What is the SOS Approach to Feeding?

The SOS (Sequential Oral Sensory) Approach to feeding is a therapeutic framework and intervention strategy used to address feeding difficulties in children, particularly those who are picky eaters or have aversions to certain foods. It was developed by Dr. Kay Toomey, a pediatric psychologist, and Dr. Erin Ross, an occupational therapist, who specialize in pediatric feeding disorders.

 The SOS Approach to feeding is based on the premise that feeding difficulties often stem from sensory issues and can be influenced by a child's sensory preferences and sensitivities. The approach aims to gradually introduce and expand a child's diet by addressing the sensory and motor aspects of eating. Here are some key components of the SOS Approach:

1. Sequential: The intervention follows a sequential progression. It starts with the child learning to tolerate the presence of new foods, then touching, smelling, and eventually tasting them. The goal is to help the child progress through these steps at their own pace.

2. Oral: The focus is on oral motor skills and the development of appropriate chewing and swallowing patterns. This includes addressing any oral motor difficulties that may be contributing to feeding problems.

3. Sensory: Sensory factors play a significant role in feeding difficulties. The approach considers a child's sensory sensitivities and preferences and works to desensitize them to new food textures, flavors, and temperatures.

4. Child-Centered: The SOS Approach is child-centered and takes into account the individual needs and preferences of each child. It respects a child's autonomy and pace in exploring and accepting new foods.

5. Environmental Factors: The approach also considers the role of the feeding environment, including mealtime routines, social interactions, and the presentation of food. Creating a positive and relaxed eating environment is essential.

6. Parent Involvement: Parents play a crucial role in the SOS Approach. They are actively involved in the therapy process and are taught strategies to help their child gradually expand their diet at home.

7. Multidisciplinary Team: In some cases, a multidisciplinary team of professionals, including psychologists, speech therapists, occupational therapists, and dietitians, may be involved to address various aspects of feeding difficulties comprehensively.

SOS is tailored to the specific needs of each child, and the progression through the stages is gradual and individualized. It aims to reduce mealtime stress and anxiety, improve a child's willingness to try new foods, and ultimately expand their diet to include a wider range of nutritious options. Parents and caregivers can also benefit from education and support to help their child with feeding difficulties.