Brooklyn Feeding Academy is a family-centered feeding solutions practice. From picky eaters to medically fragile children who may be tube fed, our therapeutic philosophy is the same. In order to repair these difficulties, the whole family must be enlisted in working on these challenges. Your child will be seen on their “turf” with all the attendant securities and pitfalls that may present themselves during mealtime. We’ll work together to determine the root cause of your child’s feeding problem. Our goal is to assist the team at arriving at an optimal plan to improve your child’s eating. In addition to feeding consultation, we may put together a plan to improve oral motor function. As you might guess, good oral motor function benefits both eating and speech development.
My name is Adam Kolesar. I’m a speech/language pathologist specializing in pediatric feeding and swallowing disorders. A 1990 graduate of the University of South Carolina with a Master’s degree in Speech Pathology, I’m celebrating my 30th year as a clinician. My career has focused solely on pediatric practice. Upon completing my Masters, I participated in a post-graduate program in the interdisciplinary treatment of childhood developmental disorders at Georgetown University. The rigors of this program served as an excellent training ground in terms of understanding the relationship of the many professions involved in the care of children with developmental disabilities. I learned early on that the challenges faced by our kids rarely occur in isolation. With the “whole child” principle in mind, I returned to South Carolina and accepted a position at the Greenville Center for Developmental Pediatrics. This setting again emphasized the importance of team work in the evaluation and treatment of children with developmental issues.
The children we worked with ranged in age from toddlers through high school with a variety of challenges. From South Carolina I returned to my native New York and worked at Brooklyn Hospital Center where I had the opportunity to work as a Speech Pathologist in the Neonatal Intensive Care Unit. This work with newborns was particularly gratifying in that we were able to intervene shortly after the babies were born. The children we saw in the NICU presented with difficulties in taking formula or breast milk by mouth. As clinicians, we worked with the nursery staff to assess the infants, and determine strategies to compensate for their difficulty in feeding by mouth. After a year of working in the NICU, I saw a job posting for a Children’s Hospital in Queens where I would set up shop for the next seventeen years.
My time at the hospital has afforded me great opportunity to work with an extensive array of childhood disorders. While at the hospital, my first challenge was to become an NDT Trained speech pathologist. “NDT “stands for Neuro Developmental Treatment and involves a dynamic treatment modality that utilizes the child’s whole body to address specific neruo-muscular challenges. This treatment philosophy once again embraces the concept of “whole” child. The nature of medically-based speech pathology necessitates an expertise in feeding and swallowing as roughly 70% of the children on caseload have issues with feeding by mouth. My work at the hospital involved the diagnosis and treatment of swallowing disorders (dysphagia). I have done a great many video fluoroscopy studies and established a flexible endoscopy program for the “in-house” diagnosis of difficulties in swallowing. Last year I obtained specialty recognition in swallowing and swallowing disorders (BRS-S) from the American Speech Language & Hearing Association (ASHA). As a speech/language pathologist and father of a toddler, the final frontier of feeding was to obtain my certification as a Lactation Counselor (CLC). While I may be in the vast minority of male CLC’s, understanding how human feeding works without the benefit of 21st century technology has been an invaluable asset to my practice.
In hanging my shingle and establishing the Brooklyn Feeding Academy it is my hope that we can work together as a team to get your child’s eating back on track.
Please contact us if you cannot find an answer to your question.
Like all questions of this ilk, the answer is, "That depends." Given that you’re reading the FAQs, we’ll answer the question more succinctly. From a clinical perspective, here is the basic differential we apply when looking at the difference between typical "picky" kids and children who may have a "problem" requiring a more focused approach.
Picky Eaters usually exhibit these behaviors:
Eats a limited range/variety of foods, but over 30 different foods (We look at a 3-day food diary to determine variety) If a child "burns out" on a food and stops eating it, he usually regains the food after 2 weeks Tolerates new foods on plate (maybe not eat, but will at least allow the presence of a new food) and will touch or taste the food. Tolerates food of different textures (purees, chewy solids, crunchy solids). Will, with enough positive exposure, try new foods.
Problem Eaters look more like this:
Eats a restricted range or variety of foods usually well under twenty Foods lost from "burn out" are NOT re-acquired Cries or falls apart with introduction of new foods on the plate Refuses entire categories of food (green foods, meats, chewy foods) Will take forever to acquire a new food item.
We at BFA define a feeding disorder as any mealtime behavior that disrupts the family mealtime routine, or socially isolates a child from full participation in typical routine. If you feel unduly "burdened" by mealtime due to your child’s reluctance to eat and mealtime has become a battle, maybe it's time for some idea’s on a different approach to mealtime. The goal of the BFA is to make mealtime a completely "unremarkable" experience.
When appropriate, the Brooklyn Feeding Academy uses the SOS (Sequential Oral Sensory) approach to remediate most difficulties with a child’s approach to food. More specific information about to the approach can be found under the "About Us" tab.
Add an answer to this item.Each child will receive an individualized evaluation, which will determine our approach. Perhaps your child exhibits typical picky behavior that creates a real headache in your life. In that case, we may provide a quick consultation and then brainstorm possible solutions to gently nudge your child along. In more involved cases, we’ll determine a cause and develop a therapeutic approach that works in harmony with the family. We typically employ the SOS approach to feeding, which works in twelve-week cycles and may involve individual or group work as appropriate.
The Brooklyn Feeding Academy believes that addressing feeding difficulties is best done on the child’s home turf. We perform all evaluations over at least two meals in the child’s home, at the table, with the folks responsible for feeding the child. We’ll examine the mealtime dynamic as a whole and determine the direction of therapy. It is critical that your child achieves feeding success with the primary feeder (usually the parent), as opposed to just the therapist. Feeding difficulties almost always arise from a combination of environmental, sensory, behavioral and motoric causation. We’ll work together to unravel your child’s difficulties in the comfort of the family’s home.
We at Brooklyn Feeding Academy will do our best to work with your insurance company to help you obtain reimbursement for services. As NYS licensed Speech/Language Pathologists, our approach has been approved by managed care entities. Coverages can vary, so check with your carrier. Prospective clients may want to obtain a pediatrician’s prescription for feeding therapy, or seek a pre-approval for services. We’ll do our best to provide the information requested by the carrier.
Please contact Brooklyn Feeding Academy with any questions you may have.
We look forward to hearing from you. Thank you!
- Adam Kolesar
505 Court Street - Apt #1B, Brooklyn, New York 11231, United States
Phone: 917-232-2267 Email: brooklynfeeding@gmail.com
© 2010 Brooklyn Feeding Academy. All Rights Reserved.
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