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Northwest Center Kids
Laura Kneedler, M.Ed and Amy Bender, MA
Presentation created in partnership with Cailey Marsh, OTR/L and
Katie Merisko, MA. CCC-SLP
Family Style Dining: Supporting Children of All Abilities During Mealtime
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Learning Objectives
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Understand the benefits of Family Style Dining
Review what Family Style Dining looks like in the classroom
Look at feeding through a sensory lens
Review the Steps to Eating
How language can support mealtime experiences
Supporting children with special healthcare needs during mealtimes
How to determine if it’s Picky Eating or Problem Feeding
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What is Family Style Dining?
Family-style dining is an opportunity in your classroom to
support healthy relationships with food, teach independent self-help skills, promote social
inclusion, and engage in meaningful conversations.
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We want to encourage happy and healthy relationships with food!
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Role of the Child and Teacher
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• Setting the table• Serving themselves food/pouring milk• Passing food to peers• Eating or engaging with food• Conversations• Cleaning up
Child’s Role
• Sits and eats with the children• Supports children • Modeling• Facilitate conversations• Creating a positive atmosphere
Teacher’s Role
Adapted from Family Style Meals: 101
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Mealtime Supplies - General
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Image 1. Link
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Mealtime Supplies - Adaptive
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Image 2. Link
Image 3. Link
Image 4. Link
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Sensory Experiences
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Engage with foods using ALL our senses
Practice, repetition
Learn to eat a variety of foods
Image 5. Link
Image 6. Link
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Sensory Experiences
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Barriers
Cultural/Family Preferences
Clean-up
Child Preference
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Figure 1. Seattle Children’s. Link
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Mix It Up At Mealtime
Different textures can support sensory needs and chewing abilities.
Adding flavor can be alerting to the mouth and help with management of the food (chewing and swallowing).
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Video Activity
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Watch the video Think about where the child is on "Steps to Eating"
What else do you notice?
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Copyright © 2019 Northwest Center Kids. All Rights Reserved. 18Figure 2. Phrases that HELP and HINDER. Link
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Language Strategies
Baby signs (more, all done)
Gestures (reaching, pointing)
Offering choices of food
Providing visuals for food choices or for conversation topics.
Modify your language to allow everyone to be a part of the conversation.
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Image 7. Link
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Mealtimes with Children with Health Care Plans
Allergy Plans Food substitutions – medical
plan required Placemats Colored cup Table placement
G-tube feedings During mealtimes Exploration of food as
sensory play Individual Care Plans
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Getting Started: Waddlers!
It won't look perfect at this age!
First steps: High chairs -> chairs Transitions Teachers Role Make small changes Hand over hand support
to get started with self-serving, open cups
Practice motor skills during free play or sensory play (tongs, scooping)
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Group Activity –Common Challenge
Work with a small group at your table.
Each table is getting assigned a Common Mealtime Challenge.
As a group, brainstorm and think about each problem. Try to come up with some potential solutions to try.
You’ll have 5 minutes.
Share with the group.
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Common Challenge: Only Eating One Easy Food
Example: canned peaches
Encourage explorations of other foods without pressure of having to eat it
Positive reinforcement for exploring other foods via smell, touch
Mix it up with new presentations (real peaches)
Talk about servings
Check-in on your language
Be aware if highlighting the food positively or negatively (“you were only eating the peaches today”)
Peer modeling
Notice/talk about a peer who is enjoying the food
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Common Challenge: Playing with or Dumping Food
Is it age-appropriate?
Babies don’t have motor coordination, can use suction cups/plates
Proactive, positive reinforcement of appropriate behavior
More engaging conversation
Is mealtime interactive enough?
Make the food interesting: ants on a log, trail mix
Guide to go scrape plate
“It looks like you’re all done”
Involve child in clean-up
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Common Challenge: Getting Up
Why am I at the table? To learn about food To talk with my friends about non-
food things Extend time casually
Ask engaging questions about non-food things
Include kid–friendly activities Scooping and pouring
independently Helper jobs increase involvement Set out placemats, bring in cart,
take wrap off bowls, put in serving utensils
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Picky Eating
or Problem Feeding?
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If it is problem feeding, what do you do next?
Talk to parents about concerns and what you are experiencing with the child at mealtime.
Refer to pediatrician and/or a feeding therapist.
0-3 years
3-5 years
Private therapy
Pediatrician/primary care provider
Community/ Local Resources
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What's happening now in your classroom?
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Images 8-10. Link. Adapted from Link.
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Figure 4. Infant and Toddler Forum. Link
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Questions?Copyright © 2019 Northwest Center Kids. All Rights Reserved.
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Reference List Institute for Health Childhood Weight (n.d.) Family Style Meals: 101, Nutrition Education in the Classroom. Retrieved from
https://ihcw.aap.org/Documents/Food/Family%20Style%20Meals_Final.pdf
Image 1. Discount School Supply. Retrieved from https://www.discountschoolsupply.com/furniture/tables-chairs/feeding-high-chairs/environments-six-1-pint-pitchers-with-lids/p/34958
Image 2. Community Playthings. Retrieved from https://www.communityplaythings.com/products/chairs/j807-6-mealtime-chair-with-tray
Image 3. eSpecialNeeds.com. Retrieved from https://www.especialneeds.com/easieeaters-curved-utensils.html?m=Configurable_Scp&133=583&aid=130563&ne_ppc_id=824858605&gclid=CjwKCAjwzPXlBRAjEiwAj_XTEZLhLUS9Fyf4K9iPG6Q_5vfpYFKAHxtH0jVaNHIF8iBFp6ZZTk6apxoCTJYQAvD_BwE
Image 4. KidsAdore.com. Retrieved from https://kidsadore.com/products/2017-children-tableware-silicone-baby-feeding-food-plate-tray-dishes-pratos-baby-food-holder-toddler-kids-prato-infantil
Image 5. Snoezelen., Multi-Sensory Environments. Retrieved from https://www.snoezelen.info/the-senses/
Image 6. Retrieved from https://www.treehugger.com/health/canadas-new-food-guide-refreshingly-based-scientific-evidence.html
Figure 1. Seattle Children’s, Steps to Eating. Retrieved from https://www.seattlechildrens.org/pdf/PE2038.pdf
Figure 2. CACFP. Phrases that Help and HINDER. Retrieved from https://www.cacfp.org/files/9715/3140/6019/PhrasesThatHelpAndHinder.pdf
Image 7. Baby Signs. Retrieved from https://i.pinimg.com/originals/f8/55/91/f85591d33507e1a788cdba22c07c9b3b.jpg
Figure 3. Picky Eating Versus Problem Feeding. Retried from http://sosapproach-conferences.com/wp-content/uploads/2016/06/PickyEaters-VS-Problem-Feeders.pdf
Images 8-10. Yale University, Childcare Wellness. Retrieved from https://medicine.yale.edu/bodelchildcare/healthresources/portionsizepictures_299212_284_37726_v1.pdf
Infant and Toddler Forum. Portion Sizes for Children 1-4 Years. Retrieved from https://infantandtoddlerforum.org/media/upload/pdf-downloads/1.3_-_Portion_Sizes_for_Children_1-4_Years.pdf
Figure 4. Infant and Toddler Forum, Developmental Stages in Infant and Toddler Feeding. Retrieved from https://www.infantandtoddlerforum.org/media/upload/pdf-downloads/3.5_Developmental_Stages_in_Infant_and_Toddler_Feeding_NEW.pdf
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