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Arrested Development: Strategies for Supporting Children and Adolescents with Eating Disorders Reach Their Potential

This webinar was presented live on April 27, 2022.

For a very long time, professionals have known that eating disorders frequently present as a delay in growth or development in children and adolescents. The average age of onset for eating disorders has decreased by 2 years with more patients presenting at latency. With the addition of avoidant restrictive food intake disorder (ARFID) to the DSM-5, individuals seeking eating disorders care are often quite young. As a result, younger patients will be seeking eating disorders care. Review of growth in the context of eating patterns in these youth can identify disruptions in developmental trajectory beginning in toddlerhood. While there is consensus that nutritional state greatly impacts the medical complications of eating disorders, recent evidence indicates that some medical complications, like bone density, may not be reversible. Thus, supporting individuals with eating disorders in returning to adequate growth and development is of the utmost importance. This workshop will assist professionals in detecting early growth changes for youth with eating disorders while emphasizing medical, nutritional and therapeutic strategies to allow resumption of normal growth and development to minimize the lasting effects of the eating disorder. Participants will utilize case scenarios to practice establishing treatment targets pairing them with practical interventions for use in their own care settings.

CPEU: 1.0
CPE Level: 2
Performance Indicators: 8.1, 10.2, 10.5

The Simple Power of Listening: An Introduction to Motivational Interviewing
      

This webinar was presented live on December 8, 2021.

Do you have clients who can't seem to make positive changes in their lives and are stuck in the same story? Do you want to stop being the cheerleader for change and have your clients take an active role with their desired goals? Do you often wonder if your techniques match and evolve with your client's needs? Are you tired of conversations where you are the only one talking about change? Motivational Interviewing (MI) is a way to help mitigate these frustrations and increase client movement towards change by evoking their wisdom and direction for the conversation. This webinar will introduce participants to the theory, principles, and skills of MI and related motivation-enhancing behavior change approaches.

CPEU: 1.0
CPE Level: 1
Performance Indicators: 9.1, 9.2, 9.3

Potty Talk: How Dietitians Can Mediate the Relationship Between Food and Bathroom Habits

This webinar was presented live on October 27, 2021.

• Review of “normal” digestion/absorption, stool formation, transit time
• How the gastrocolic reflex (GCR) stimulates bowel movements and what dietary factors trigger it (large volume meals, high-fat meals)
• Identify clients’ digestive euphemisms (“Doesn’t agree with me”, “Stomach issues”, etc.) and encourage them to speak plainly about symptoms
• Review of Bristol Stool Chart and how the poles represent hyper- or hypomotility
• Understand how the mechanics of hyper- and hypomotility may cause secondary GI symptoms (bloating, pain, gas, nausea)
• Discuss how disordered eating may contribute to irregular bowel patterns (grazing patterns of eating, excessive consumption of “diet foods”, low-carb and orthorexic tendencies, bingeing/purging)
• MNT for diarrhea: soluble fiber-rich foods, evaluate “diet foods” and supplements for food triggers (inulin, polyols, high vitamin C or Mg doses, etc.), soluble fiber supplement, peppermint oil supplement
• MNT for constipation: bigger meals, adequate fat intake, soluble fiber-rich foods, Miralax or high-dose Mg, soluble fiber supplement
• Case studies

CPEU: 1.0
CPE Level: 2
Performance Indicators: 4.1, 8.1, 10.4

Radically Open Dialectical Behavior Therapy for Eating Disorders   

This webinar was presented live on September 15, 2021.

Radically Open Dialectical Behavior Therapy (RO DBT), is an empirically based therapy, supported by more than 20 years of research, that effectively treats disorders characterized by excessive self-control, referred to as overcontrol. The counterintuitive idea behind RO DBT is that it is possible to have too much self-control. Dietitians will learn what an overcontrolled temperament is and how it applies to eating disorders, as well as techniques to treat those with it more effectively.

CPEU: 1.0
CPE Level: 2
Performance Indicators: 9.6, 1.2, 2.1.5

It All Goes Back to Food: The Role of the RD in Supporting Individuals with IDD   

This webinar was presented live on May 24, 2021.

Approximately 18% of children in the United States are diagnosed with an Intellectual or Developmental Disability. During this session, Registered Dietitians will understand the importance of nutritional support to Individuals with Intellectual and Developmental Disabilities in schools. Additionally, participants will learn barriers to providing nutritional support and understand areas where Registered Dietitians can have an impact. Participants will leave the session with an understanding of where to start the conversation to advocate for nutritional interventions and provide needed assistance.

