Pediatric Occupational Therapists: Help with refusal of spoon to mouth

Michelle Posts:

DEAR ERI COMMUNITY: I am a pediatric occupational therapist. I have several kiddos on my caseload now who are all on the spectrum. Each one resists taking a spoon to mouth and has a limited acceptance of a variety of foods. Even when a preferred food is placed on the utensil they refuse to eat from the spoon. They will pick the food off the spoon and eat it but will refuse if it is presented on the utensil. Any suggestions on where to start and treatment ideas? Thank you so much! Michelle