Intensive Feeding Therapy

Janel Ganz, BSN, RN

Medically Reviewed by Janel Ganz, BSN, RN, Enteral Feeding Specialist

What is it?

An intensive feeding program helps kids who have trouble eating. It usually happens every day, either at a hospital or clinic. Kids eat 3 to 5 times a day with help from a team. The program can last 2, 4, 6, or 8 weeks.

The care team may include:

  • A stomach doctor
  • A child development doctor
  • A psychologist or social worker
  • A dietitian (food expert)
  • Therapists who help with learning and skills

When is a child ready?

A child may be ready if:

  • A doctor has checked for health problems
  • They are growing well and getting enough nutrition
  • They can swallow safely
  • They have already tried feeding therapy
  • Their family helps and supports them
  • They have a routine at home
  • A psychologist has looked at how they learn

When is a child NOT ready?

A child may not be ready if:

  • They have not had a full health check
  • They have problems like trouble breathing, sleeping, or heart issues
  • They are not gaining weight
  • They have trouble swallowing safely
  • Mealtimes at home are not regular
  • They eat all day (called grazing), eat while sleeping, or need food at night
  • Meals take too long

How to get ready

To prepare, a child should:

  • See a stomach and child development doctor
  • Be okay with tube feeding if they have one
  • Have basic eating skills
  • Be able to sit in a chair for 20 minutes
  • Be okay with touch on their face and mouth
  • Open their mouth when asked
  • Try using spoons and cups, even if they are empty

How families can help:

Families can:

  • Make mealtimes clear and calm
  • Turn off distractions like TV or toys
  • Eat in the same place each day
  • Set a schedule so the child does not snack all day
  • Set rules and stick to them
  • Talk to other families or groups for support

 Make a Plan

When your child is ready:

  • Learn about the program’s goals
  • Understand the rules
  • Know how parents will be involved
  • Ask what happens after the program ends
  • Don’t be afraid to ask questions!

Have you tried an intensive feeding program? Share your story on  Facebook!

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