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Updated: Aug 16, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
A multiprofessional children's feeding clinic
Heidi Seabert1, E Clare Eastwood, Alyson Harris
1Taunton and Somerset Hospital, Taunton.
Insights
This feeding clinic offers a multidisciplinary approach for infants and children with feeding difficulties, integrating pediatric dietitians, occupational therapists, and speech-language therapists for comprehensive care.
Area of Science:
- Pediatrics
- Allied Health Professions
Background:
- Feeding difficulties in infants and children are common and can stem from various conditions.
- Existing treatment models often require multiple separate appointments for different specialists.
- A coordinated approach can improve efficiency and parental support.
Purpose of the Study:
- To describe a jointly run feeding clinic for pediatric patients with feeding challenges.
- To highlight the benefits of a multidisciplinary team approach in managing complex feeding issues.
- To provide guidance on assessment and intervention strategies for feeding difficulties.
Main Methods:
- A collaborative model involving a paediatric dietitian, occupational therapist, and speech and language therapist.
- Integrated assessment and intervention for conditions such as cerebral palsy, autism, and feeding aversion.
- Holistic approach balancing safety, nutrition, hydration, and developmental progress.
Main Results:
- Parents receive consolidated guidance from all three disciplines in a single appointment.
- The integrated approach addresses a range of feeding difficulties, from developmental delays to learned aversions.
- Therapists outline their roles and provide examples of assessment and alleviation techniques.
Conclusions:
- A co-ordinated, multidisciplinary feeding clinic enhances care for children with feeding difficulties.
- This integrated model streamlines appointments and provides comprehensive support for families.
- The clinic aims to make feeding a safe and enjoyable experience through expert intervention.
Abstract:
A paediatric dietitian, occupational therapist and speech and language therapist describe how they jointly run a feeding clinic for infants and children with feeding difficulties. Conditions treated include cerebral palsy, autism, learned aversion following severe gastro-oesophageal reflux, and delayed oral development that affects feeding. The therapists' co-ordinated approach enables parents to receive clear guidance on feeding at one combined appointment, without the inconvenience of having to attend three separate appointments. The article outlines the role of each therapist, with examples of how they assess and alleviate the children's problems. The need for safety, nutrition and hydration is balanced against the desire for developmental progress in a holistic approach involving all three therapy disciplines. The aim of the feeding clinic is to provide advice, support and intervention plans to help make feeding a pleasurable and safe experience for all the children who attend.
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