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Mealtime Notions LLC was created by Marsha Dunn Klein, MEd, OTR/L to provide mealtime support for parents and professionals who feed infants and young children with special feeding challenges. Initially Mealtime Notions provided therapy evaluations and consultation as well as videotapes, DVD's, books and products to support mealtimes. The therapy evaluation and consultation aspect of Mealtime Notions is now provided by a separate company called Mealtime Connections, LLC. For more information about Mealtime Connections, LLC, visit

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The philosophy of Mealtime Notions, LLC support, product use and education
is that feeding is, first and foremost, a special relationship between the child and the feeder. That trusting feeding relationship must be nurtured at mealtimes and in all mealtime helping strategies. We use and teach the "Get Permission© Approach" to all mealtime interactions.
We believe it is the adult job to offer mealtime opportunities and the child job to communicate whether the interaction is enjoyable. We look for a "positive tilt" in the mealtime interaction where the adult and child lean towardseach other physically or emotionally during the meal.
The child can indicate acceptance and readiness for the mealtime experience by opening the
mouth, reaching or leaning towards the food. We avoid creating situations that can be described as a "negative tilt" where the adult is leaning towards the child and offering, but the child is pulling away, pushing away, crying, and trying to leave the mealtime situation. To keep the tilt
positive, we need to start from a point of trust, start with food tastes and textures and stretch confidence and enjoyment from there.

The children we serve through workshops and products have difficulties coordinating the process of sucking, swallowing, and breathing, handling the sensory aspects of mealtimes and have a hard time getting in enough calories to grow. Many of them need supplemental tube feeding to help with nutrition. Often their enjoyment of mealtimes is dampened because of the neurological, genetic, cardiac, metabolic, sensory and experiential challenges they have encountered. We provide educational opportunities with workshops, therapy consultation and shared information, as well as favorite mealtime resources and materials.

It is our goal to help families and professionals:

  • Create positive mealtimes and feeding relationships while nourishing all mealtime participants
  • To understand mealtimes from the perspective of the child and family
  • To identify and create strategies for treatment of the medical, oral motor, sensory, emotional and environmental challenges that affect feeding
  • To help children master mealtime skills with confidence and enjoyment and the internal motivation to eat enough to grow well
  • To look past the mouth and into the bigger picture of mealtime
  • To support parents in their roles as "provider of nourishment" for their child

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Mealtime Notions LLC | PO 35432 | Tucson, AZ 85740 | Phone: (520) 829-9635
©2009 Mealtime Notions LLC. All Rights Reserved.