To ensure effective meal management it is essential that the teacher:

Level of Adjustments 1

Routinely supervise students at meal times. Liaise with parent/carer regarding food selection.

Case Studies

• Early Childhood

Level of Adjustments 2

Support student self-management of mealtime routines with reminders and reinforcers. Provide feedback to parent/carer, ensuring student has medication with food as required.

Case Studies

• Early Childhood

Level of Adjustments 3

Implement individual strategies to teach self-management skills. Collaborate with parent/carer regarding recommendations from health practitioners. Eg., verbal/physical prompt and monitoring to access food and make choices.

Case Studies

• Middle Childhood

Level of Adjustments 4

Implement individual meal management program as a part of the documented plan. Eg., adult directed intervention at each stage with a long-term goal of selfmanagement, monitoring to ensure only food stuffs are ingested.

Case Studies

• Early Childhood

Level of Adjustments 5

Implement sequenced individual meal management program as a part of the documented plan in collaboration with therapists/health practitioners. Train personnel in planned response procedures. Eg., direct assistance at meal time as per therapy goals and strategies, monitor spoon feeding.

Case Studies

• Middle Childhood
• Early Adolescence

Level of Adjustments 6

Implement highly specialised, intensive meal management program with direct support. Eg., full assistance at meal time as per therapy goals and strategies to enable chewing and swallowing without choking.

Case Studies

• Early Adolescence
• Late Adolescence / Early Adulthood