Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. Outside the School Lunch...
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Transcript of Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. Outside the School Lunch...
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Outside the Outside the School Lunch Box:School Lunch Box:
Accommodating Students with Accommodating Students with Special Dietary NeedsSpecial Dietary Needs
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Food and Nutritionas Supplementary or Related
ServicesJuly 13, 2010
Special Education Services
Special Education Services
Diane Hawkins
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Special Education
Eligibility: 1.Presence of an
identified disability
AND2.Educational
need for specialized programming as a result of said disability.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
IDEA/IDEIA
• Federal funding source for eligible students enrolled in Special Education Programs in public school settings
• Eligible students demonstrate a need for specialized programming due to a recognized specific disability
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Decisions, Decisions, Decisions
Admissions, Review, Dismissal Committee
THE ARD
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The Plan
The Individual Educational Plan
The IEP
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Individual Educational Plan
• Establishes eligibility
• Reviews present levels of academic and functional performance
• Establishes instructional goals and objectives
• Determines placement and programming
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504
• Federal law intended to protect the rights of individuals with disabilities in programs and activities that receive federal financial assistance
• Eligible students demonstrate, have a record of demonstrating, or are regarded as demonstrating a physical or mental impairment that substantially limits one or more major life activities
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
504 and IDEA/IDEIA504
• Broad Disability Categories
• Applies to schools, agencies and other institutions that receive federal funds
• Un-funded mandate
IDEA/IDEIA• Specific
Disability • Applies to Public
Schools• Funded via
Federal and State sources
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
504 versus IDEIA/IDEA504
Broad Disability Categories
Physiological conditionCosmetic disfigurement
Anatomical LossOrganic Brain SyndromeMusculoskeletal Disorder
Conditions affecting special sense, genital-urinary, respiratory,
speech, cardiovascular, or reproductive organs
Others
IDEA/IDEIA Specific Disability
CategoriesLearning Impairments
Mental RetardationOther Health Impairment
Visual ImpairmentAuditory Impairment
Traumatic Brain InjurySpeech Impairment
Autism Spectrum DisorderEmotional DisturbanceOrthopedic Impairment
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In general …
Special Education Students are
covered under 504
BUT504 Students
are not necessarily Special Education
eligible
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Who Decides?
Special Education
Admissions, Review, Dismissal (ARD)
Committee
Membership: Parent(s), Administrator, General/Special Educator,
and others as needed
504
504 Committee
Membership: Parent(s), Administrator,
Educator(s), and others as needed
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Plans of Action
Individual Education Plan (IEP)- Special Education
504 Plan-504
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In Essence, 504 and IDEA Obligate Schools to …
• Provide routine maintenance of devices (feeding pumps, ventilators, etc.) that are not medically implanted. This is required only to the extent that:– The devices are usable within the school setting
and needed to provide FAPE (Free and Appropriate Public Education).
– The devices need not be maintained by a medical professional.
• Provide medical services required to receive FAPE. Remember
Schools (ARD/504 Teams) decide what
services are required, not doctors.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
So, What about School Nutrition ?
ObligationsThe assurance that unique nutritional needs of students are met if by so doing, the student is able to access a Free and Appropriate Public Education.
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Federal Funds Prohibit…
Usage of Federal Funds to purchase
meals or snack items for students
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Remember …
Services beyond those needed to assist students with receiving their education are not the responsibility of the school under IDEA, even if medically required or recommended.
(Jose Martin, LLP, 2009)
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Thus…
It must be decided whether a service is solely medical in nature and, as such, not the responsibility of the school under IDEA, or when a service is required educationally.
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Relevance
Any service, equipment or device that bears a direct influence on the ability to provide a free and appropriate public education.
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Into the IEP
• Health Services• Food/Nutrition
Services• All relevant
supports and services
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Students with Special Diets
and the role ofHealth Services
Students with Special Diets
and the role ofHealth Services
Julie Lindley, RN, BSNDirector of Health Services & PEGrapevine-Colleyville ISD
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
IHPIndividualized Healthcare Plan
Students whose healthcare needs affect or have the potential to affect safe and optimal school attendance and academic performance require an IHP.
Only Registered Nurses (RNs) may write IHPs.
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Team Members
Parent(s)
Dietitian
School Nurse
Principal
Student
Cafeteria Manager
Teacher
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Most Common MedicalConditions Which Require
Special Diets in the School Setting
Celiac Disease
Latex Allergies
Crohn’s/Ulcerative Colitis
Diabetics
Food Allergies
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Celiac Disease
Lifelong autoimmune digestive disorder.
Gluten causes damage to the small intestine.
Gluten is a protein found in wheat, rye
and barley.
Treatment is a gluten-free diet.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Latex Allergies
Latex allergy is a reaction to certain proteins found in natural rubber latex.
Children with spina bifida have the highest risk for developing a latex allergy.
Foods associated with latex allergies:avocados bananas chestnutskiwis passion fruit
Exposure to latex or the associated foods may cause anaphylactic reactions.
Treatment is food avoidance and epi-pen for a reaction.
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Crohn’s/Ulcerative Colitis
Also known as Irritable Bowel Disease (IBD) is a chronic disease that causes inflammation and ulceration of the small intestine (Crohn’s) and colon/large intestine (Ulcerative Colitis).Restriction of high-fiber foods such as nuts, seeds, corn, popcorn, and various Chinese vegetables. Treatment is a low-fiber/low-residue diet and medications.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Type 1 Diabetes
The body does not produce insulin which converts sugar, starches and other food into energy needed for daily life. Dietary restrictions are not needed, a well balanced diet is recommended.Students must count the carbohydrates they eat at each meal for insulin administration.Provide school nurse and families with menus and nutrition information for products served in the cafeteria.Treatment is a balance of medication/diet/exercise.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Food AllergiesEight foods account for 90% of all food allergiesmilk egg peanut tree nutsfish shellfish wheat soyOccurs when the immune system mistakenly attacks a food protein causing the release of histamine.Symptoms of an allergic reaction include:swelling of throat itching/tingling of mouthsensation of warmth difficulty breathingwheezing swelling of the face/mouthhives vomiting/diarrheaTreatment is food avoidance and epi-pen for a reaction.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Tips for a Successful School Plan
Must work as a team!
Education, education, education!diseases anaphylactic reactionsepi-pen use food allergy/food intolerance
Provide school nurse and families with nutrition information for products served in the cafeteria.
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Accommodating Students
with Special Dietary Needs
Accommodating Students
with Special Dietary Needs
Christina Smith, MS, RD, LS, SNANutrition Services ManagerDallas ISD Food & Child Nutrition Services
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Our Demographics
• 150,000 students• 68% Hispanic, 26% African American,
4.5% White, 1.5% Asian and American Indian
• 86% economically disadvantaged• Over 300 special diets on record• Nearly 200 students with documented
diabetes
Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Our Stakeholders and Partners
• Registered Dietitian and cafeteria staff
• School nurses and Diabetes educator
• Parents• Speech and Language Pathologist• Occupational Therapist• ARD coordinator Special Education • Community children’s hospitals
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Our Processes
• Dietary Order Form• Annual Renewals• Onsite visits• POS Alert• Ingredient decks• Staff Training• Recipes and Menus
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Copyright © 2009-2010 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
Our Next Steps
• Strategies to close the gap• Increased automation and training
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School District Best Practices and Parental
Perspectives
School District Best Practices and Parental
Perspectives
Sharon WelbornNicole NotarianniTexas Department of Agriculture
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Questions Questions and and
AnswersAnswers