GFCF Diet

1
GFCF Diet School The Federal Law
Tami Giles Autism One 2006
2
Is this your kitchen?
3
Lets examine your costs

• Juice box 1.00
• 1 Ener-g foods hot dog bun 1.28 (4-pack for
  5.15)
• 1 organic hot dog .56 (8 pack 4.50)
• 3 organic gf-cf cookies 1.00
• Organic fruit or carrots
• Final cost? About 5.00

4
What Else?

• Your time
• Extra Shopping
• More time cooking and preparing

5
Whats The Solution?
You have the legal right to have the school make
your childs lunch.
6
What does the law say?

• The U.S. Department of Agriculture's (USDA)
  nondiscrimination regulation (7 CFR 15b), and the
  regulations governing the National School Lunch
  Program and School Breakfast Program
• A child with a disability must be provided
  substitutions in foods when that need is
• supported by a statement signed by a licensed
  physician

7
What does IDEA say?

• Under IDEA, a "free appropriate public education"
  means special education and related services at
  no cost to parents
• School lunches are included in IDEA, Section 504
  -Lunches are a related service

8
So whos eligible?

• Any child, age 3 to 21 who is.
• enrolled in public school, or is enrolled in a
  private school that receives federal funding for
  nutrition programs
• and has a disability that prevents the child from
  eating meals prepared for the general school
  population.
• and that need is certified by a licensed
  physician.

9
What is a disability under the law?
Under Section 504 of the Rehabilitation Act of
1973, and the Americans with Disabilities Act
(ADA) of 1990, a "person with a disability" means
any person who has a physical or mental
impairment which substantially limits one or more
major life activities, has a record of such an
impairment, or is regarded as having such an
impairment.
10
Individuals with Disabilities Education Act The
Individuals with Disabilities Education Act
(IDEA), through the Part B Program, provides
Federal funds to assist States and school
districts in making a "free appropriate public
education" available to eligible children with
specified disabilities residing within the
State. Students with specified physical, mental,
emotional or sensory impairments that need
special education and related services are
eligible for services under IDEA, at no cost to
parents. Services which may be funded through
IDEA include (1) purchase of special foods,
supplements, or feeding equipment (2)
consultation services of a registered dietitian
or nutrition professional and (3) assistance of
a special education teacher, occupational
therapist or other health professional in feeding
the child or developing feeding skills. Website
address Department of Education/IDEA
http//www.ed.gov (scroll down to Most Requested
Items Disabilities Education (IDEA))
11
The term child with a "disability" under Part B
of the Individuals with Disabilities Education
Act (IDEA) means a child evaluated in
accordance with IDEA as having one or more of the
recognized thirteen disability categories and
who, by reason thereof, needs special education
and related services.
AUTISM is one of the 13 recognized disability
categories
12
So, what to document?
The law requires a physician document

• the child's disability
• an explanation of why the disability restricts
  the child's diet
• the major life activity affected by the
  disability
• the food or foods to be omitted from the child's
  diet
• the food or choice of foods that must be
  substituted.

13
What about the IEP?

• All information on the childs special diet must
  be documented as a part of the IEP. Special
  dietary needs are related services under IDEA.
• Document, document, document.
• be sure the diet information and physicians
  letter is included in the IEP.

14
What are the responsibilities of the School food
service?

• School food service staff must make food
  substitutions or modifications for students with
  disabilities when prescribed by a licensed
  physician.
• Under no circumstances are school food service
  staff to revise or change a diet prescription or
  medical order.
• for additional help, they can refer to the USDAs
  basic guidelines on meal substitutions and
  accessibility FNS Instruction 783-2, Revision
  2, Meal Substitutions for Medical or Other
  Special Dietary Reasons, in Appendix A.

15
School Liability
All recommendations for accommodations or changes
to existing diet orders MUST BE DOCUMENTED IN
WRITING to protect the school and minimize
misunderstandings. NOTE The diet orders do not
need to be renewed on a yearly basis (schools are
encouraged, however, to ensure that the diet
orders reflect the current dietary needs of the
child).
16
What you should know, and what to do, before
approaching your school
17
Know the law and the rules

• School food service is required to offer special
  meals, at no additional cost, to children whose
  disability restricts their diet as defined in
  USDAs nondiscrimination regulations, 7 CFR Part
  15b

18
Know the law and the rules
2. You must have proper documentation from a
physician.
19
Know the law and the rules
3. The school food service is required to provide
meal services to children with disabilities when
the meal service is normally available to the
general student body.
What does that mean?

• It means, if your school lunch orders lunch for
  all of the children, then your child can get a
  special lunch made for them.
• If your school offers breakfast, then your child
  can have their breakfast made for them, as well.

