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Feeding Therapy | Therapist Neurodiversity Collective
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Some challenges associated with feeding include “picky” eating, limited caloric intake, limited variety of foods, reduced or delayed oral motor skills, sensory processing concerns, anxiety about food, and more. Caregivers of individuals with feeding disorders may find themselves concerned about their loved one’s health and frustrated when their attempts to increase volume or variety of food at mealtimes are not successful.</span></p><p><span style="font-weight: 400; font-size: 14pt;">Feeding disorders are complex and may be the result of medical conditions, nutritional deficiencies, feeding skill challenges, or psychosocial concerns. Many feeding disorders are the result of a combination of these four factors. As a result, best practice guidelines across disciplines indicate treatment from a multidisciplinary team. The treatment team may include GI specialists, allergists, dietitians, occupational therapists, speech-language pathologists, and mental health professionals. </span></p></div></div></div></div><div class="elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-4776467" data-id="4776467" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-eb36ec6 elementor-widget elementor-widget-image" data-id="eb36ec6" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img fetchpriority="high" decoding="async" width="600" height="300" src="https://therapistndc.org/wp-content/uploads/2024/03/Nope.png" class="attachment-large size-large wp-image-11227" alt="" srcset="https://therapistndc.org/wp-content/uploads/2024/03/Nope.png 600w, https://therapistndc.org/wp-content/uploads/2024/03/Nope-300x150.png 300w" sizes="(max-width: 600px) 100vw, 600px" /></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-f01f629 elementor-section-content-space-evenly noselect elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="f01f629" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-447d3ce" data-id="447d3ce" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-de068af elementor-widget elementor-widget-image" data-id="de068af" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img decoding="async" width="600" height="300" src="https://therapistndc.org/wp-content/uploads/2024/03/Feeding-therapy-1.png" class="attachment-large size-large wp-image-11228" alt="" srcset="https://therapistndc.org/wp-content/uploads/2024/03/Feeding-therapy-1.png 600w, https://therapistndc.org/wp-content/uploads/2024/03/Feeding-therapy-1-300x150.png 300w" sizes="(max-width: 600px) 100vw, 600px" /></div></div></div></div><div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d08c71" data-id="2d08c71" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-5afbb4f noselect elementor-widget elementor-widget-text-editor" data-id="5afbb4f" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-size: 14pt;"><span style="font-weight: 400;">Decades of interdisciplinary research indicate that feeding challenges are common among infants and children regardless of neurotype. Studies reveal that between 20-50% of typically developing children experience feeding difficulties during childhood, while the prevalence of feeding challenges is significantly increased among children with developmental disabilities, </span><span style="font-weight: 400;">rising to 70-89% </span><span style="font-weight: 400;">(</span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718228/"><span style="font-weight: 400;">Benjasuwantep et. al., 2013</span></a><span style="font-weight: 400;">).</span></span></p><p><span style="font-weight: 400; font-size: 14pt;">In fact, eating differences or challenges may be one of the first signs that a child may be neurodivergent. As a result, neurodivergent children often receive feeding therapy services. Unfortunately, many of those services are informed by Applied Behavior Analysis (ABA), and the methods used in these therapies are highly disrespectful and potentially traumatic. </span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-0be7775 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="0be7775" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ced8519" data-id="ced8519" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-20b09ec elementor-widget elementor-widget-heading" data-id="20b09ec" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">ABA-Based Feeding is Disrespectful and Potentially Harmful</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-2f9335e elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="2f9335e" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c2c0a2c" data-id="c2c0a2c" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-fe72711 noselect elementor-widget