Registered Dietitian Nutritionists (RDN) are often asked to write menus for facilities. In this presentation, participants will learn key components of menu writing for Group Home Communities. Special considerations for menu writing for Group Homes will be discussed. Emphasis will be on providing healthy simple meals to a population with diverse nutritional needs.

Cooking is a popular activity in programs for individuals with Autism Spectrum Disorder (ASD) and other Intellectual and Developmental Disabilities (IDD). Traditional approaches, however, often approach the topic as a group activity in which watching is emphasized more than doing. The presentation introduces Active Engagement, a Hands-On Nutrition Education (HONE) curriculum for teaching authentic cooking skills. Emphasis is placed on reviewing the pictorial cueing system and how this advances cooking skills for individuals with minimal or no reading capacity.

CPEU: 1.5
CPE Level: 1
Performance Indicators: 8.4, 9.3, 13.2

Meet at the Table: Inclusive Nutrition Care in Autism Spectrum Disorder   

This webinar was presented live on April 27, 2021.

At all ages, people with Autism Spectrum Disorder are more likely to have nutrition related issues; from early feeding problems, to lifelong chronic illnesses such as obesity and cardiovascular disease. The hallmark features of ASD, challenges in communication and rigid behaviors, express in systemic and complex ways in this very heterogenous population. These traits coupled with common diagnostic characteristics of sensory processing issues and gastrointestinal problems, requires RDNs to expand their nutrition toolbox to assure success. Patricia Novak MPH, RD, CLE, LD, Sharon Lemons, MS, RD, CDCES, FAND, LD, and Jean Daniello, MS, RDN, CSOWM, LDN, CDCES, share a framework for collaborating with children, adults and their caregivers/families to create sustainable health-promoting nutrition habits.

CPEU: 1.5
CPE Level: 2
Performance Indicators: 1.1.8, 1.2.3, 1.3.1, 1.3.3

Nutrition Services for Individuals with Developmental Disabilities: History, Challenges, and Future Needs   

This webinar was presented live on February 22, 2021.

Historically, treatment for individuals with developmental disabilities was inadequate. Many disorders were not identified until the 20th century, when The President’s Committee for People with Intellectual Disabilities (formerly The President's Committee on Mental Retardation) identified the need for research, clinical services, training, public education, and methods of care. Historic and current standards of care will be reviewed in this presentation. Individuals with Intellectual and Developmental Disabilities often present with challenges related to food selectivity and feeding disorders. Registered dietitians working with individuals with special needs will become familiar with their role as part of an interdisciplinary team for this complex issue. A case study highlighting a child who did not receive adequate care and nutrition intervention will be presented and a discussion on appropriate service utilization including the Nutrition Care Process and referral out to other interdisciplinary team members will follow.

CPEU: 1.5
CPE Level: 2
Performance Indicators: 4.1, 10.1, 10.2
     
         

Down Syndrome: Nutrition Considerations Throughout the Lifespan   

This webinar was presented live on March 23, 2021.

The impact of the third 21st chromosome plays out across the lifespan with surprises to navigate from communication to dementia. Yet with person-centered circles of support, people with Down syndrome and their families create a world in which they are in command and find joy despite those challenges. We are constantly learning more about specific health-related challenges for people with Down syndrome that can dramatically improve their quality of life and health.

In this webinar Joan Guthrie Medlen, MEd, RDN, Lester Y Rosenzweig, MS, RDN, CDN, FAND, and Catherine Conway, MS, RDN, CDN, CDECS will share key points they have learned using thorough research and practice to support nutrition-related concerns for people with Down syndrome, their families, and those who support them from birth to death. Joan, Lester, and Cathy are a passionate trio. There is no way they could go into the detail they would like. Therefore, consider this a slice of what is possible and what is still being learned.

This session will focus on the nutrition-related concerns for individuals with Down syndrome across the lifespan. The manifestations of and interventions for the feeding relationship, gastrointestinal issues, aging, and dementia, and Alzheimer's disease will be discussed.

CPEU: 1.5
CPE Level: 2
Performance Indicators: 4.1, 10.1, 10.2

Child Welfare, Human Trafficking, & Eating Disorders   

This webinar was presented live on January 14, 2021.

The session will provide an overview of the child welfare population and how to look for and assess issues related to human trafficking. The presentation will include a description of how individuals who are involved or who have been involved in the child welfare system and/or have experienced trafficking and have co-occurring eating disorders have similar presentations with trauma and eating disorders, which often have symptoms that overlap, exacerbate each other, and prove to be challenging for clinicians. The presentation will look at important issues related to specialization in treatment and advocacy for this unique population.

