective. In a texture fading model, clinicians move from puree to table food by slowing increasing the texture. You will see this if you examine any commercially produced baby food in puree to stage 3 foods.
Finally, please do not try this at home. Just because you have learned how to use a fading protocol in your coursework, it does not mean that you can or should implement a fading protocol in feeding. Appropriate training and supervised clinical experiences are essential prior to addressing feeding issues. Additionally, other clinicians may be needed to assist you. These include physicians, occupational therapists, speech and language therapists, and/or nutritionists or dietitians.
If you have a behavior that you need assistance on, please email me at askmissy at applied behavioral strategies dot-com. Thank you!