elementor-widget-text-editor" data-id="fe72711" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-weight: 400; font-size: 14pt;">Unfortunately, many private clinics and hospitals offer feeding interventions that are informed by Applied Behavior Analysis (ABA). ABA research and practice supports the use of rewards and punishments in feeding therapy as well as the use of highly aversive and potentially traumatic techniques such as mechanical restraint, physical restraint, and forcible feeding. ABA-based feeding therapy may include: </span></p><p><span style="font-weight: 400; font-size: 14pt;">🚫 Rewards (such as praise, token economies, access to preferred foods, access to preferred toys/activities, etc.) </span></p><p><span style="font-weight: 400; font-size: 14pt;">🚫 Punishments (such as timeout, reprimands, or exposure to aversive stimuli like loud noises or restraint)</span></p><p><span style="font-weight: 400; font-size: 14pt;">🚫Mechanical restraint (i.e. seating equipment children cannot escape)</span></p><p><span style="font-weight: 400; font-size: 14pt;">🚫Physical restraint and forcible feeding</span></p><p><span style="font-weight: 400; font-size: 14pt;">🚫 Planned ignoring </span></p><p><span style="font-weight: 400; font-size: 14pt;"><span style="font-weight: 400; font-size: 14pt;">🚫 Withholding food or drinks to induce compliance</span></span></p><p> </p><p style="text-align: center;"><em><span style="font-size: 18pt;"><b>Therapist Neurodiversity Collective does not recommend ANY ABA-derived or compliance-based techniques in feeding therapy. </b></span></em></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-711b304 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="711b304" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-67f2c1b" data-id="67f2c1b" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-cfdad87 elementor-widget elementor-widget-spacer" data-id="cfdad87" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-7fb4622 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="7fb4622" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e74a107" data-id="e74a107" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-c983241 elementor-widget elementor-widget-text-editor" data-id="c983241" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h3 style="text-align: center;"><b>ABA-Informed Feeding Therapies are Dehumanizing to Children</b></h3><p><span style="font-size: 14pt;"><span style="font-weight: 400;"><img decoding="async" class="size-medium wp-image-7778 alignright" src="https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-300x300.png" alt="" width="300" height="300" srcset="https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-1024x1024.png 1024w, https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-768x768.png 768w, https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding-1536x1536.png 1536w, https://therapistndc.org/wp-content/uploads/2022/01/Forced-feeding.png 2000w" sizes="(max-width: 300px) 100vw, 300px" />ABA-informed feeding therapies rely upon the use of consequences, both rewards, and punishments, to </span><i><span style="font-weight: 400;">get </span></i><span style="font-weight: 400;">children to eat. When praise, access to preferred foods, or iPad time don’t coerce children into eating, ABA providers often employ highly aversive and invasive techniques like strapping children into chairs and physically restraining them to force them to eat. </span></span></p><p><span style="font-weight: 400; font-size: 14pt;">And many professionals and parents have no idea that children will be subjected to these techniques until they are already enrolled in an intensive behavioral feeding program. </span></p></div></div><div class="elementor-element elementor-element-7ae4f22 noselect elementor-widget elementor-widget-spacer" data-id="7ae4f22" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-01bebf0 elementor-section-content-space-around elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="01bebf0" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-ebf00b3" data-id="ebf00b3" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-5118c68 noselect elementor-widget elementor-widget-text-editor" data-id="5118c68" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><h2 style="text-align: center;"><em><span style="font-size: 24pt;">Who’s your feeding therapist?