What Is Intensive Feeding Therapy at MetroEHS and How Does It Work?

three MetroEHS therapists talking about feeding therapy in an interview

What is the Intensive Feeding Therapy Program Like at MetroEHS?

As we dive into the details of the Intensive Feeding Therapy Program at MetroEHS, hear from the experts at MetroEHS and how they collaborate on the most wholistic approach to Intensive Feeding Therapy.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
When it comes to treating children who have complex feeding difficulties and pediatric feeding issues, there's a multitude of things that are typically at the root of the problem. So what's very unique about the program that we have here is that we have involvement from both occupational therapy, speech and language therapy, physical therapy, a dietician, as well as psychology.

Rose Britt (Registered Dietitian):
So it's all five disciplines. Spending time together with the family, with the patient, with each other, all talking at one cohesive time, making a plan instead of grabbing pieces from all over the place and putting them together. I think it makes it a lot smoother for us and the families as well.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
Each of our disciplines really does have something to offer to this process, but when we work all together, we have the ability to help our kiddos make more progress more quickly.

Kayla Daniels (Physical Therapist):
At Metro, we really take a whole body approach. We don't just look at one aspect of the child. And a lot of people don't think of physical therapy as part of the feeding team, but in order to eat, you have to use all of these posture and muscles, you have to hold yourself up. You have to hold your head up to be able to swallow. So really focusing on all of those aspects of your body is really important to be able to make the progress.

Azari Haygood (Psychologist):
As a psychologist on staff for the Intensive Feeding Program, I offer mental health services to the families and to some of the clients. It's very stressful for a lot of these families. It's stressful for the clients that we see. And so, I offer just another support for them, where I'm helping them kind of overcome some of the stressors that they're experiencing around feeding.

Rose Britt (Registered Dietitian):
It's not just me telling you what to do. There's so much more going into that, and you get to really listen to the families and hear why it's not working and problem solve together.

Kayla Daniels (Physical Therapist):
The impact you can make, not only on the child's life, but on the family's life as a whole is huge.

Azari Haygood (Psychologist):
Seeing that improvement in their family's lives feels really great all around.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
One in 23 children have a pediatric feeding issue. And so, to truly be able to address all of the aspects of that in one place, that's where we get to make a difference every single day.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
It's like when you have a jigsaw puzzle and you're missing one piece, you can still tell what the picture of the jigsaw puzzle is going to be, but when you have all of the pieces together, integrated into this treatment, the result is just something so much more beautiful.

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April 25, 2024

How Does Physical Therapy Help Children Who Toe Walk?

April is Autism Awareness Month, a time dedicated to shedding light on autism spectrum disorder (ASD) and promoting understanding and acceptance. Throughout this month, we've been exploring how MetroEHS, a pediatric neighborhood therapy company with locations across Metro Detroit, is making a difference in the lives of children on the autism spectrum through various forms of therapy.

Today, we delve into a common phenomenon observed in children—toe walking—and its potential significance, particularly in relation to autism. Toe walking, the act of walking on the toes, balls of the feet, or tippy toes, is a behavior that may raise concerns, especially when observed in children around the ages of two to three.

According to experts at MetroEHS, including Kelly Johns, the Director of Physical Therapy, toe walking can be an indicator of potential developmental issues, including autism spectrum disorder. Children on the spectrum often exhibit sensory-seeking behaviors, and toe walking can be one manifestation of this sensory-seeking behavior, providing them with additional sensory input.

While occasional toe walking in toddlers who are still learning to walk may not be alarming, persistent toe walking, especially beyond the age of two or three, warrants attention. If a child is consistently toe walking more than 50% of the time, it is advisable for parents to seek evaluation and possible intervention, such as physical or occupational therapy.

Toe walking can have various implications for a child's physical development and overall well-being. It can lead to issues such as pelvic misalignment, muscular imbalances, and even the shortening of the Achilles tendon over time. Addressing toe walking early through therapy and interventions can mitigate potential future problems and promote proper musculoskeletal development.

MetroEHS offers a range of therapies, including physical and occupational therapy, to address toe walking and other developmental concerns in children. Additionally, parents can play an active role in helping their children at home by incorporating simple exercises and activities aimed at stretching the calf muscles and promoting proper walking mechanics.

Simple interventions like stretching exercises and using swim flippers can aid in correcting toe walking tendencies and promoting a more natural gait pattern in children. By combining professional therapy with at-home practices, parents can support their children's physical development and overall well-being.

MetroEHS has 14 locations across Metro Detroit, with three more on the way, ensuring accessibility for families seeking therapy services for various developmental needs, including autism spectrum disorder. Find the nearest MetroEHS location to you on the Locations Page!

As we wrap up Autism Awareness Month, let's continue to spread awareness, understanding, and support for individuals on the autism spectrum and their families, empowering them to thrive and lead fulfilling lives.

April 14, 2026

How Can Integrated Therapy Help My Child Build Skills Faster?

