Alert

On December 10, Toronto Public Heath declared a Norovirus outbreak on the Complex Continuing Care unit. Other units and programs are operating as usual. Click for more info.

Please note our ambulatory care services will be closed on Dec. 25-26, 2025, and Jan. 1, 2026. The day program will be closed Dec. 22-26, 2025.

#cc0033
Print
pdf icon

Feeding and Swallowing Handbook

Optimizing a child’s feeding and swallowing function is an important part of the overall care for children with physical and developmental disabilities. However, achieving this goal can be a complex process for clinicians and an emotional journey for caregivers. The Holland Bloorview Feeding and Swallowing Team, in partnership with Evidence to Care, have developed an evidence-based handbook to help guide clinical decision making during clinical evaluation and management of pediatric feeding and swallowing issues.

Optimizing Feeding and Swallowing in Children with Physical and Developmental Disabilities
Optimizing Feeding and Swallowing in Children with Physical and Developmental Disabilities

Access the Handbook

The documents are available for free download by clicking on the links below the form.

Please tell us about yourself.

It will help us understand who is interested in this product, and where it is being used. We will not share your information. Thank you!  

Download Handbook
Feeding and swallowing handbook
Feeding and swallowing handbook
This handbook is a compilation of best evidence and practice to assist clinicians in assessing and treating feeding and swallowing issues in children with physical and developmental disabilities.
PDF
Handouts for Clinicians
Feeding According to Developmental Level for Clincians
Feeding According to Developmental Level
A table about 6 developmental stages children go through as their oral motor skills develop and which foods are appropriately provided at each stage that align with typical development. The information focuses on progressive development of skills rather than acquisition by a particular age.
PDF
Developmental Efficiency Chart
Feeding and swallowing framework
A versatile tool that can be used to guide your evaluations, summarize recommendations for families, and teach students feeding and swallowing practice fundamentals.
PDF
Handouts for Families
Feeding according to developmental level for families
Feeding according to developmental level (family)
A child’s developmental stage is more important than their age when it comes to feeding skills. This table shows how a child’s mouth movement skill for eating and drinking develops over 6 stages. Examples of foods and liquids that can be given at each stage are shown.
PDF
Aspiration Anatomy Chart
Aspiration infographic
An infographic about aspiration. This infographic explains what aspiration is, what it looks like, who is at risk and what you can do if you are concerned about a child’s risk of aspiration.
PDF