1. Accommodating Children with Special Dietary Needs

2. Schools must make substitutions in foods in the reimbursable meal for students who are disabled and whose disability restricts their diet.

3. What are Disabilities? n Disability is defined in: u Section 504 of the Rehabilitation Act of 1973 u Americans with Disabilities Act of 1990 u Part B of the Individuals with Disabilities Education Act (IDEA) F IEP

4. Disability n Accommodation MUST be made n No extra charge n A disability determination can only be made by a licensed physician

5. Statement For Children With Disabilities n What the disability is n How it restricts diet n Major life activity affected n Foods to be omitted n Foods to be substituted

6. FOOD RELATED DISABILITIES n Diabetes n PKU n Food Anaphylaxis

7. OTHER FOOD ACCOMMODATIONS n Texture n IV n Tube Feeding

8. Children Who Are Not Disabled But Have Other Special Dietary Needs n Food allergies or intolerances u NOT generally disabilities UNLESS anaphylactic n Accommodation MAY be made BUT is NOT Required n In many cases, allergies can be dealt with through “Offer-Versus-Serve” or by providing additional selections

9. Statement For Children Who Are Not Disabled u The substitutions must be supported by a statement signed by a recognized medical authority (physicians, physician assistants, nurse practitioner, or other professionals) specified by the State agency.

10. Statement For Children Who Are Not Disabled (continued) u The statement must include: F an identification of the medical or other special dietary condition which restricts the child’s diet, F the food or foods to be omitted from the child’s diet; and F the food or choice of foods to be substituted.

11. Recognized Medical Authority  Physician  Physician Assistant  Nurse  Nurse Practitioner  Other professionals specified by the State agency.

12. NEVER n Revise or Change a Prescription or Medical Order

13. School Food Service Records n It is important that all recommendations for accommodations or changes to existing diet orders be documented in writing to protect the school and minimize misunderstandings. Schools should retain copies of special, non-meal pattern diets on file for reviews. n The diet orders do not need to be renewed on a yearly basis; however, schools are encouraged to ensure that the diet orders reflect the current dietary needs of the child.

14. Commonly Asked Questions These questions are grouped under the following topics: n Meals and/or foods outside of the normal meal service n Special needs which may or may not involve disabilities n Responsibilities of food service management companies and other food service operations n Feeding in separate facilities–generally not acceptable n Temporary disabilities n Complicated feedings n School food service account; and n Documentation

15. FUNDING INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA) n Services which may be funded through IDEA: u Special Foods, Supplements, Equipment u Consultation Services u Assistance

16. FUNDING MEDICAID n Varies from state to state n Paid Directly to Provider

17. FUNDING LOCAL n PTA n Voluntary Health Associations

18. RESOURCES n State agency n ADA coordinator n Health Dept/Hospital

19. RESOURCES n State Title V Directors n American Dietetic Assoc. n University Affiliated Program for Developmentally Disabled (UAP)