The TOTs Program serves newborns and young infants with feeding challenges due to tethered oral tissues (i.e., tongue and lip ties).

In a team model, infants under 6 months of age are seen by a speech-language pathologist and a physical therapist to address breast- and bottle-feeding challenges while also treating issues of body alignment, including plagiocephaly and torticollis. Our feeding therapists also are certified in lactation support.

The treatment process typically ranges six to eight treatment sessions. Some babies may require additional physical therapy to address ongoing atypical movement patterns.  A mental health therapist who specializes in perinatal mental health is also part of the team offering mental health support to parents and families involved in the program

Participating families have reported a high rate of satisfaction with their ability to restore the feeding relationship with their baby in a short amount of time while receiving comprehensive support.

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