Team Based Treatment of Feeding Disorders

As mentioned earlier, successful treatment of pediat-ric feeding disorders often requires a team approach (Miller et al. 2001). In addition to physicians and the behavioral psychologist or psychiatrist, other important team members may include a nutritionist to monitor calorie intake and set calorie goals, an occupational or speech therapist to address motor and sensory issues related to feeding, and a social worker to assist the family in obtaining necessary resources (Manikam and Perman 2000; Miller et al. 2001). Interdisciplinary team-based treatment has been found to be effective in treating pediatric feeding disorders in general (Greer et al. 2008) and feeding problems associated with specific medical conditions (e.g., Shaw et al. 2003). Furthermore, team-based treatment has been shown to result in significant cost savings in many cases (Lucas et al. 1999). One important consideration in treatment for pediatric feeding disorders is whether the treatment should be conducted on an inpatient or outpatient basis. In general, inpatient treatment is indicated when a child's weight and nutrition status require more intensive monitoring or when outpatient treatment has been unsuccessful (Linscheid et al. 2003). For families that do not have access to specialty inpatient or outpatient feeding services in their communities, technology such as teleconferencing may provide an option for obtaining appropriate services remotely (Clawson et al. 2008).

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