On October 23rd, 2014, we updated our
By continuing to use LinkedIn’s SlideShare service, you agree to the revised terms, so please take a few minutes to review them.
+ DIAGNOSTIC CRITERIADiagnostic and Statistical Manual of Mental Disorders, 4th edition text revision (DSM-IV-TR)International Statistical Classifications of Diseases- 10 (ICD-10) For classification of diseases and health problems on “health and vital records including death certificates and health records.” (WHO, 2012)
+ DIAGNOSTIC CRITERIADSM-IV-TR, 307.59, Feeding Disorder ofInfancy or Early Childhood: A. Feeding disturbance as manifested by persistent failure to eat adequately with significant failure to gain weight or significant loss of weight over at least 1 month. (Behavenet, 2012)
+ DIAGNOSTIC CRITERIADSM-IV-TR, 307.59 B. The disturbance is not due to an associated gastrointestinal or other general medical condition (e.g., esophageal reflux). (Behavenet, 2012)
+ DIAGNOSTIC CRITERIADSM-IV-TR, 307.59 C. The disturbance is not better accounted for by another mental disorder (e.g., Rumination Disorder) or by lack of available food. D. The onset is before age 6 years. (Behavenet, 2012)
+ DIAGNOSTIC CRITERIADSM 5 Feeding and Eating Disorders“…it is being recommended that the Eating Disorders category be renamed Feeding and Eating Disorders to reflect the proposal for inclusion of feeding disorders…” (American Psychiatric Association, 2012)
+ DIAGNOSTIC CRITERIAInternational Statistical Classifications of Diseases- 10 (ICD-10) F98.2 Feeding disorder of infancy and childhood: A feeding disorder of varying manifestations usually specific to infancy and early childhood. (WHO, 2012)
+ DIAGNOSTIC CRITERIAICD-10 It generally involves food refusal and extreme faddiness in the presence of an adequate food supply, a reasonably competent caregiver, and the absence of organic disease. (WHO, 2012)
+ DIAGNOSTIC CRITERIAICD-10 There may or may not be associated rumination (repeated regurgitation without nausea or gastrointestinal illness). (WHO, 2012)
+ CHARACTERISTICSFood refusalInappropriate behaviors during mealtimeFailure to thriveFood Selectivity (Piazza & Carroll-Hernandez, 2004)
+ CHARACTERISTICSFood Refusal Refusing food and/or drink May lead to failure to thrive Skill deficits: Oral motor behaviors (i.e., chewing) Fine motor behaviors (i.e., self-feeding) (Piazza & Carroll-Hernandez, 2004)
+ CHARACTERISTICSFailure to thrive Child loses weight over time Lack of nutrients Unable to take in, retain, or utilize the calories (Piazza & Carroll-Hernandez, 2004)
+ CHARACTERISTICSFood selectivity: Texture (smooth v. crunchy) Type (carbohydrate v. fruits) Presentation (on specific plate or specific location) Brand (Hunt’s ketchup v. Heinz’s ketchup) (Gutshall, 2012)
+ COMMON TREATMENTSSupplemental feedings (Tube Feeding): Gastrostomy tube (G-tube): A tube is inserted through the abdomen and then nutrients are delivered into the stomach 1st year $46,875.55 2nd year $80,959.10 5 years+ $183,209.80 Nasogastric tube (NG-tube): a tube is inserted through the nasal canal and then nutrients are delivered into the stomach Child becomes dependent (Piazza & Carroll-Hernandez, 2004)
+ COMMON TREATMENTSBehavioral Therapy Increased in food consumption and “may be more effective than other strategies” Decreased in supplemental feedings 2 year+ $48,000 Compared to G-tube, cost savings $135, 209.80 for 5 year+ (Piazza & Carroll-Hernandez, 2004)
+ Special Considerations for Behavior AnalystsComponents that should be looked at: Biological Medical issues: Are there any medical problems? (e.g., food allergies, reflux issues, GI problems, etc.) Skill deficits Oral Motor Problem behaviors during mealtime Functional Analysis Parent education Educate parents
+ References American Psychiatric Association. (2012). Retrieved October 31, 2012, from: http://www.dsm5.org/PROPOSEDREVISION/Pages/ FeedingandEatingDisorders.aspx Gutshall, K. (2006). Q&A: Feeding Disorders. Retrieved October 30, 2012, from:http://blog.centerforautism.com/2012/01/11/qa-feeding-disorders/ Piazza CC, Carroll-Hernandez TA. Assessment and treatment of pediatric feeding disorders. In: Tremblay RE, Barr RG, Peters RDeV, eds. Encyclopedia on Early Childhood Development [online]. Montreal, Quebec: Centre of Excellence for Early Childhood Development; 2004:1-7. Available at: http://www.child- encyclopedia.com/documents/Piazza-Carroll-HernandezANGxp.pdf. Accessed [October 31, 2012].
+ References Rozantes, M. (2012). Treating Children with Feeding Disorders. Retrieved October 28, 2012, from:http://teamchatterboxes.blogspot.com/2012/07/treating-children-with-feeding.html Unknown. BehaveNet. (1995-2012). Retrieved October 29, 2012, from:http://behavenet.com/node/21491 World Health Organization. (2012). Retrieved October 31, 2012, from:http://www.who.int/en/
+ Question Whatdo you think about Feeding and Eating Disorders being combined together?