When your child needs therapy, it is common to hear about several different types of support. You may be told your child could benefit from speech therapy, occupational therapy, physical therapy, or behavioral therapy. Each of these services can play an important role in your child’s development.

But for many children, progress can happen more smoothly when those therapies work together instead of separately.

That is the idea behind integrated therapy.

Integrated therapy means your child’s providers work as a team. Rather than having each therapist focus only on their own area, they collaborate, communicate, and build one coordinated plan centered on your child’s everyday growth and success.

Kids Do Not Develop One Skill at a Time

Children do not learn in neat, separate categories. A child who is working on communication may also need help with sensory challenges, motor skills, social interaction, attention, or behavior. These areas often overlap in daily life.

For example, a child may struggle to express their needs clearly, but that same child may also have trouble staying regulated, joining play, or managing transitions. One challenge can affect another.

When therapy is integrated, children can receive support in multiple areas at the same time. This often helps them make progress faster because the people helping them are all working toward the same bigger picture.

One Team, One Plan

One of the biggest benefits of integrated therapy is that your child is not working with separate providers who all have different goals. Instead, the therapists share strategies and work together.

A speech therapist may introduce a new way for your child to communicate. An occupational therapist may help your child practice that skill during play. A behavioral therapist may reinforce it during social routines or structured activities.

Because the same skills are being supported in more than one setting, children often have more chances to learn, remember, and use them.

This team approach can make therapy feel more connected and more purposeful.

Skills Are Practiced in Everyday Ways

Children learn best when they can use their new skills in real-life situations.

If a skill is only practiced during one therapy session each week, it may take longer for that skill to become natural. But when a child practices the same skill in different activities and across different therapies, it can start to stick more quickly.

This kind of repeated practice can help children build confidence, use their skills outside of therapy, and become more independent in daily life.

That might look like using communication skills during play, practicing motor skills during a routine activity, or learning how to handle transitions with support from multiple therapists who are using the same approach.

Parents Get Clearer Support Too

Integrated therapy is not only helpful for children. It can also make a big difference for families.

When providers work together, parents are more likely to receive one clear plan instead of separate instructions that may feel overwhelming or hard to connect. This can make it easier to understand what your child is working on and how to support that progress at home.

Many families find that a coordinated approach helps reduce confusion, makes home practice more manageable, and keeps everyone focused on the same goals.

When therapy feels more connected, it is often easier for parents to feel confident in the process.

Why Coordination Can Lead to Better Progress

Research has shown that children in coordinated, multidisciplinary therapy programs often experience strong benefits across many areas of development. These may include improved communication, better motor skills, more independence in daily routines, and stronger participation at home and at school.

When care is coordinated, children may have an easier time carrying new skills from one activity into another. Instead of learning something in isolation, they begin to use it more naturally in everyday life.

That is often where meaningful progress happens.

The Goal Is Real-Life Success

Therapy is not only about checking off goals in a session. It is about helping children communicate, move, play, participate, and grow with more confidence in their daily lives.

An integrated therapy model supports that by bringing people together around your child’s needs. It helps ensure that therapy is not fragmented, but connected in a way that makes sense for how children actually develop.

The Bottom Line

Children grow in many ways at once, and their therapy can work the same way.

When therapists collaborate as one team, children get more consistent support across different areas of development. That can help them build skills faster, use them more confidently, and make progress that carries into everyday life.

Because every child deserves support that helps them thrive.

November 4, 2019

MetroEHS Pediatric Therapy & Challenge Detroit

Challenge Detroit was founded in 2008, with a mission that reads; “We develop, support and connect emerging and existing community-minded leaders, amplifying the positive impact on our diverse, cultural vibrant city.” Challenge Detroit is making a difference.

MetroEHS Pediatric Therapy is proud to be a host company with Challenge Detroit.

MetroEHS is excited to introduce Dezha Willoughby, one of two Challenge Detroit Fellows MetroEHS proudly hosts! Dezha was born and raised in Detroit and places like Belle Isle were the norm on the weekends (when the weather was nice). She attended and graduate from MLK High School (#GoCrusaders) and she went on to attend college at Michigan State University where she honed in her skills to work with and serve people. Dezha studied Human Development and graduated with her Bachelor of Science Degree in Human Development and Family Studies. Dezha enjoys being outside and enjoying nature. Dezha is very determined and ambitious about being an agent of positive change.

According to the company, “Challenge Detroit cultivates diverse, innovative, community-minded leaders from the city and across the country, fostering their talents to support local initiatives that move Detroit forward. While they spend four days a week accelerating their professional careers with our Host Companies, each Friday Fellows take a day out of the office to bring social impact challenge projects to life in collaboration with our local nonprofit partners. They work in multi-disciplinary teams, bringing their vision, creative muscles, and entrepreneurial spirits to address some of Detroit’s greatest challenges and opportunities. We believe that to move our city forward, positive change starts with an individual and is ignited by a community of leaders who bring innovative perspectives to their work, and most importantly, the nonprofits already making an impact within our Detroit communities.”