Service Delivery

Behavioral treatments for pediatric feeding disorders.

Linscheid (2006) · Behavior modification 2006
★ The Verdict

Hospital-style feeding therapy can be scaled down to clinics and homes if you keep medical checks, function data, and flexible procedures.

✓ Read this if BCBAs treating severe food refusal in any setting.
✗ Skip if Practitioners who only handle mild picky eating.

01Research in Context

01

What this study did

Linscheid (2006) wrote a narrative review about running behavioral feeding therapy inside a hospital unit.

The paper maps how to move lab-tested procedures into busy medical wards.

It stresses daily medical checks, quick procedure tweaks, and team roles.

02

What they found

The review does not give new outcome data.

Instead it lays out a full inpatient service model.

Key parts are medical clearance, brief functional checks, and flexible treatment steps.

03

How this fits with other research

Hodges et al. (2020) show you should run a full functional analysis before treatment.

Linscheid (2006) only hints at brief assessment; the later paper gives a clearer roadmap.

Roberts et al. (2024) took the same ideas into an outpatient clinic and still got gains.

Amore et al. (2011) and Seiverling et al. (2012) moved treatment to kitchens and tables at home with parents in charge.

Together these studies extend the inpatient model to lighter, cheaper settings.

04

Why it matters

You may not have a hospital unit. You can still borrow the core moves: check health first, watch the function of refusal, and adjust procedures fast. Use Abby’s full FA when safety allows, or trial-based versions from Andersen et al. (2022) to save time. If the child is stable, try the home-based parent models and track progress just as closely.

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→ Action — try this Monday

Run a brief functional analysis during tomorrow’s lunch session and chart the results before dinner.

02At a glance

Intervention
feeding intervention
Design
narrative review
Population
not specified
Finding
not reported

03Original abstract

The effectiveness of behavioral interventions for pediatric feedings problems has been well documented. However, the application of these procedures in the real world is often more complex and difficult than research reports reveal. Multiple factors such as the child's medical condition and history, medical monitoring requirements, and the need to adjust treatment procedures as intervention progresses make it difficult to follow the best-laid plans developed from reading structured and highly controlled experimental applications. This article details factors to be considered in the actual clinical-based application of behavioral procedures in the treatment of pediatric feeding problems. A description of how referrals are generated and initial assessment is conducted, and a model for inpatient treatment is presented. In addition, the need for efficient and effective treatment in the real world is stressed.

Behavior modification, 2006 · doi:10.1177/0145445505282165