Presentation on theme: "Nutrition in the Child’s IEP and IFSP"— Presentation transcript:
1Nutrition in the Child’s IEP and IFSP Elizabeth Strickland, MS, RD, LDASD Nutrition Seminars & ConsultingPO Box 1495Canyon Lake, TX 78133Telephone: (830) Fax: (866)Web site:BOOK: EATING FOR AUTISM
2IFSP and IEP IFSP IEP Outcomes & Objectives (Individual Family Services Plan)Outcomes & ObjectivesA written plan for providingEarly Intervention servicesto an eligible child and hisfamily.(Birth through 2 years of age)IEP(Individual Education Program)Goals & ObjectivesA written plan for providingSpecial Education andrelated services to a childwith a disability coveredunder the IDEA.(Age 3 through 21 years of age)
3IFSP and IEP“Incorporating Nutrition Outcomes into the child’s IFSP or Goals into the IEP is an opportunity to designate the required nutrition services to address the child’s developmental and educational needs.”Elizabeth Strickland, MS, RD, LD
4IFSP and IEP Physical therapy Occupational therapy Speech therapy Behavioral therapiesSupport servicesArtMusicHippoWhat is the missing piece?Nutrition therapy
5IFSP IFSP Nutrition Outcomes 1.) Improve child’s growth rate Monitor weight & length once a monthRD teach parents how to maximize child’s caloric and nutrient intake2.) Develop age appropriate feeding skills3.) Consume a diet of age appropriate foods and beverages
6IEP Nutrition Annual Goals 1.) Develop or refine age appropriate feeding skills2.) Consume a diet of age appropriate foods and beverages3.) Child will independently follow his dietary restrictions4.) Develop meal planning, grocery shopping, and cooking skills5.) Eat out in a public restaurant
7IEP Nutrition Related Services Provide a healthy morning and afternoon snack.Staff to add 1 tablespoon polycose powder to soft food at lunch and each snack.Assigned school staff member monitor child’s lunch and snack choices to minimize diet error and facilitate independent choices.
8IEP School nurse measure child’s weight and height once a month. RD review and modify school menus to accommodate child’s dietary restrictions.RD to consult with School Cafeteria Manager as needed.
9IEPGFCF food substitutions used at lunch will be provided by the school.Do NOT use food as a reward system or reinforcer. Transition to a non-food reward system within two weeks.Behavioral specialist suggest nonfood reward system/reinforcer to be used in place of food.
10IEP Present Level of Performance: Child can not “Child requires a Gluten Free Casein Free Diet tobenefit from his special education program. Glutenand casein negatively impacts child’s behavior andability to learn. Following the restrictive diet is anindependent living skill the child must learn tomaster.”Present Level of Performance: Child can notidentify which foods are unsafe for him to eat.Annual Goal: Child will identify “safe” vs.“unsafe” foods so he can independently followhis dietary restrictions.
11IEP Short-Term Objectives: By December 2009, child will be able to correctly identify an “unsafe” food 25% of exposures.By March 2010, child will be able to correctly identify an “unsafe” food vs. a “safe” food 50% of exposures.By May 2010, child will be able to correctly identify an “unsafe” food vs. a “safe” food % of exposures.Special Education:Staff will provide special instruction and learning activities to teach child “safe” vs. “unsafe” foodsStaff will use positive reinforcement for correct food choicesStart Date:Location:Frequency:Duration:
12IEPRelated Services:GFCF foods used for lunch will be provided by the schoolRD to review school lunch menu once per month and recommend food substitutionsRD to provide technical assistance to cafeteria manager as neededAssigned school staff member will monitor child at lunch and snack to minimize diet noncompliance
13IEPFEEDING SKILLSPLOP: Child requires prompting to self feed, prefers to use fingers, and does not useutensils.Goal: Child will develop age appropriate self feeding skills using utensils.Objectives: Child will consume his meals with a fork and spoon without any assistedfeeding or prompting.Special Education: Occupational TherapyStart DateLocationFrequencyDurationRelated Services:
14IEP AGE APPROPRIATE FOODS PLOP: Child refuses new foods, accepts only soft foods, and eats less than fivedifferent foods.Goal: Child will consume a variety of age appropriate foods and textures.Objectives: Child will consume greater than 20 different foods of different textureswithout resistance.Special Education: Feeding TherapyStart DateLocationFrequencyDurationRelated Services: OT and/or SLP will receive training on the Sequential OralSensory Approach to Eating (SOS).
15IEP SHOPPING & COOKING SKILLS PLOP: Child is unable to shop for food at a grocery store or prepare a meal forhimself.Goal: Child will learn how to grocery shop for foods and prepare healthy meals.Objectives: Child will learn how to plan a menu, write a grocery list, shop for foods ata grocery store, and prepare a meal independently.Special Education: Occupational TherapyStart DateLocationFrequencyDurationRelated Services: Home Economics teacher assistance
16IEP EATING IN A PUBLIC RESTAURANT PLOP: Child has increased anxiety and stimming, unable to order food from a waitress, andleaves the table during the meal at a public restaurant.Goal: Child will order a meal from the menu and sit through the entire meal at a fast-food andcafeteria-style restaurant.Objectives: Child will order a preferred food item from the restaurant menu, place order directlywith the waitress, and sit through his mealtime without leaving, and having an anxiety attack orstimming.Special Education: Occupational or Behavioral TherapyStart DateLocationFrequencyDurationRelated Services:
17IFSP/IEP Nutrition Resources 1. Special Education LawPeter Wright2. Writing IEPDr. Barbara Bateman3. Accommodating Children with Special Dietary Needs in School Nutrition ProgramsUSDA, Food and Nutrition Service4. SOS Approach to EatingDr. Kay Toomey Telephone: (303)5. Book: Eating for AutismAppendix 4: IEP Nutrition Goals & ObjectivesElizabeth Strickland, MS, RD, LD
18SummaryInternalize that nutrition makes a difference in a child’s developmental and educational needs.Educate parents and professionals of the role of nutrition.Advocate to include nutrition therapy into the child’s IFSP and IEP.
19Thank you!!! Pass on the message… Include Nutrition Services in the child’s IFSP and IEP.Elizabeth Strickland, MS, RD, LD