ORIENTATION TO SCHOOL NUTRITION MANAGEMENT
Identify major legislation
related to disabilities.
Prohibits discrimination against
qualified handicapped persons
in any program or activity that
receives federal financial
assistance.
Defines handicap as “…a physical
or mental impairment which
substantially limits one or more
major life activities”
Ensures that all children with
disabilities receive a free
appropriate public education
Prohibits discrimination against
persons with disabilities in areas of
employment, public services, public
accommodations, transportation,
and communication
 Expanded
the definition of a
disability
 Became effective January 1,
2009
 New regulations are still being
put into effect
Identify legal, food safety,
and financial considerations
related to special needs.
Regulations, Guidance
State law, Case law
School policy and procedure
Documentation
Prescription/medical orders
followed as written
Confidentiality
 Follow
principles of food
safety when preparing
special needs foods.
 Maintain
a separate area for
allergenic foods.
•
Special foods, supplements,
consultations
•
Equipment–may be funded through
IDEA
•
Medicaid (varies from state to state)
•
Title 1 and PTA
List required components of
the diet prescription.
•
Only a licensed physician
can diagnose a disability
•
Accommodations must be
made
•
No extra charge to student
 Diabetes
 Phenylketonuria
(PKU)
 Food anaphylaxis
•
•
•
•
•
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
 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
•
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
Identify common dietary
modifications.
Texture
ground
chopped
pureed
Calories
increased
decreased
Consistency of Liquids
nectar
honey
pudding
A
reaction between a food
protein and the body’s immune
system
 Symptoms
can range from
mild to life-threatening
 Milk
 Treenuts
 Soy
 Crustacean
 Wheat
shellfish
 Fish
 Eggs
 Peanuts
A severe, life-threatening
allergic response
Describe effective and
appropriate interaction with
those who have disabilities
and their caregivers.
The Institute of Child Nutrition
www.theicn.org
800-321-3054