Santino was greeted by the feeding therapist. The session was completed on the floor as he sat on his desired pillow. He made fleeting eye contact. Upon entrance, he was on his iPad. With moderate redirection, he interacted with therapist during a Play Doh activity to establish rapport with new clinician. He was observed to make different animal shapes using Play Doh Shapes. When a novel food was introduced (Shortbread cookies with letters), he immediately pushed it away. He then followed the clinician's model by placing the cookie in the "all done bowl" with his hand. He intermittently wiped his hand on his leg or wall indicating tactile aversion to the crumbs. With Cheez It Gripz, he immediately placed in the "all done" bowl 10x without model. With SLP model, he blew the cracker into the bowl 1/5x (allowing the food closer proximity to his face) and further refused more trials. With Cheeto Puffs, he was using his iPad and remained calm and content while SLP "tap tap tap" up his arm, cheeks, and lips and eventually placed in bowl. SLP placed crumbs to lip border, and Santino did not demonstrate aversion. He in fact licked the crumb off his lip once. He then refused more trials. With preferred yogurt, he opened for the spoon and would take small bites off the tip of the spoon. When placed in his hand, Santino fed himself the yogurt with ease. When Ingrid entered the session and offered him semi preferred fruit loops, he refused by pushing her hand away. SLP was unable to assess true oral motor and chewing skills as Santino refused the solids. Overall, the evaluation went very well. Santino shows so much potential with making food a positive experience again. I am confident he will make progress in the area of expanding his food repertoire and accepting foods in different environments from a variety of caregivers. The session was discussed with Ingrid. In therapy, we will target all sensory components of food visually, sense of smell, touch and working closer to his mouth, with hopes to eat the food. Once Santino is willing to put things (food or oral motor tools) in his mouth, a further assessment of chewing will be completed. Thank you, Amanda LaPlante, MS , CCC-SLP