Get Permission Institute

Get Permission Institute Training and supporting pediatric feeding professionals.

What if the key to unlocking progress with selective eaters and children with feeding challenges isn't on the plate at a...
04/21/2026

What if the key to unlocking progress with selective eaters and children with feeding challenges isn't on the plate at all — but inside the body?

Join us May 13th for a live conversation with interoception expert Kelly Mahler — and discover how your clients' internal experiences (pain, fear, shame) might be overriding hunger signals entirely.

This is the framework feeding therapists, OTs, and SLPs have been missing!

Comment INTEROCEPTION to learn more

COMING IN JUNE! Don't miss your chance to learn how to RESPONSIVELY use feeding tubes to empower families and children i...
04/16/2026

COMING IN JUNE!

Don't miss your chance to learn how to RESPONSIVELY use feeding tubes to empower families and children in their mealtimes.

This course includes:
-Ten modules of video instruction from Marsha Dunn Klein and Karen Dilfer that can be watched at your own pace!
-Slide deck of all ten modules to assist your learning
-PDF handout for all ten modules to download
-Videos of Get Permission treatment sessions and case studies to see how Marsha and Karen apply the Get Permission principles in sessionTwo
-Two days of LIVE interaction with Marsha and Karen to answer all your questions after module viewing!
-17 hours certificate of attendance

Comment TUBE WITH LOVE for more information.

Are you new to feeding therapy? Or don't quite understand how responsive feeding works? Our Get Permission Essentials co...
04/16/2026

Are you new to feeding therapy? Or don't quite understand how responsive feeding works? Our Get Permission Essentials course, Feeding in Infancy & Toddlerhood: Learning Through Opportunity, is a great place to start!

Comment FOUNDATIONS to learn more about how this course can help you.

Join the thousands of therapist who have taken our On Demand courses with Marsha Dunn Klein, OTR/L, M. Ed. FAOTA and lea...
04/15/2026

Join the thousands of therapist who have taken our On Demand courses with Marsha Dunn Klein, OTR/L, M. Ed. FAOTA and learn more about her Get Permission Approach to mealtimes! Visit our website today to learn about who we are, what we believe, and how you can learn more!

Looking for ways to responsively treat in the NICU? We have 3 courses that will help empower you and your families! Chec...
04/13/2026

Looking for ways to responsively treat in the NICU?
We have 3 courses that will help empower you and your families!

Check them out in our On Demand library

04/13/2026

“Picky”

Let’s re-think our use of this word.

What is the “Get Permission Approach” to feeding?It is a responsive, sensitive, and supportive approach to feeding thera...
04/10/2026

What is the “Get Permission Approach” to feeding?

It is a responsive, sensitive, and supportive approach to feeding therapy. Get Permission strategies lovingly support children and their families. The Get Permission Approach enables you to view children and families holistically and collaborate with caregivers to create positive changes at mealtimes.

Thanks for being here! Visit our website to learn more about us 💜💚

Meet Bre! Bre Robison OTR/L, M.S. is an Instructor & Community Engagement at GPI. If you have ever emailed us, she's the...
04/09/2026

Meet Bre!

Bre Robison OTR/L, M.S. is an Instructor & Community Engagement at GPI. If you have ever emailed us, she's the one you are talking to!

Bre earned her Bachelor of Arts in Psychology from the University of Arizona and spent two years working in school systems before pursuing her Master of Science in Occupational Therapy from AT Still University. Following graduation, she completed the Marsha Dunn Klein Feeding Fellowship, where she developed expertise in the Get Permission Approach.

For the past 10 years, she has been working at Mealtime Connections, LLC, an outpatient feeding clinic where she supports children and families in building positive mealtime experiences. In addition to clinical work, she serves as an educator, administrator, and Community Engagement Coordinator for the Get Permission Institute. Her practice centers on helping families connect through a foundation of trust and respect.

Outside of work, her life revolves around her husband and three children. She is hands-on with homeschooling, loves cooking with them, and treasures watching them grow and discover the world.

Check out her courses in GPI's On Demand library:
Rethinking Goals Through A Gentler Responsive Lens
Blending Success: The Role of Smoothies in Supporting PFD and ARFID

What if we stopped trying to "get" them to eat or "get" food in them — and started focusing on helping them feel safe? T...
04/07/2026

What if we stopped trying to "get" them to eat or "get" food in them — and started focusing on helping them feel safe?

Trust is built slowly, through connection and consistency. And when a child feels truly safe, curiosity finds its own way to the table.

Meet Karen!Karen Dilfer, OTR/L, MS, is a Co-Founder & Senior Instructor at GPI.Karen is an occupational therapist, feedi...
04/02/2026

Meet Karen!

Karen Dilfer, OTR/L, MS, is a Co-Founder & Senior Instructor at GPI.

Karen 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 professionals 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 Neuro-Developmental 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 at eatwithkaren.com

Check out Karen's courses in our On Demand library:
Feeding in Infancy & Toddlerhood: Learning Through Opportunity
Hybrid The Get Permission Approach to Tube Feeding with Love
Assessment of "Picky" Eaters

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