</span></em></h2><p><span style="font-size: 14pt;"><strong>Unless they have another therapy or medical license, ABA providers are fundamentally and often dangerously unqualified to provide feeding therapy. </strong></span></p><p><span style="font-size: 14pt;">In fact, many ABA-based feeding programs, both in private clinics and hospitals, employ entry-level employees, known as registered behavior technicians (RBTs), to provide the majority of feeding treatment. The RBT credential requires only a high school diploma and 40 hours of online training. Board Certified Behavior Analysts (BCBAs) often write behavioral feeding treatment plans, yet <a href="https://therapistndc.org/wp-content/uploads/2021/01/SLP-vs-BCBA.pdf" target="_blank" rel="noopener">graduate training for BCBAs does not require training in the areas of feeding and swallowing</a>. </span></p><p><span style="font-size: 14pt;">In contrast, Occupational Therapists (OTs) and Speech-Language Pathologists (SLPs) often receive extensive graduate education and supervised training in the assessment and treatment of feeding disorders. Required graduate coursework for American-Speech-Language-Hearing Association (ASHA) certified SLPs includes typical feeding development, feeding/swallowing disorders, assessment and treatment of feeding/swallowing disorders, and anatomy and physiology of the structures and organs involved in eating, swallowing, and breathing. </span></p></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-0527fd2" data-id="0527fd2" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-04357e0 elementor-widget elementor-widget-image" data-id="04357e0" data-element_type="widget" data-widget_type="image.default"><div class="elementor-widget-container"> <img loading="lazy" decoding="async" width="800" height="800" src="https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-1024x1024.png" class="attachment-large size-large wp-image-2417" alt="" srcset="https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-1024x1024.png 1024w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-100x100.png 100w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-600x600.png 600w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-768x768.png 768w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding-1536x1536.png 1536w, https://therapistndc.org/wp-content/uploads/2020/08/We-dont-do-force-feeding.png 2000w" sizes="(max-width: 800px) 100vw, 800px" /></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-7def667 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="7def667" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b7409d7" data-id="b7409d7" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-7603576 elementor-widget elementor-widget-heading" data-id="7603576" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">Responsive Feeding Therapy</h2></div></div><div class="elementor-element elementor-element-48699ec noselect elementor-widget elementor-widget-text-editor" data-id="48699ec" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-weight: 400; font-size: 14pt;">All ethical and neurodivergent-affirming feeding techniques must be informed by a responsive feeding framework. Responsive parents and feeding therapists support children by developing a warm, trusting relationship as well as an environment that facilitates positive emotional responses to mealtimes (Black & Aboud, 2011). At the same time, they support the child’s autonomy by allowing the child to determine how they will interact with the food that adults provide them. All of this is done in accordance with Self-Determination Theory, which provides a philosophical underpinning for responsive feeding therapy (Cormack, J., Rowell, K., & Postăvaru, G., 2020).</span></p><p><span style="font-weight: 400; font-size: 14pt;">Responsive feeding therapy prioritizes personal autonomy, the feeding relationship, internal motivation, individualized care, and the child’s sense of competence (Rowell, K.,et. al., 2020).)</span></p><p><span style="font-size: 14pt;"><span style="font-weight: 400;">To learn more about each of these values, please see </span><a href="https://www.responsivefeedingtherapy.com/rft-values-and-principles"><i><span style="font-weight: 400;">Responsive Feeding Therapy: Values and Practice </span></i></a><span style="font-weight: 400;"> (Rowell, K., et. al., 2020). Each of these five values </span><i><span style="font-weight: 400;">must </span></i><span style="font-weight: 400;">be included in treatment to be considered responsive feeding therapy. </span></span></p><p> </p><p style="text-align: center;"><span style="font-size: 18pt;">Important: <em>Any</em> provider, regardless of discipline, who claims to provide responsive feeding but also uses rewards, punishments, restraint, pressure, or “gentle” or ”play-based” ABA is <em>not</em> practicing responsive feeding. </span></p><p> </p><p style="padding-left: 40px;"><span style="font-size: 14pt;"><span style="font-size: 24pt;">🍽</span> Like all other aspects of the Neurodiversity Movement, the term “responsive feeding” has been commodified by some professionals to promote feeding interventions that continue to include the use of ABA-derived and/or compliance-based techniques. </span></p><p style="padding-left: 40px;"><span style="font-size: 14pt;"><span style="font-size: 24pt;">🍽</span> ABA-based, compliance-based feeding is not, and never will be, responsive or respectful.