Introduction
A restricted diet in toddlers significantly impacts family routines, childhood occupation and development. While evidence-based feeding interventions are effective, the impact can be limited when strategies remain siloed in clinic settings. This model demonstrates the value of the OT Key Worker role as the core driver for change, ensuring responsive, family-centred care that embeds the Sequential Oral Sensory (SOS) approach and skill acquisition within the child's natural environment and the lens of play.

Implementation
The OT/key worker intervention involved coaching to integrate strategies into routines and play. The OT worked with the child’s Speech Pathologist, Dietitian and Physiotherapist and translated their clinical strategies into everyday routines. Data was collected using modified Canadian Occupational Performance Measure (COPM) scores to measure changes in parental satisfaction and the child's performance/engagement during mealtimes.

Discussion
By treating mealtimes as opportunities for intervention, there was a reduction in parental stress, increase in confidence and increase of the child’s variety and quantity of food eaten and explored across environments which validated the effectiveness of the approach. This confirms that the OT, acting as the key worker, is uniquely positioned to use the clinical expertise of a team and address the complex relationship between the person, occupation, environment, and participation (PEOP model) for meaningful and functional gains.

Conclusion
This presentation offers a clear, actionable framework for integrating play and feeding strategies for toddlers. Leveraging the OT's unique skills, this key worker model creates a cohesive, family-centred service model that directly enhances practice quality.