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Food Chaining: A Systematic Approach for the Treatment of Children With Feeding Aversion

Mark Fishbein, MD^*, Sibyl Cox, MS, RD^*, Cheryl Swenny, MA^*, Chris Mogren, RN^*, Laura Walbert, CCC/SLP and Cheri Fraker, CCC/SLP

^* SIU School of Medicine, Department of Pediatrics, Springfield, Illinois; and Preemietalk, Springfield, Illinois

Correspondence: Mark Fishbein, MD, SIU School of Medicine, Department of Pediatrics, Springfield, IL 62794-9658. Electronic mail may be sent to mfishbein{at}siumed.edu.

Food chaining has been developed as a systematic method for the treatment of children with extreme food selectivity. Food chaining is an individualized, nonthreatening, home-based feeding program designed to expand food repertoire by emphasizing similar features between accepted and targeted food items. This chart review illustrates the efficacy of food chaining in treating aversive feeding disorders.