"Helping Children Achieve their Potential"
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Programs & Services
The Pediatric Feeding and Swallowing Team at the Achieve Center is designed specifically for infants, toddlers and adolescents who have a variety of feeding and swallowing difficulties, including dysphagia, Failure-to-Thrive, feeding-tube dependency, oral-motor difficulties, and food/oral aversion.  Feeding problems may also include extreme food selectivity or refusal, difficult mealtime behaviors, and/or difficulties with self-feeding.

Often, children who have been dependent on tube feeding need help with the challenge of transitioning to oral feedings.  Our goal is to establish feeding patterns that optimize nutrition while supporting the child's development in social, emotional, communication, and cognitive (intellectual) areas.

Medical diagnosis that may be associated with feeding and swallowing difficulties:


• Congenital Syndromes
• Dysphagia
• Failure-to-Thrive
• Gastro-Esophageal Reflux
• Oral Motor Dysfunction
• Tracheo-Esophageal Fistula 







Our services include the evaluation and management of feeding and swallowing disorders, and address the unique needs of each child and family.  Our team approach is multi-disciplinary and includes speech-language pathologists, occupational therapists, and medical nutrition therapists, who will coordinate their care with your child’s primary care physician to meet the needs of your child.

In Spokane, our Pediatric Feeding and Swallowing Team is called the “Munchables.”  In Spokane, please call our office to speak with Paula Turner, a speech-language pathologist and specialist in the field of pediatric feeding and swallowing.

In Wenatchee, please call our office to speak with Hal Hunsaker, a speech-language pathologist and specialist in the field of pediatric feeding and swallowing.
• Autism Spectrum Disorders
• Pervasive Developmental Disorders
• Bronchopulmonary Dysplasia
• Cerebral Palsy
• Cleft Lip/Palate
• Congenital Cardiac Conditions

Pediatric Feeding and Swallowing