</span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-478be54 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="478be54" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5a97a48" data-id="5a97a48" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-5ecabdb elementor-widget elementor-widget-heading" data-id="5ecabdb" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">Do you want to learn more about respectful and safe feeding therapy? Start here.</h2></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-24045f7 elementor-section-content-space-between elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="24045f7" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-ebdb7a4" data-id="ebdb7a4" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-7b3cb18 elementor-widget elementor-widget-text-editor" data-id="7b3cb18" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><span style="font-size: 14pt;"><a href="https://therapistndc.org/respectful-feeding-therapy_part-1/" target="_blank" rel="noopener">A Parent’s Guide to Respectful Feeding Therapy – Part 1</a></span></p><p><span style="font-size: 14pt;"><a href="https://therapistndc.org/respectful-feeding-therapy-part-2/" target="_blank" rel="noopener">A Parent’s Guide to Respectful Feeding Therapy: Part 2</a></span></p><p><span style="font-size: 14pt;"><a href="https://www.extremepickyeating.com/the-nuance-of-a-responsive-vs-behavioral-approach-to-feeding-therapy-part-1/" target="_blank" rel="noopener">The Nuance Between a Responsive &. Behavioral Approach to Feeding Therapy: Applied Behavior Analysis (ABA) Professionals & Feeding Intervention</a>The nuance between a responsive &. behavioral approach to feeding therapy: Part 1. Helping Your Child with Extreme Picky Eating. (2019, September 12). Retrieved January 6, 2022, from https://www.extremepickyeating.com/the-nuance-of-a-responsive-vs-behavioral-approach-to-feeding-therapy-part-1/</span></p><p><span style="font-size: 14pt;"><a href="https://www.extremepickyeating.com/the-nuance-of-a-responsive-vs-behavioral-approach-to-feeding-therapy-part-2-2/" target="_blank" rel="noopener">The Nuance Between a Responsive &. Behavioral Approach to Feeding Therapy: The Case For a Responsive Approach to Feeding Therapy</a></span><br /><span style="font-size: 14pt;">The nuance between a responsive & behavioral approach to feeding therapy: Part 2. Helping Your Child with Extreme Picky Eating. (2019, September 12). Retrieved January 6, 2022, from https://www.extremepickyeating.com/the-nuance-of-a-responsive-vs-behavioral-approach-to-feeding-therapy-part-2-2/</span></p><p><span style="font-size: 14pt;"><a href="https://www.huffpost.com/entry/when-feeding-therapy-becomes-aversion-therapy_b_2951294" target="_blank" rel="noopener">When Feeding Therapy Becomes Aversion Therapy</a></span><br /><span style="font-size: 14pt;">Katja Rowell, M. D. (2013, May 26). When feeding therapy becomes aversion therapy. HuffPost. Retrieved January 6, 2022, from https://www.huffpost.com/entry/when-feeding-therapy-becomes-aversion-therapy_b_2951294</span></p><div> </div></div></div></div></div><div class="elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-f4c51f3" data-id="f4c51f3" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-64f1ed7 elementor-widget elementor-widget-video" data-id="64f1ed7" data-element_type="widget" data-settings="{"youtube_url":"https:\/\/youtu.be\/qG5qzBLRXHo","video_type":"youtube","controls":"yes"}" data-widget_type="video.default"><div class="elementor-widget-container"><div class="elementor-wrapper elementor-open-inline"><div class="elementor-video"></div></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-de0a677 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="de0a677" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ace8e6e" data-id="ace8e6e" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-211eba4 noselect elementor-widget elementor-widget-text-editor" data-id="211eba4" data-element_type="widget" data-widget_type="text-editor.default"><div class="elementor-widget-container"><p><b>References</b></p><p><span style="font-weight: 400;">Black, M. M., & Aboud, F. E. (2011). Responsive feeding is embedded in a theoretical framework of responsive parenting. </span><i><span style="font-weight: 400;">The Journal of Nutrition</span></i><span style="font-weight: 400;">, 141(3), 490-494.