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Nutrition Interventions for Children with Special Health Care Needs

Nutrition Interventions for Children with Special Health Care Needs

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Chapter 9 - Behavior Issues Related to Feeding<br />

Does this child have the necessary subskills?<br />

Are you rein<strong>for</strong>cing easy tasks to build momentum during each session, be<strong>for</strong>e<br />

moving to the target task?<br />

Are you moving through the subskills slowly enough to ensure success and<br />

compliance?<br />

Are you careful not to inadvertently ignore appropriate behavior?<br />

Are you careful not to talk or make eye contact during misbehavior?<br />

Are you careful not to repeat instructions when you get no response?<br />

Are you careful to ignore misbehavior <strong>with</strong>out allowing escape?<br />

Do you know this child’s escalation pattern?<br />

Do you intervene early in the escalation cycle by rein<strong>for</strong>cing previous subskills to<br />

rebuild momentum?<br />

Do you give enough time/space <strong>for</strong> de-escalation between trials?<br />

Reprinted <strong>with</strong> permission from Ginny Cronin<br />

Child Behavior Services, 1999<br />

118 <strong>Nutrition</strong> <strong>Interventions</strong> <strong>for</strong> <strong>Children</strong> With <strong>Special</strong> <strong>Health</strong> <strong>Care</strong> <strong>Needs</strong>

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