As states adopt universal school meal programs, challenges remain for children with dietary restrictions like celiac disease (CeD). While federal laws mandate that schools accommodate dietary restrictions like gluten-free (GF) diets at no additional cost, many children with CeD do not participate in these programs. A recent study from Boston Children’s Hospital surveyed caregivers of children with CeD to understand the barriers to utilization of school breakfast and lunch programs in Massachusetts.
In this population, 84% of children had never consumed a free school breakfast, and 45% of children had never consumed a free school lunch. Despite the legal justification for
requesting accommodations for students with CeD, one in six students did not have a formalized 504 Plan or Individualized Education Plan (IEP), leaving their dietary needs unsupported. Concerns about the school’s ability to prepare GF meals safely, inadequate GF options, and poor communication from schools were among the most common reasons for families choosing not to consume free meals at school. The study also highlighted food insecurity as a significant barrier. Among those experiencing food insecurity, half did not participate in free school meals.
To improve access and confidence in school meal programs, clear communication about GF accommodations, variety, enhanced nutritional offerings, and consistent implementation of 504 Plans and IEPs are essential.
References & Resources:
- For families navigating these challenges, the Celiac Disease Foundation’s School Support Sessions offer valuable guidance and resources. Learn more and sign up today! https://celiac.org/school-support-sessions/
- Link to full study (Study authors: Nan Du, Elsa R. Treffeisen, Vanessa Weisbrod, Frances Kelley, Jocelyn Silvester)