We evaluated the effects of redistribution and swallow facilitation with a flipped spoon on packing in 2 children with a feeding disorder. For both participants, packing decreased when we implemented the flipped spoon treatment package. Mechanisms responsible for behavior change and areas of future research are discussed. (Contains 1 figure.)

The food refusal of a 6-year-old girl with autism and destructive behavior was treated using stimulus fading, reinforcement, and escape extinction. Intake increased, and compliance with prompting procedures remained relatively stable despite the increased consumption requirement. (Author/CR)