CPEU: 1.0
CPE Level: 1
Learning Need Codes: 3020, 5070, 6020, 7110
Performance Indicators: 9.6, 2.2, 12.2

Masked Within Asian Diaspora:
Diet Culture & Body Dysmorphia

This webinar was presented live on December 3, 2020.

This webinar aims to provide an overview of how diet culture impacts Asian & Pacific Islander communities, which in turn, leads to increasing incidences of disordered eating and body image dissatisfaction. Practical tips and considerations on culturally sensitive and weight inclusive nutrition care will be offered.

CPEU: 1.0
CPE Level: 1
Performance Indicators: 1.3.1, 8.2.1, 8.3.2
      
     
     
     
     
     

The Gut-Brain Axis:
Can You Eat Yourself Happy

This webinar was presented live on April 21, 2020.

Recent research has exposed a rich symbiosis between humans and the gut microbiome. It is important enough to our health that the mother expends considerable energy helping to kick-start a microbiome in newborns, from the vaginal microbiome to the microbes of breast milk. This early exposure to commensal bacteria alters brain development and guides the future interaction between the gut and the brain, affecting mood and mental health.

CPEU: 1.5
CPE Level: 1
Learning Need Codes: 1140, 1090, 1010
Performance Indicators: 4.2.5, 2.1.4, 5.1.4, 1.3.3
    
    
    
    
    

Fall 2022: Countering the “SWAG” Stereotype of Eating-Related Pathology: Insights from Entersectional Epidemiology
    

This article's topic is opposing the “SWAG” stereotype of eating-related pathology. Eating disorder and mental health dietitians will greatly benefit from reading this article. 

CPEU: 1.0
CPE Level: 1
Performance Indicators: 1.1.1, 10.1.2, 8.2.3

Learning Objectives

1. Define the SWAG acronym and how it represents stereotypes in perceptions of who develops eating disorders.
2. Describe how disordered eating patterns can present in individuals with a wide range of body types and from a variety of backgrounds.
3. Describe the concept of multiply marginalized groups and how this impacts disordered eating patterns and access to treatment.
       
      
      

SHPN Expeditions Fall 2022 Newsletter & BHN in the kNOW Joint Article: Eating Disorder Considerations In The Transgender Population And Implications For Athletes

This issue's featured CPE article "Eating Disorder Considerations In The Transgender Population And Implications For Athletes" by Christina Riccardo, EdD, RDN, FAND is part of an interdisciplinary project between behavioral health and sports nutrition experts that includes a series of articles discussing various topics regarding disordered eating in athletes, to be published in both the Behavioral Health Nutrition DPG and Sports and Human Performance Nutrition DPG newsletters.

CPEU: 0.5
CPE Level: 2
Performance Indicators: 1.3.1, 3.3.3, 4.2.8

Learning Objectives

1. Identify various risk factors for eating disorders in the transgender population.
2. Recognize appropriate gender-affirmative care for the transgender athlete and those who may present with an eating disorder.
3. Interpret appropriate use of nutrition assessment tools for transgender individuals.

Summer 2022: Thinking Out of the Box: How Dietitians Can Ensure Nutrition Needs of Children with Autism are Met During the COVID-19 Pandemic

This peer reviewed article by Sharon Wallace, RD, CSP, LDN, addresses how RDs can support children with autism under the constraints of COVID-19.

CPEU: 1.0
CPE Level: 2
Performance Indicators: 10.2.1, 8.1.1, 9.4.1

Learning Objectives

1. Describe how children with autism spectrum disorder might be impacted by the COVID-19 pandemic.
2. Identify and apply at least three nutrition interventions or counseling strategies to help meet children's and families' needs in the setting of COVID-19 and autism spectrum disorder.
3. Describe how the pandemic may have variable impacts on nutrition status and care plan s based on children's presentation and symptoms.

Spring 2020: Obesity in the Age of Weight Neutrality: How are Registered Dietitian Nutritionists Responding to the Challenge?
     

This article provides a range of opinions on the important topic of obesity through twelve roundtable essays. 

CPEU: 1.0
CPE Level: 2
Learning Need Codes: 7050, 5200, 9020, 5370
Performance Indicators: 2.2.2, 3.3.4, 4.2.5

Learning Objectives

1. Compare and contrast perspectives on effective intervention for overweight and obesity.
2. Describe limitations of weight assessment methods in regard to defining obesity.
3. Define weight stigma and discuss its consequences for mental health, particularly in regard to development of eating disorders.