The following emails were exchanged off-listserve and provided to the group for information and discussion. The attached documents may be found in the Files section of BOMRI where you may access documents 24/7.
 

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QUERY

Hi Debra,
I remember that during the conference in Seattle that several of us had asked you for the "Steps to Feeding Protocol" or guide you had. This has come to be of great importance. I have a co-worker who has had some training in another feeding program. She wants to  use another feeding protocol to co-treat with this child. Would you please e-mail me this protocol.
 
I also wondered if you had made a CD or DVD with a step by step how to perform your exercises.

 

RESPONSE

 Attached is the information on the Beckman Sensory Motor Protocol, three documents.  I make certain that the person has 50% at least for midblade elevation, posterior cheek strength and jaw strength before focusing on food.  I ask the family to work outside of mealtime for new foods and use familiar foods during the meal.  I work on increasing quantity of familiar foods first, then increase variety at the lowest texture level tolerated to increase to 20 different foods, then increase texture last.  By the time we are ready to work on increased texture, I find that the individual has usually already increased texture on most foods on our list, and in therapy, we only have to work on a few areas, usually vegetables and meats.