</span></p><p><span style="font-weight: 400;">Cormack,J., Rowell, K., & Postăvaru, G. (2020). Self-determination theory as a theoretical framework for a responsive approach to child feeding. </span><i><span style="font-weight: 400;">Journal of Nutrition Education and Behavior, </span></i><span style="font-weight: 400;">52 (6), 646 – 651. </span></p><p><span style="font-weight: 400;">Rowell, K., Wong, G., Cormack, J., & Moreland, H. (2020). </span><i><span style="font-weight: 400;">Responsive feeding therapy: Values and practice. </span></i><span style="font-weight: 400;">Responsive Feeding Therapy. https://www.responsivefeedingtherapy.com/rft-values-and-principles</span></p></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-23ae4e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="23ae4e9" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a1cabbc" data-id="a1cabbc" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-0ff5c6f elementor-grid-3 elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-posts--thumbnail-top elementor-widget elementor-widget-posts" data-id="0ff5c6f" data-element_type="widget" data-settings="{"classic_columns":"3","classic_columns_tablet":"2","classic_columns_mobile":"1","classic_row_gap":{"unit":"px","size":35,"sizes":[]},"classic_row_gap_tablet":{"unit":"px","size":"","sizes":[]},"classic_row_gap_mobile":{"unit":"px","size":"","sizes":[]}}" data-widget_type="posts.classic"><div class="elementor-widget-container"><div class="elementor-posts-container elementor-posts elementor-posts--skin-classic elementor-grid"><article class="elementor-post elementor-grid-item post-9004 post type-post status-publish format-standard has-post-thumbnail hentry category-advocacy category-julie-roberts category-school tag-actually-autistic tag-actually-autistic-perspective tag-autism tag-autism-resources tag-autism-services-in-schools tag-autistic-children tag-neurodiversity tag-neurodiversity-affirming-iep tag-neurodiversity-affirming-parents pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/ieps-ableist-goals-and-parents-rights/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="300" src="https://therapistndc.org/wp-content/uploads/2023/04/laptop-300x300.png" class="attachment-medium size-medium wp-image-9005" alt="" srcset="https://therapistndc.org/wp-content/uploads/2023/04/laptop-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2023/04/laptop-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2023/04/laptop.png 500w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/ieps-ableist-goals-and-parents-rights/" > IEPs, Ableist Goals and Parents’ Rights </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> April 1, 2023 </span> <span class="elementor-post-avatar"> No Comments </span></div><div class="elementor-post__excerpt"><p>A neurodiversity-affirming parent’s anonymous post to Therapist Neurodiversity Collective requested information that might help them advocate for their special education student in the IEP meeting. From the information contained in the post, it appeared that the school, although possibly unintentionally, was not aware of IDEA and Supreme Court decisions, and therefore violated parental rights to meaningfully participate in and contribute to the IEP meeting. Additionally, it is clear that our public school system is lagging in knowledge and application of contemporary research evidence about autism, and as a result, the kids are paying the consequences with poor mental health outcomes. </p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/ieps-ableist-goals-and-parents-rights/" aria-label="Read more about IEPs, Ableist Goals and Parents’ Rights" tabindex="-1" > Read More » </a></div></article><article class="elementor-post elementor-grid-item post-8965 post type-post status-publish format-standard has-post-thumbnail hentry category-ethics category-julie-roberts category-social-skills-training tag-actually-autistic tag-autism tag-autistic-acceptance tag-autistic-camouflaging tag-autistic-children tag-autistic-masking tag-autistic-rates-of-suicide tag-autistic-rights tag-autistic-students tag-parents-of-autistic-students tag-social-skills-training pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/slps-directly-contribute-to-autistic-outcomes-of-trauma-and-suicidality-through-social-skills-training/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="300" src="https://therapistndc.org/wp-content/uploads/2023/03/Lets-focus-on-what-you-want-to-talk-about.-I-am-here-to-please.-300x300.png" class="attachment-medium size-medium wp-image-8967" alt="" srcset="https://therapistndc.org/wp-content/uploads/2023/03/Lets-focus-on-what-you-want-to-talk-about.-I-am-here-to-please.-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2023/03/Lets-focus-on-what-you-want-to-talk-about.-I-am-here-to-please.-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2023/03/Lets-focus-on-what-you-want-to-talk-about.