A comprehensive clinical evaluation of infants and children with feeding and swallowing problems is an integral part of the process for identification of the nature and extent of the problem(s). Findings contribute to efficient management considerations that are frequently broader than oral sensorimotor intervention. Children with feeding and swallowing problems are at higher risk for health-related complications than any other group of children assessed and managed by speech-language pathologists. Increasingly, school-based speech-language pathologists are in strategic positions to identify feeding and swallowing problems in children and to determine the needs for medical team referral, as well as to carry out ongoing monitoring and therapeutic intervention (e.g., Arvedson, 2000). The major goals for all children seen by both medical and educational based feeding and swallowing teams include safe feeding, adequate nutrition, and pleasant mealtimes. School and home environments should facilitate interactions for optimal feeding.