So sorry to hear your friend is struggling with Dysphagia. My partner has been dealing with it for the last 2 years, 8 years post cancer. He had a JPEG put in to ensure nutrition, had stretching done as well as vocal cord injections to close the gap. Unfortunately we are now pondering a functional laryngectomy since his muscle no longer can move his voice box to swallow without aspiration. He spits. A lot. I did see a few support groups when I googled. May be my next place as well. We're just trying to deal with it day by day. I hope your friend has a good SPL to help with strengthening exercises. They do help, not just as much as I had hoped. My thoughts are with your friend.