-I-am-here-to-please..png 500w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/slps-directly-contribute-to-autistic-outcomes-of-trauma-and-suicidality-through-social-skills-training/" > SLPs directly contribute to autistic outcomes of trauma and suicidality through social skills training </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> March 16, 2023 </span> <span class="elementor-post-avatar"> 4 Comments </span></div><div class="elementor-post__excerpt"><p>My hope is this article, if nothing else, ignites some #SLP self-reflection as well as deeper dives into contemporary autism research, especially #TheDoubleEmpathyProblem, #ActuallyAutistic perspectives, and how, despite altruistic intentions, our clinical practices continue to impact trauma on our autistic students and clients.</p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/slps-directly-contribute-to-autistic-outcomes-of-trauma-and-suicidality-through-social-skills-training/" aria-label="Read more about SLPs directly contribute to autistic outcomes of trauma and suicidality through social skills training" tabindex="-1" > Read More » </a></div></article><article class="elementor-post elementor-grid-item post-8827 post type-post status-publish format-standard has-post-thumbnail hentry category-actually-autistic-perspective category-education category-julie-roberts category-social-skills-training tag-actually-autistic tag-asha tag-autism tag-autism-services-in-schools tag-autistic-acceptance tag-autistic-children tag-autistic-students tag-neurodiversity tag-neurodiversity-education tag-neurodiversity-affirming-therapy tag-slp tag-social-skills-training pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/toxic-social-skills-training-goals/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="300" src="https://therapistndc.org/wp-content/uploads/2023/02/Toxic-SST-500-×-500-px-300x300.png" class="attachment-medium size-medium wp-image-8920" alt="" srcset="https://therapistndc.org/wp-content/uploads/2023/02/Toxic-SST-500-×-500-px-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2023/02/Toxic-SST-500-×-500-px-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2023/02/Toxic-SST-500-×-500-px.png 500w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/toxic-social-skills-training-goals/" > Toxic Social Skills Training Goals, “Be yourself, but not like that.” </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> February 22, 2023 </span> <span class="elementor-post-avatar"> 1 Comment </span></div><div class="elementor-post__excerpt"><p>The vast majority of new-to-me students come with IEPs that have, probably well-meaning, but in actuality, toxic social skills goals. Here are some alternatives.</p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/toxic-social-skills-training-goals/" aria-label="Read more about Toxic Social Skills Training Goals, “Be yourself, but not like that.”" tabindex="-1" > Read More » </a></div></article><article class="elementor-post elementor-grid-item post-8895 post type-post status-publish format-standard has-post-thumbnail hentry category-advocacy category-education category-julie-roberts category-school tag-adhd tag-adhd-students tag-autism tag-autistic-students tag-neurodivergent tag-school tag-special-education pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/not-allowed-to-say-i-cant/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="300" src="https://therapistndc.org/wp-content/uploads/2023/02/4-300x300.png" class="attachment-medium size-medium wp-image-8896" alt="Picture of young student with brown hair, head in hands, sitting at desk." srcset="https://therapistndc.org/wp-content/uploads/2023/02/4-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2023/02/4-1024x1024.png 1024w, https://therapistndc.org/wp-content/uploads/2023/02/4-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2023/02/4-768x768.png 768w, https://therapistndc.org/wp-content/uploads/2023/02/4.png 1080w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/not-allowed-to-say-i-cant/" > Not allowed to say “I can’t” </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> February 16, 2023 </span> <span class="elementor-post-avatar"> 3 Comments </span></div><div class="elementor-post__excerpt"><p>“The kids in my class aren’t allowed to say I can’t.” I’m in an IEP meeting for young neurodivergent student who’s struggling in class. The committee is talking about all the reasons why this student should not be struggling because their standardized cognitive and language scores show they have the ability to learn and do the work.