1. ORIENTATION TO SCHOOL NUTRITION MANAGEMENT

2. Identify major legislation related to disabilities.

3. Prohibits discrimination against qualified handicapped persons in any program or activity that receives federal financial assistance.

4. Defines handicap as “…a physical or mental impairment which substantially limits one or more major life activities”

5. Ensures that all children with disabilities receive a free appropriate public education

6. Prohibits discrimination against persons with disabilities in areas of employment, public services, public accommodations, transportation, and communication

7.  Expanded the definition of a disability  Became effective January 1, 2009  New regulations are still being put into effect

8. Identify legal, food safety, and financial considerations related to special needs.

9.  Regulations, Guidance  State law, Case law  School policy and procedure  Documentation  Prescription/medical orders followed as written  Confidentiality

10.  Follow principles of food safety when preparing special needs foods.  Maintain a separate area for allergenic foods.

11. Special foods, supplements, consultations Equipment–may be funded through IDEA Medicaid (varies from state to state) Title 1 and PTA

12. List required components of the diet prescription.

13. Only a licensed physician can diagnose a disability Accommodations must be made No extra charge to student

14.  Diabetes  Phenylketonuria (PKU)  Food anaphylaxis

15. What the disability is Major life activity or Activities of Daily Living (ADL) affected How it restricts the diet Complete diet order – including texture modifications Foods to be omitted and substituted

16.  Food intolerances and allergies (unless anaphylactic)  Accommodations may be made but are generally not required  In many cases, can be accommodated through offer vs. serve or by providing additional choices

17. Signed by a recognized medical authority (physician, nurse, others specified by state agency) Identify the medical/dietary condition that restricts the child’s diet Foods to be omitted and substituted

18. Identify common dietary modifications.

19. TextureCalories ground increased chopped decreased pureed Consistency of Liquids nectar honey pudding

20.  A reaction between a food protein and the body’s immune system  Symptoms can range from mild to life-threatening

21.  Milk  Soy  Wheat  Peanuts  Treenuts  Crustacean shellfish  Fish  Eggs

22. A severe, life-threatening allergic response

23. Describe effective and appropriate interaction with those who have disabilities and their caregivers.

24. The Institute of Child Nutrition www.theicn.org 800-321-3054