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The Stepping Stones Group Opportunities - December 2025

How Can NICU Clinicians Support Parent Education and Empowerment to Improve Discharge Outcomes?

Anna Manilla, MS, CCC-SLP, CLC

September 1, 2025

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Question

How can NICU clinicians support parent education and empowerment to improve discharge outcomes?

Answer

Discharge planning in the NICU should begin as early as possible, with a strong emphasis on educating and empowering parents well before their baby is ready to go home. A core focus of early education is cue-based feeding—helping parents learn to recognize their infant’s signals and respond appropriately to feeding needs. This approach supports bonding, encourages developmental progression, and builds parental confidence in their ability to care for their infant independently. By integrating these skills into daily care routines throughout the NICU stay, families are better prepared for the transition home and less likely to feel overwhelmed during the final days before discharge.

This Ask the Expert is an edited excerpt from the course, SLP in the NICU: An Overviewpresented by Anna Manilla, MS, CCC-SLP, CLC.


anna manilla

Anna Manilla, MS, CCC-SLP, CLC

Anna is a Senior Pediatric Speech-Language Pathologist and Certified Lactation Consultant with specialized experience in the Neonatal Intensive Care Unit. She plays a key role in mentoring graduate students, training new clinicians, and leading initiatives that expand SLP services to better support infants and their families. Anna is dedicated to delivering high-quality, compassionate care and advocating for the unique needs of medically fragile infants.


Related Courses

SLP in the NICU: An Overview
Presented by Anna Manilla, MS, CCC-SLP, CLC
Video

Presenter

Anna Manilla, MS, CCC-SLP, CLC
Course: #11267Level: Introductory1 Hour
  'easy to listen'   Read Reviews
This course provides an introductory overview of Speech-Language Pathology services in the Neonatal Intensive Care Unit (NICU), including the unique environment, the SLP’s role, and key components of neonatal care. Topics include cue-based and supportive feeding strategies, instrumental assessments, and approaches for empowering and supporting parents and caregivers.

20Q: In the Thick of It - The International Dysphagia Diet Standardization Initiative (IDDSI)
Presented by Jennifer Raminick, MA, CCC-SLP, BCS-S, Danielle Ward, MA, CCC-SLP
Text

Presenters

Jennifer Raminick, MA, CCC-SLP, BCS-SDanielle Ward, MA, CCC-SLP
Course: #10756Level: Intermediate1 Hour
  'Anything that teaches me more about IDDSI is great'   Read Reviews
The importance of using IDSSI to provide standardized language when speaking about texture modification is discussed in this course. Comparisons of IDDSI and the National Dysphagia Diet (NDD), as well as IDDSI standards for pediatric vs. adult patients are presented. Additionally, potential barriers, solutions, and frequently asked questions related to implementation of IDDSI are described.

Developing Feeding Programs: How to Positively Impact the SLP World
Presented by Amber Valentine Forston, MS, CCC-SLP, BCS-S, IBCLC, CNT
Video

Presenter

Amber Valentine Forston, MS, CCC-SLP, BCS-S, IBCLC, CNT
Course: #11279Level: Intermediate1 Hour
  'Fascinating topic and clearly presented content'   Read Reviews
Speech-language pathologists wear many hats, and preparation for entering specialized areas can be challenging. During clinical practicums and graduate coursework, SLPs search for areas of interest. The area of infant and pediatric feeding and swallowing presents unique navigation challenges. This course discusses aspects and challenges of becoming a feeding therapist and reviews the details of building successful infant and pediatric feeding programs in different settings.

Feeding Development: What is Typical?
Presented by Rhonda Mattingly Williams, Ed.D, CCC-SLP
Video

Presenter

Rhonda Mattingly Williams, Ed.D, CCC-SLP
Course: #10520Level: Introductory1 Hour
  'The presenter was very clear and organized'   Read Reviews
An introduction to multiple factors - including relationships - associated with feeding development, as well as a review of typical milestones, are provided in this course. An overview of conditions that can disrupt the normal developmental process is also presented.

IDDSI Framework: Part 1
Presented by Denise Dougherty, MA, CCC-SLP
Video

Presenter

Denise Dougherty, MA, CCC-SLP
Course: #11290Level: Intermediate1 Hour
  'Very engaging and knowledgeable presenter'   Read Reviews
This course reviews the International Dysphagia Diet Standardisation Initiative (IDDSI) framework for liquids and solids, with an emphasis on identifying appropriate and inappropriate foods for each level. Testing methods for each level, including the application of the IDDSI funnel, will also be explained.

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