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Updated: Jan 9, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
State of the Science of Pediatric Feeding Evaluation, Intervention, and Policy
Brittany M St John1, Aimee Piller2, Kelly Tanner3
1Brittany M. St. John, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, Division of Occupational Therapy, University of Washington, Seattle.
Abstract:
Feeding is a multifaceted process that is frequently disrupted across pediatric populations, in particular among children with medical, developmental, or behavioral challenges. Occupational therapy practitioners possess unique expertise in providing comprehensive evaluations and interventions for feeding and eating skills, child regulation and behavior, mealtime routines, and family-centered goals during this essential activity of daily living. This State of the Science review synthesizes the current state of evaluation, intervention, and policy related to pediatric feeding within occupational therapy; specifically, we identify opportunities for expanded assessment development, intervention research, clinical research partnerships, and policy advocacy. We emphasize the importance of occupational therapy practitioners being part of multidisciplinary teams, consistently being recognized as qualified providers of feeding services, and being reimbursed for service provision across the United States related to pediatric feeding.
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