Individuals diagnosed with autism and related disabilities often engage in self-injurious behavior that can create tissue damage. Protective equipment is sometimes used to decrease the severity of tissue damage when self-injury occurs. However, wearing protective equipment may be incompatible with some forms of adaptive behavior, such as meal consumption. The purpose of this analysis was to identify a treatment for meal refusal in three adolescent males diagnosed with autism who wore protective equipment that competed with meal consumption. Two treatments were evaluated with all participants: one involved manipulation of the reinforcing efficacy of the meal, and the other involved modifying protective equipment to allow continued access during meal presentation. For two participants, both treatments were effective. For a third participant, neither treatment was effective, but the addition of differential reinforcement for eating in the absence of equipment was effective at increasing meal consumption.