Meaningful Mealtimes

Practical Strategies for All Young Eaters

Excerpted from "Meaningful Mealtimes: Practical Strategies for All Young Eaters" by Yev Veverka, Ph.D., BCBA-D, Susan A. Ramage, R.N., M.S., Christy Baker, Kelsey Milne, M.S., Emilie Dupont, M.Ed.

Contents

• About the Downloads
• About the Authors
• Acknowledgments
• Introduction
• I Making the Most of Mealtime
  • 1 Introduction to the Tiered Approach
  • 2 Defining Mealtime Challenges
  • 3 The Big Picture
• II Gathering Information, Setting Goals, and Assessing Progress
  • 4 Starting With Self-Reflection
  • 5 Gathering Information About Your Setting
  • 6 Gathering Information About Children and Families
  • 7 Goal Setting
  • 8 Assessment and Decision Making
• III Strategies for Supporting All Children at Mealtime
  • 9 Building the Foundation for Fulfilling and Meaningful Mealtimes
  • 10 Supporting Communication and Conversation
  • 11 Encouraging Mealtime Participation and Food Interactions
  • 12 Incorporating Additional Goals and Curriculum Content
  • 13 Bridging Connections Between Home and Early Learning Settings
  • 14 Problem Solving and Next Steps

About the Authors

Yev Veverka, Ph.D., BCBA-D

• Research Scientist and Behavior Analyst, Haring Center for Inclusive Education, University of Washington
• B.A. in psychology from the University of Minnesota, M.Ed. in early childhood special education from the University of Missouri.
• Ph.D. from the University of Washington in early childhood special education.
• Co-owner of Align Behavioral Solutions, focusing on early support for children with autism and enriching mealtimes.

Susan A. Ramage, RN, M.N.

• Registered Nurse at Haring Center for Inclusive Education, University of Washington.
• Over 30 years in nursing, including pediatric pain management at Seattle Children’s Hospital.
• Focused on supporting developmental needs of children and offering parenting classes.

Christy Baker, B.S., OTR/L, CLE

• Pediatric Occupational Therapist, Experimental Education Unit of the Haring Center.
• Strong interest in feeding challenges and has worked with children under age 3 for over 20 years.

Kelsey Milne, M.S.

• Speech-language therapist at the Experimental Education Unit, focusing on family partnership to support children's communication.

Emilie Dupont, M.Ed.

• Special Educator at the Experimental Education Unit, focusing on inclusive early learning settings for children under age 3.

Introduction

Mealtimes are an integral part of daily life. They are moments when people nourish their bodies, connect with others, and celebrate their cultures and identities. This book supports children, families, and early learning providers in making the most of these moments.

Our Perspective and Approach

This book offers a holistic understanding of mealtimes, and our aim is to provide a proactive and inclusive approach to support.

Mealtimes: More Than Meets the Eye

Mealtimes are complex experiences that include human interaction, learning, and cultural exchange. They benefit children by connecting them with peers and developing social skills.

The Power of an Interdisciplinary Approach

An interdisciplinary approach allows us to explore mealtimes through various lenses, providing a comprehensive perspective.

A Note on How This Book is Organized

The chapters are organized into three sections:

1. Making the Most of Mealtime
2. Gathering Information, Setting Goals, and Assessing Progress
3. Strategies for Supporting All Children at Mealtime

Current State of Mealtime Support

Many children experience mealtime challenges that may require clinical intervention, but there are barriers to accessing necessary support, especially in rural areas. Providing early identification and support is critical.

Tiered Approach to Mealtime

Tier 1: High-Quality Universal Support

This tier includes high-quality support for all children and families, ensuring enriching mealtime experiences.

Tier 2: More Specific, Tailored Supports

Tailored supports for children and families who continue experiencing challenges despite universal support.

Tier 3: Intensive Support

For children who require additional assistance beyond Tier 2.

Elements of a Tiered Approach

Gather information about your setting and the families you serve, set meaningful goals, implement strategies, and conduct ongoing assessments to support children effectively. Embrace diversity in mealtimes to create an inclusive and enriching environment.

Summary

This chapter described current mealtime challenges and introduced a tiered approach to provide timely support to children, ensuring their mealtime experiences promote health and wellness.