In this 2-hour webinar, you will learn to:

  • Define the concept of a mealtime

  • Define mealtime peace, change happens, new food trying, and circle of sensitivity

  • Describe the enjoyment, confidence and internal motivation goals of eating with children

  • Describe the six components of mealtime peace: preparation, no-pressure zone, togetherness with success, clear expectations, food rehearsals, and trust

  • Integrate evidence from literature on family mealtimes into your practice

  • Help your families find mealtime peace as a starting point for change

Course Description

Mealtimes are time for communication, socialization, and enjoyment of food. They are times of conversation and family togetherness. When children have eating challenges, the mealtime can lose its balance.  Both children and parents may no longer enjoy the meal.  We will explore ways to help families find mealtime peace as a starting point for enjoyment, reconnection, and new food trying.      


Founder and Senior Instructor

Marsha Dunn Klein, OTR/L, MED, FAOTA

Marsha is a pediatric occupational therapist who has specialized in pediatric feeding for almost 50 years. She has co-authored Pre-Feeding Skills, First Edition, Pre-Feeding Skills: Second Edition, Mealtime Participation Guide, and Homemade Blended Formula with Suzanne Evans Morris, Ph.D., CCC-SLP. She co-authored Feeding and Nutrition for the Child with Special Needs with Tracy Delaney. Her newest book is Anxious Eaters, Anxious Mealtimes: Practical and Compassionate Strategies for Mealtime Peace. When it is not the middle of a global pandemic, she presents nationally and internationally. She is a food celebrator and is passionate about supporting children and their families.

Founder and Senior Instructor

Karen Dilfer, MS, OTR/L

Karen Dilfer is an occupational therapist, feeding specialist, and food enthusiast. She has a strong pediatric background and loves to help children with motor, sensory, and mealtime challenges. A Chicago native, Karen enjoys discovering new restaurants and cooking with friends and family. She is a founding member of the Chicago Feeding Group, a non profit organization that seeks to support parents and professions who work with children who struggle to eat. Karen was recently featured in the Chicago Tribune. Karen has a bachelor of science degree from Calvin College and a master’s of science degree from Washington University in St. Louis. She is Neurodevelopmental Treatment (NDT) trained and has also completed post-graduate education in Sensory Integration. Karen trained under Marsha Dunn Klein at Mealtime Connections, LLC, in Tucson, Arizona. Karen is a contributing member to the Get Permission team and regularly teaches Get Permission workshops and webinars. She maintains a private practice and actively treats children with feeding challenges. You can learn more about her work here:

CEU Info

Certificates will be issued verifying participation in 2 hours of continuing education once full attendance has been verified. Please allow 3-4 weeks for certificates to be sent. Check with your professional organizations licensing bodies to determine exactly what may be accepted for you. This course is eligible for ASHA’s professional development hour requirements. You will not require ASHA pre-approval for this. See here [] for more information. This course is eligible for AOTA credits. Please check your state’s guidelines for specific information about this continuing education activity may apply to your state’s CEU guidelines.


Cancellations must be in writing and will incur a $10 fee. We are unable to give refunds if more than 10% of the course has been viewed. If the Get Permission Institute should need to remove course content for any reason, course fees will be refunded or transferred to another course at the discretion of the participant.


This intermediate level course is appropriate for OTs, SLPs, PTs, assistants, educators, early intervention providers, parents/caregivers, and other professionals (social workers, nurses, registered dietitians, etc.) working with children with feeding challenges. Please contact us at  with any needs regarding accommodations.

What Past Students Have To Say:

  • "I have been to many courses that incorporate the same ideas but this was a different perspective that I really enjoyed and learned from. I have already started using the strategies for stretches in my sessions!"

  • "The passion of presenter, clarity of information, and usefulness in my day-to-day work with families were the best parts of this event. This was an incredible opportunity to expand my knowledge base and the presentation was delivered without a hitch!"

  • "LOVED all of the visuals/personal stories/real life examples. It made it helpful to understand and be able to connect/ put it into practice!"