Feeding and Swallowing Center (FASC)

Children’s Hospital's Feeding and Swallowing Center (FASC) provides assessment, treatment, and ongoing support and follow-up care for infants and children experiencing feeding difficulties. Feeding difficulties can develop for a variety of reasons (medical, anatomical/structural, developmental, behavioral, and/or psychosocial) and therefore require a comprehensive assessment. A comprehensive evaluation combined with appropriate referrals at an early age will produce the best outcomes for children and their families.

The FASC involves an interdisciplinary team of specialists who provide comprehensive assessment and treatment . The child’s care is coordinated among multiple staff members with an emphasis on ongoing family education, training, and support. Based on the child’s needs, the initial assessment may include input from one or more of the following specialists:

  • Physician
  • Occupational Therapist
  • Speech Pathologist
  • Clinical Dietitian
  • Behavioral Health
  • Nurse Coordinator

If your child experiences one or more of the following, they may benefit from an evaluation with the FASC:

  • Limited or poor intake
  • Food refusal/selectivity
  • Inadequate or slow weight gain
  • Suspected or identified problems with airway protection and swallowing
  • Choking
  • Sensory problems
  • Swallowing difficulties
  • Chewing difficulties
  • History of gagging
  • Picky eating
  • Oral sensitivity
  • Lack of oral feeding experiences

To schedule an appointment call 412-692-FEED (option 1).
To speak to the nurse call 412-692-FEED (option 2).

Feeding Therapy

If your child is over 12 months old, the FASC team may make a referral for feeding therapy. Outpatient feeding therapy is available with occupational and/or speech therapy at the following sites:

  • Children’s Hospital in Lawrenceville: 412-692-5480
  • Children’s North in Wexford: 724-933-9255
  • Children’s East in Monroeville: 412-666-3836
  • Children’s South in South Fayette: 412-692-8807

Referral Requirements

Referrals are required from primary care physicians or other Children’s Hospital specialty services. Referrals for patients enrolled in managed care insurance plans also may require authorization from the insurance provider and primary care physician. All necessary referral and authorization forms must be received before the patient’s visit. For accurate provider numbers or more information, please call the office number.



Arcangela Lattari Balest, MD

  • Feeding and Swallowing Center (FASC)

    UPMC Children's Hospital of Pittsburgh
    4401 Penn Avenue
    Pittsburgh, PA 15224
    412-692-FEED (3333)