Feeding intervention in schools?

I’ve worked in healthcare my whole life, am new the school system this year, and the only OT in the district. Lately I’ve been getting a lot of referrals for sensory feeding difficulty with preschool or kindergarten age students. Some seem truly sensory with limited diet, most maybe have some sensitivities but family then proceeds to list a long list of foods that they eat full of different textures, tastes, etc.

In general what are people’s thoughts about providing feeling intervention in the educational setting? I’m really not sure where the consensus lies and I feel I could argue both ways:

  • mild/moderate feeding issues that don’t regularly impact their participation in meal related school activities are not appropriate to address under an IEP and are more outpatient appropriate (although apparently can’t suggest this??)

OR

  • risk of limited participation in meals at school can impact nutrition and thus participation, education, etc.

I often feel backed into a corner with feeding students, and they inevitably score high on SPM because teachers know how to answer in a way to qualify their student. At the same time, if this is a service that is frequently provided in the schools I dont want to withhold that from my students