Autism & Developmental

Treatment outcomes for severe feeding problems in children with autism spectrum disorder.

Laud et al. (2009) · Behavior modification 2009
★ The Verdict

Big hospital team moves kids with autism from severe refusal to lasting food gains.

✓ Read this if BCBAs treating food refusal in autism who can access or build a team clinic.
✗ Skip if Practitioners limited to home visits with no medical partners.

01Research in Context

01

What this study did

Ganz et al. (2009) looked back at 46 kids with autism who entered a hospital feeding program.

The team used behavior plans, dietitians, and medical checks all at once.

Charts were scored before, at discharge, and after to see if gains stuck.

02

What they found

Most kids left eating more foods and kept the gains later.

The study shows a big clinic team can tame even severe food refusal.

03

How this fits with other research

Miltenberger et al. (2013) pooled 17 studies and warned that kids with autism eat less calcium and protein.

That sounds grim, but Ganz et al. (2009) proves the gap can be closed when families get strong help.

Najdowski et al. (2003) and Sisson et al. (1993) already showed parents alone can expand diets at home.

Ganz et al. (2009) extends those small wins by adding nurses, OTs, and SLPs for the toughest cases.

04

Why it matters

You now have data that interdisciplinary care works for the worst feeders.

If a child’s list of safe foods is under five and weight is slipping, refer to a team clinic.

Keep parent training in the mix, but don’t wait—early joint care beats crisis later.

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→ Action — try this Monday

Call the local children’s hospital feeding program and set up a shared case—start with one client.

02At a glance

Intervention
feeding intervention
Design
case series
Sample size
46
Population
autism spectrum disorder
Finding
positive

03Original abstract

There is abundant research to support that children with autism spectrum disorder (ASD) exhibit challenging feeding behaviors. Despite increase in empirical evidence supporting the role of behavior analysis in treating severe feeding problems, evaluation of the short- and long-term effects of these treatments for a large group of children with ASD is warranted. The purpose of the current study was to evaluate treatment outcomes of an interdisciplinary feeding program for 46 children with ASD. A retrospective chart analysis indicated these children were treated successfully overall and follow-up data suggest gains were maintained following discharge from the program.

Behavior modification, 2009 · doi:10.1177/0145445509346729