20
How about food texture modifications?
Yes, but documentation must be supplied from a
licensed physician
example my son could not tolerate ground meats
at one time, so he did not get hamburger served
to him
School food service staff MUST follow the
instructions that have been prescribed by the
licensed physician
21
So, whats all of this going to cost?
Heres the best part

• Meals MUST be served free or at a reduced price
  (a maximum of 40 cents for lunch and 30 cents for
  breakfast) to children who qualify for these
  benefits regardless of whether or not they have a
  disability.
• Schools may NOT charge children with disabilities
  or with certified special dietary needs who
  require food substitutions or modifications more
  than they charge other children for program meals
  or snacks.

Who says theres no such thing as a free lunch?
22
Liability

• schools can be held liable if staff without
  sufficient training modifies a diet order
  prescribed by a licensed physician
• If school food service staff have questions about
  the diet order, the prescribed meal
  substitutions, or any other modifications that
  are required, the child's physician and/or a
  registered dietitian should be consulted.
• If the school food service director cannot obtain
  local level assistance, the State agency should
  be consulted for technical assistance.
• Under no circumstances should school food service
  staff diagnose health conditions, perform a
  nutritional assessment, prescribe nutritional
  requirements, or interpret, revise or change a
  diet order.

23
Negligence
In general, negligence occurs when a person fails
to exercise the care expected of a prudent
person.
24
Notes of interest
If your childs physician prescribed portion
sizes that exceed the minimum quantity
requirements set forth in the regulations, is the
school required to provide these additional
quantities?
Yes. An example would be a child who is very
underweight if the doctor prescribes 6 ounces
of protein per meal, the school MUST prepare that
portion
25
Notes of interest
Are there forms for all of this?
Well yes and no.
there are forms you can use, if you think you
have a very simple special diet
26
Heres an information card your school can have
on hand in the cafeteria
27
You may also supply alternate documentation

• A letter from your doctor, on their letterhead.
• The letter should state the childs disability,
  reason he/she requires altered diet.
• Include any appropriate food sensitivity test
  documents, such as IgG lab results.
• Definitely include IgE (anaphylactic) food
  allergies.
• Outline all dietary restrictions, and provide
  suitable substitutions.

28
A Sample Comprehensive Food Panel (IgG) Report
29

• Food Panel Detail
• Score indicates the degree of the immune
  reaction.
• Class indicates severity of immune response/
  food sensitivity

30
Sample Breakfast Menu 1
Sweetened Rice Flakes (1 Cup) Rice Bread (1
Slice) toasted w/ Cashew Butter (1tbl) Red
Delicious Apple Organic DairyFree Milk (8 oz)
31
Sample Breakfast Menu 2
Namaste Muffin (2 Med ) Organic Pear
Fresh DairyFree Milk (8 oz)
32
Sample Breakfast Menu 3
Organic Brown rice Grits (1/4 Cup) Cashew Butter
(2 tbl) Maple Syrup (2 tbl) Chopped Organic
Dates (1/8 Cup) Pear Nectar (4 oz) Rice Milk (8
oz)
33
Sample Breakfast Menu 4
Sliced ham (2 1/3 oz) Brown Rice Tortilla (1
each) Sunflower Seeds (1 oz) Golden Delicious
Apple Organic Rice Milk (8 oz)
34
Sample Lunch Menu 1
Organic Hot Dog on Bun Organic Sweet Peas
(Canned) Fruit Choice (One of these) Fresh
Organic Whole Fruit Canned Organic Pears Organic
White Grape Juice Organic Pear Nectar Organic
ketchup (2 tblsp) DairyFree Milk (8 oz)
35
Sample Lunch Menu 2
Chicken Nuggets (Breaded, Baked) Mashed Organic
Potatoes (w/salt and organic chicken
stock) Fruit Choice (one of these) Fresh Organic
Whole Fruit Canned Organic Pears Organic White
Grape Juice Organic Pear Nectar DairyFree Milk
(8 oz)
36
Sample Lunch Menu 3
Chicken Soup with Rice Homemade Organic
Stock Organic Carrots, Broccoli, Lentils,
Onion Dark Meat Chicken (Organic) Sunflower
Oil Salt Fruit Choice (one of these) Fresh
Organic Whole Fruit Canned Organic Pears Organic
White Grape Juice Organic Pear Nectar Rice Milk
(8 oz)
37
Sample Lunch Menu 4
Chicken Sauté Organic Dark meat Chicken ,
Broccoli Florettes, Carrot, Onion, Sunflower Oil,
Salt Served over brown Rice Pasta Fruit Choice
(one of these) Fresh Organic Whole Fruit Canned
Organic Pears Organic White Grape Juice Organic
Pear Nectar DairyFree Milk (8 oz)
38
Need more help?

• See FNS Instruction 783-2, Revision 2, Meal
  Substitutions for Medical or Other Special
  Dietary Reasons.
• Or, contact me
• Tami Giles
• AutismHelp4WA_at_comcast.net
• website www.autismrecoverywa.org

39
(No Transcript)
40
(No Transcript)
41
In loving memory Heather Lynn Grace September 3,
1982 - February 21, 2006