Feeding challenges are common. We can help

CCSN’s Feeding Clinic provides guidance and support for patients and their families with challenges related to feeding.

Our unique, multidisciplinary approach brings together a clinical team to support both behavioral and oral-motor needs. Our clinic includes both evaluation and treatment services. We also focus on family training to support the improved behavior of your loved one.

CCSN’s Feeding Clinic addresses common areas where some children on the Autism Spectrum may struggle including:

  • Food Selectivity - Issues with having a picky eater
  • Food Refusal - Issues with refusing to eat food
  • Oral-Motor Deficits - Issues with oral motor skills including chewing or swallowing

Our Approach

A comprehensive evaluation is conducted to determine variables that interfere with eating, such as:

  • Assessment of Mealtime Behavior - an evaluation utilizing observational methods and data collection systems to identify environmental conditions that affect behavior during mealtime
  • Food Logs - record of foods eaten over a designated period of time to assess variety of foods presented and amount of intake
  • Texture inventory - parental report of taste, texture, and temperature preference
  • Clinical Observation - evaluation of other physiological and social influences that could compromise successful feeding
  • Preference and Reinforcer Assessment - a systematic evaluation of positive items -- edible and non-edible -- to introduce during treatment, play, and other activities

Program Development

  • Program development is based on individual needs identified through the diagnostic evaluation
  • Programs will address behavioral issues, oral-motor issues or both
  • Weekly personalized behavioral and oral-motor treatment targets:
    • Skill development and overcoming restrictions
    • Parent training
    • Modification of program to better suit individual needs
    • Supporting skills across different environments and settings
  • Treatment procedures are designed to support use throughout the week by parents, school personnel, and other caregivers
  • Collaboration with Pediatrician and/or Nutritionist as needed
  • All program recommendations and training are supervised by the team at CCSN


To ensure maximum support and consistency for the patient, CCSN must ensure that the process is discussed with:

  • School
  • Day care center
  • Extended family

Behavioral Sleep Clinic

A clinical intervention plan designed to resolve non-medical sleep difficulties common among children with autism spectrum disorders

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Severe Behavior Clinic

CCSN’s therapists address and fix ‘triggers’ that cause destructive behavior such as self-injury, aggression or noncompliance

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Toileting Clinic

Our clinical psychologists use evidence-based treatment interventions to work with children and families to progressively introduce toileting skills

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Applied Behavior Analysis (ABA) Clinic

This methodology aims to positively impact the student’s social, functional, and adaptive skills through best industry practices

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Feeding Your Child with Autism: A Family-Centered Guide to Meeting the Challenges” by Dr. Mark J. Palmieri, Psy.D., BCBA-D & Kristen Powers, M.S., OTR/L Woodbine House, Amazon