The Eating Game was invented in March 2007 (patents pending in Canada & USA) for Ethan who was 6 years old and is autistic. At the time he was happiest eating just hot dogs and rice! He was very excited the first day he used The Eating Game because had hot dogs and rice for breakfast! - a story I like to tell to illustrate that a key feature of The Eating Game is that the child is in control of the choices! They like that!

The user needs to have only 2 skills:(NOTE: verbal or literacy skills not needed)
 
• be able to make a choice
• be able to match 4 colors (blue, yellow, green and red)
 
There are over 200 food pictures in four different food groups and colors: (1 inch pictures, 5 mil laminated card stock with a hook & loop button)
 
• Milk & Alternatives* - Blue
• Grains* - Yellow
• Fruit & Vegetables - Green
• Meat & Alternatives - Red
 
* pictures will support alternative choices made by those on CFGF diets or any other dietary restrictions
 
There are planning charts for each of the age groups in Canada's Food Guide: five are included in the book (2-3, 4-8, 9-13, females 14-18, males 14-18) but there are also 4 more that are available if needed(females 19-50 & 51+, males 19-5 & 51+). It is being used in some group homes and by folks in assisted living programs. The charts are also 5 mil laminated card stock with hook & loop buttons to accept the food pictures. There are storage pages to put the pictures on that the parent chooses to present to the child.
 
Initially the parent chooses the food pictures to present based on:
 
• foods the child can eat (special dietary considerations)
• foods the child has eaten in their lifetime
• foods available at the time
• foods the parent chooses!
 
Once the pictures are presented for the child's choice, it has to be totally their choice. They must choose pictures to match the colored squares on their planning chart. Once they have done this they have chosen to eat the foods recommended by Canada's Food Guide** for their age group. They can later be exchanged but the new choice must be the same color.
NOTE: The choice Ethan made of hot dogs & rice for breakfast only happened once, because then he realized he couldn't have it for lunch or supper! However, he was pretty excited to be able to make that choice which also convinced him he was in control!
 
** There are some pictures that Canada's Food Guide might not recommend, like chocolate cake with the "grains pics" but I felt they needed to be included. The reality is that these foods will be eaten and perhaps not all that bad a choice when made in moderation (and the parent is really in control of what is presented!) If a child who is a poor eater can start eating most of what Canada's Food Guide recommends then maybe they deserve a treat too!The cake or other choice could also be used as a reinforcer to enhance motivation!
 
Ethan was eating over 200 new foods in 15 months and he still (after 29 months) uses The Eating Game although is eating almost everything! Being able to make the choices and being in control is important. This makes mealtime very predictable and the visual supports are a great communication tool! Meals are no longer a surprise - pretty significant for a lot of kids with ASD!

Many kids with autism, perhaps up to 75%, have issues related to eating. Like children who do not have autism there may be physical/medical reasons or there may be sensory issues(texture, taste, color, temperature, shape) or food allergies. These concerns are real and must be dealt with so as to ensure your child has a reasonably healthy diet.

I believe there is another issue for kids with ASD, and perhaps others. Typically children on the autism spectrum don't like surprises. They are able to manage and respond more positively in a predictable environment, where they know what to expect, what's coming next. Why would this be any different when it comes to eating/meals? Aren't meals very often a surprise, until we sit down to eat and what might your child do if the meal is not what they thought it would be? And would you know what they thought it would be? You probably would know if they will only eat a limited number of foods and that is what you always present to them. What they have done is created a predictable environment for themselves so they always know what they will be eating! Aren't they smart! And when they get tired of this group of foods they switch it up a bit for another undetermined period of time.

As a parent you are very concerned when your child will only eat a few foods and you will often try new foods but.................. in the end you never run out of their desired foods and you provide it on demand often because you are concerned about how little they eat! You are supporting and reinforcing their plan!And they know it and like it.

These observations led me to develop a program that would help kids make a wider variety of food choices, their choice. They would still be in control. They would use pictures, chosen and placed on a chart for 6 meals in a day. Now they have a very predictable meal plan for themselves and everyone else to know what they will be eating. It has created a structure that can become part of their daily routine. They can do this if they are not verbal too. They don't have to be able to read, write or speak. The only skills needed are to be able to make a choice and match 4 colors. Oh, and it is equally successful with children who are verbal, read and write and for children who are not autistic. It is The Eating Game!