</p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/not-allowed-to-say-i-cant/" aria-label="Read more about Not allowed to say “I can’t”" tabindex="-1" > Read More » </a></div></article><article class="elementor-post elementor-grid-item post-8515 post type-post status-publish format-standard has-post-thumbnail hentry category-education category-julie-roberts category-social-skills-training category-therapy tag-aba tag-autistic-children tag-neurodiversity tag-neurodiversity-affirming-ots tag-neurodiversity-affirming-slps tag-slp tag-speech-therapy tag-speech-language-pathologist pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/neurodiversity-affirming-therapy/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="300" src="https://therapistndc.org/wp-content/uploads/2021/04/Events-300x300.png" class="attachment-medium size-medium wp-image-6536" alt="" srcset="https://therapistndc.org/wp-content/uploads/2021/04/Events-300x300.png 300w, https://therapistndc.org/wp-content/uploads/2021/04/Events-1024x1024.png 1024w, https://therapistndc.org/wp-content/uploads/2021/04/Events-150x150.png 150w, https://therapistndc.org/wp-content/uploads/2021/04/Events-768x768.png 768w, https://therapistndc.org/wp-content/uploads/2021/04/Events.png 1080w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/neurodiversity-affirming-therapy/" > Neurodiversity-Affirming Therapy: Positions, Therapy Goals, and Best Practices </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> April 4, 2022 </span> <span class="elementor-post-avatar"> No Comments </span></div><div class="elementor-post__excerpt"><p>Neurodiversity-affirming therapy: Dozens of neurodiversity-affirming therapy goals and best practice resources for ally SLPs and OTs.</p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/neurodiversity-affirming-therapy/" aria-label="Read more about Neurodiversity-Affirming Therapy: Positions, Therapy Goals, and Best Practices" tabindex="-1" > Read More » </a></div></article><article class="elementor-post elementor-grid-item post-8042 post type-post status-publish format-standard has-post-thumbnail hentry category-education category-ethics category-therapy tag-feeding-therapy tag-neurodiversity tag-slp tag-social-media-influencers tag-speech-therapy tag-speech-language-pathologist pmpro-has-access"> <a class="elementor-post__thumbnail__link" href="https://therapistndc.org/influencer-therapists-dubious-ethics-poor-quality-services/" tabindex="-1" ><div class="elementor-post__thumbnail"><img loading="lazy" decoding="async" width="300" height="200" src="https://therapistndc.org/wp-content/uploads/2022/03/1-influencers-e1647617643195-300x200.png" class="attachment-medium size-medium wp-image-8043" alt="" srcset="https://therapistndc.org/wp-content/uploads/2022/03/1-influencers-e1647617643195-300x200.png 300w, https://therapistndc.org/wp-content/uploads/2022/03/1-influencers-e1647617643195.png 512w" sizes="(max-width: 300px) 100vw, 300px" /></div> </a><div class="elementor-post__text"><h3 class="elementor-post__title"> <a href="https://therapistndc.org/influencer-therapists-dubious-ethics-poor-quality-services/" > Influencer Therapists: Dubious Ethics & Poor Quality Services </a></h3><div class="elementor-post__meta-data"> <span class="elementor-post-date"> March 18, 2022 </span> <span class="elementor-post-avatar"> 1 Comment </span></div><div class="elementor-post__excerpt"><p>“And, at the end of the day, that’s what a lot of therapy “influencers” are after: exploiting vulnerable families to benefit their own bottom line and their online image. And it’s time that professionals and parents begin talking about it and pushing back.”</p></div> <a class="elementor-post__read-more" href="https://therapistndc.org/influencer-therapists-dubious-ethics-poor-quality-services/" aria-label="Read more about Influencer Therapists: Dubious Ethics & Poor Quality Services" tabindex="-1" > Read More » </a></div></article></div></div></div></div></div></div></section><section class="elementor-section elementor-top-section elementor-element elementor-element-1124559 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="1124559" data-element_type="section"><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1a35f54" data-id="1a35f54" data-element_type="column"><div class="elementor-widget-wrap elementor-element-populated"><div class="elementor-element elementor-element-f9279da elementor-widget elementor-widget-spacer" data-id="f9279da" data-element_type="widget" data-widget_type="spacer.default"><div class="elementor-widget-container"><div class="elementor-spacer"><div class="elementor-spacer-inner"></div></div></div></div></div></div></div></section></div></div></main><div data-elementor-type="footer" data-elementor-id="8997" class="elementor elementor-8997 elementor-location-footer" data-elementor-post-type="elementor_library"><section class="elementor-section elementor-top-section elementor-element elementor-element-47a82c6f elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="47a82c6f" data-element_type="section"><div class="elementor-background-overlay"></div><div class="elementor-container elementor-column-gap-default"><div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a45fef0" data-id="4a45fef0" data-element_type="column"><div 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