Our comprehensive approach begins with an initial evaluation, followed by interim consultations and a 2 to 3 week intensive in-home treatment program.
Initial Evaluation (typically 3-5 Hours)
An Initial Evaluation includes of a review of records, interacting with current medical personnel (e.g., Pediatrician, GI Specialist, Nutritionist, etc.) and an observation of 1-2 meals in the natural setting in which meals are normally conducted (home, school, etc.). We then offer mealtime recommendations and schedule the child for follow-up in one of the programs below depending on the needs of each child.
Consultation (typically 60-90 minutes)
In a follow-up consultation, we'll follow the child and family for 3-6 evaluations to ascertain the success (or failure) of prior recommendations. A typical evaluation consists of reviewing prior data and recommendations, observing one meal, and providing additional feedback and/or additional treatment recommendations. Typically, these visits are scheduled 1-2 weeks after an initial evaluation or a prior consultation. If sufficient progress is not made, the frequency of these consultations may increase (e.g., weekly, bi-weekly) or the child may be referred to the Intensive In-Home Treatment Program.
Intensive In-Home Treatment Program (~3 weeks; ~85-105 consecutive meals)
The Intensive Program consists of every meal (breakfast through dinner and snacks in between; 4-6 daily meals total) of every day (Sunday through Saturday) being attended to by clinic staff. Staff will coach or implement meals during each of three phases (Baseline, Treatment Evaluation and Fading/Generalization) depending on needs of the child and care-providers. Typically, cases that enter the Intensive Program last 16-19 days on average.
Services and Costs
• Initial Evaluation - $580
• Consultation - $240 per meal
• Intensive In-Home Treatment Program - $950/day
• The estimated cost for a typical 22 day program is $20,900
To download a copy of our Screening Packet to see if our services are right for your situation, click here.
While intensive programming can be costly, it does involve the HPFDS team being present from breakfast through dinner (12-14 hours a day), 7 days a week until the child has met all goals (usually ~3 weeks). However, 86-94% of children who receive Intensive Programs have successfully been able to consume sufficient nutrients to decrease and eliminate tube dependence during or shortly after the admission. In comparison, the routine costs of maintaining a child on tube feedings is reported to be in excess of $46,000 a year. Also, the value of getting the child with chronic food refusal to eat anything and everything the family provides is invaluable. And what's more is that services can be provided in the family’s home and the child's educational setting.
For more information about our services or to set up a consultation, please contact us.