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Accommodating Special Dietary Needs. National Food Service Management Institute The University of Mississippi. Objective 1. Be familiar with major legislation. Section 504 of the Rehabilitation Act of 1973. Prohibits discrimination against qualified handicapped persons in any - PowerPoint PPT Presentation
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Accommodating Special Dietary Needs
National Food Service Management InstituteThe University of Mississippi
1
Objective 1
Be familiar with major legislation
Section 504 of the Rehabilitation Act of 1973
Prohibits discrimination against qualified handicapped persons in anyprogram or activity that receivesfederal financial assistance
3
Section 504 of the Rehabilitation Act of 1973
Defines handicap as “…a physical or mental impairment which substantially limits one or more major life activities”
4
Individuals with Disabilities Education Act (IDEA)
Ensures that all children with disabilities receive a free appropriate public education
5
Americans with Disabilities Act of 1990 (ADA)
Prohibits discrimination against persons with disabilities in areas of employment, public services, public accommodations, transportation, and communication
6
The Americans with Disabilities Amendments Act of 2008
• Expanded the definition of a disability• Became effective January 1, 2009• New regulations for school foodservice have
not yet been issued by USDA
7
Objective 2
Identify legal, food safety, and financial considerations related to
special needs
Other Legal Considerations
• Regulations• Guidance• State law• Case law• School policy and procedure• Documentation• Prescription/medical orders followed as written• Confidentiality
9
Food Safety Considerations
• Follow principles of food safety when preparing special needs foods
• Maintain a separate area for allergenic foods
10
Financial Considerations
• Special foods, supplements, consultations
• Equipment–may be funded through IDEA
• Medicaid (varies from state to state)
• Title 1
• PTA
11
Objective 3
List required components of the diet prescription
Disability
• Accommodation must be made
• No extra charge to student
• Only a licensed physician can diagnose a disability
13
Examples of Food Related Disabilities
• Diabetes
• Phenylketonuria (PKU)
• Food anaphylaxis
14
Statement for Children with Disabilities
• What the disability is• Major life activity or ADL affected• How it restricts the diet• Complete diet order – including texture
modifications• Foods to be omitted• Foods to be substituted
15
Special Dietary Needs That Are NOT A Disability
• Food allergies (unless anaphylactic) and intolerances
• Accommodations may be made but are generally not required
• In many cases, can be accommodated through offer vs. serve or by providing additional choices
16
Statement for Children Who Are NOT Disabled
• 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• Foods to be substituted
17
Objective 4
Identify common dietary modifications
Common Menu Modifications
Texture Calories ground increased chopped decreased pureed
Consistency of Liquidsnectarhoney
pudding19
Food Allergy
• A reaction between a food protein and the body’s immune system
• Symptoms can range from mild to life-threatening
20
Most Common Allergenic Foods • Milk• Eggs• Fish• Crustacean shellfish• Soy• Wheat• Peanuts• Treenuts
21
Anaphylaxis
A severe, life-threatening allergic response
22
Objective 5
Describe effective and appropriate interaction with those with disabilities and their caregivers