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early intervention plans?

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Can someone explain what exactly is an early inventention plan for

feeding/speech therapy- can treatment take place outside a hospital/clinic, in

the home or school, does it help train day to day care givers such as nursery

staff? Is this done by specialists or are parents expected to do all the at-home

practice. We have finally been able to find someone at a dental hospital in

Tokyo who is prepared to take on in terms of feeding therapy. We have our

first appointment Wednesday and I really want to push for some more regular

" practical help " , if possible at home or in nursery since won't even open

his mouth for food in a hospital environment let along get onto the mouth

stuffing, chewing problems.

Are such things possible in the US/UK? There are currently none here but I'd be

prepared to push to get one not only for but for anyone else (who is less

pushy than me) who comes along afterwards.

is 3 years 7 months, is near 100% tube fed but began desensitising his

mouth around 4 months ago. He can now cope with some puree but gags when

anything goes near the middle or back of his mouth and he has no idea how to

chew.He speaks alot but can only pronouce about 1/3 of the sounds correctly in

Japanese and even less in English. Is this related to lack of use of mouth for

eating? Does it get better if he learns to eat or does this need specific

attention. His current doctor says just leave it alone, but she says that about

teeth problems too and I just can't believe that will go away on its own.

Sorry for the questions.

Debi.

mom to in Japan

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