Training of teams in clinical settings and institutions

We offer training for interdisciplinary teams in institutions who intend to offer tube weaning and therapy of feeding disorders in an inpatient or outpatient setting. Depending on existing knowledge about feeding disorders and therapy as well as the number of team members, the kick-off training requires three to five days. The training consists of an introductory lecture and a workshop covering the following topics:

Feeding and Feeding Disorder

  • Basis of oral feeding
  • Feeding problems versus feeding disorder
  • Risk factors for feeding disorders
  • Interrelation of feeding disorder and tube feeding

Tube Dependency

  • Feeding disorder and tube dependency
  • Risk factors for prolonged tube dependency
  • Medical and psychological background of tube dependency
  • Consequences for tube weaning therapy
  • Tube feeding: Psychological effects
    • Effect on the child
    • Effect on the parents

Interdisciplinary diagnostics

      • Indication & contraindication for tube weaning
      • Oral motor evaluation
      • Swallowing evaluation
      • Psychological diagnostics
      • Medical diagnostics
      • Guidelines for decision processes concerning tube weaning

Phases of Tube Weaning

  • Phase 1: Preparation & diagnostics
  • Phase 2: Nutritional reduction
  • Phase 3: Individualized intensive treatment
  • Phase 4: Aftercare/follow-up
  • Organizational requirements
  • Criteria for successful tube weaning
  • Case studies


Individualized treatment

Psychological Treatment - Child

  • Awareness of signals of hunger and thirst & transformation in initiative and self-regulation
  • Play situations & de-sensitizing:
  • Negative feelings connected with oral area
  • Initiative and individualization
  • Interpersonal skills and autonomy

Psychological Treatment - Parents

  • Psychological impact of food refusal and ICU
  • Posttraumatic Stress Disorders
  • Crisis counseling
  • Memories of negative and stressful feeding situations, senses of guilt and incompetence
  • Access to parental strengths and competencies

Psychological Treatment - Interaction

Feeding situations

  • Translation of signals from infant and parents
  • Symbolic play
  • Playful approach to food, baby picnic

Play situations

  • Interaction and matching
  • Enhancement of parent-infant relationship
Working with cases

Working in small groups with cases brought by participants

  • Practical exercises
  • Consolidation
  • Integration into own experience
  • Different treatment programs
  • Treatment plans
  • Outcome
  • Evaluation


Furthermore, we offer supervision, counselling, and, case conferences throughout the implementation process and afterwards.