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He's about to be two and he's still only eats-- he still only eats whole milk and baby food. He doesn't eat solid foods yet.") /Pg 8 0 R /K [17] >> endobj 63 0 obj << /Type /StructElem /S /Figure /P 45 0 R /Pg 8 0 R /A [188 0 R 0] /K [18] >> endobj 64 0 obj << /Type /StructElem /S /Figure /P 45 0 R /Pg 8 0 R /A [189 0 R 0] /K [19] >> endobj 65 0 obj << /Type /StructElem /S /H2 /P 46 0 R /T ( For WIC Employees:) /E ( For WIC Employees:) /Pg 9 0 R /K [0] >> endobj 66 0 obj << /Type /StructElem /S /P /P 190 0 R /E <41737369676E205269736B20436F64652033363220746F206368696C6472656E20776974682041534420646961676E6F7365733B20746869732077696C6C2073617469736679205749439073208D6E7574726974696F6E616C207269736B8E20656C69676962696C69747920726571756972656D656E742E> /Pg 9 0 R /K [1] >> endobj 67 0 obj << /Type /StructElem /S /P /P 191 0 R /E (Provide resources to caregivers who would like to have their children tested for ASD.) /Pg 9 0 R /K [2] >> endobj 68 0 obj << /Type /StructElem /S /P /P 192 0 R /E (Provide tips for sensory sensitivity, such as blending food for children sensitive to tactile input.) /Pg 9 0 R /K [3] >> endobj 69 0 obj << /Type /StructElem /S /P /P 193 0 R /E <496E7374727563742066616D696C696573207365656B696E6720737570706C656D656E74616C206472696E6B7320666F72207468656972206368696C6420746F20737065616B20746F20746865697220646F63746F722061626F75742070726F766964696E672061208D57494320466F726D756C6120526571756573748E2E> /Pg 9 0 R /K [4] >> endobj 70 0 obj << /Type /StructElem /S /H4 /P 46 0 R /T (Food-related experiences and behaviors common among autistic children:) /E (Food-related experiences and behaviors common among autistic children:) /Pg 9 0 R /K [5] >> endobj 71 0 obj << /Type /StructElem /S /P /P 194 0 R /E (Gastrointestinal Symptoms: issues with the digestive system, such as constipation, diarrhea, and abdominal pain.) /Pg 9 0 R /K [6] >> endobj 72 0 obj << /Type /StructElem /S /P /P 195 0 R /E (Sensory Sensitivity: heightened or diminished responses to sensory input, including tactile input such as the textures of food.) /Pg 9 0 R /K [7] >> endobj 73 0 obj << /Type /StructElem /S /P /P 196 0 R /E (Food Selectivity: food refusal or restricted food preferences, especially the avoidance of one or more entire food groups.) /Pg 9 0 R /K [8] >> endobj 74 0 obj << /Type /StructElem /S /P /P 197 0 R /E (Avoidant/Restrictive Food Intake Disorder \(ARFID\): a clinical form of food selectivity where the avoidance or restriction of food prevents an individual from meeting nutritional standards.) /Pg 9 0 R /K [9] >> endobj 75 0 obj << /Type /StructElem /S /H1 /P 46 0 R /T (WHY MIGHT IT BE HARDER FOR FAMILIES OF AUTISTIC CHILDREN TO USE THEIR WIC BENEFITS?) /E (WHY MIGHT IT BE HARDER FOR FAMILIES OF AUTISTIC CHILDREN TO USE THEIR WIC BENEFITS?) /Pg 9 0 R /K [10] >> endobj 76 0 obj << /Type /StructElem /S /P /P 46 0 R /E <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> /Pg 9 0 R /K [11] >> endobj 77 0 obj << /Type /StructElem /S /P /P 46 0 R /E (\(Caregiver, Food & Communities Study\)) /Pg 9 0 R /K [12] >> endobj 78 0 obj << /Type /StructElem /S /H1 /P 46 0 R /T (WHAT CAN WIC DO FOR AUTISTIC CHILDREN AND THEIR FAMILIES?) /E (WHAT CAN WIC DO FOR AUTISTIC CHILDREN AND THEIR FAMILIES?) /Pg 9 0 R /K [13] >> endobj 79 0 obj << /Type /StructElem /S /P /P 46 0 R /E (Caregivers in the Food & Communities focus groups expressed the need for greater flexibility in their food packages and support from WIC staff to better meet the nutritional needs of their autistic children. Based on caregiver input and preexisting research, we recommend:) /Pg 9 0 R /K [14] >> endobj 80 0 obj << /Type /StructElem /S /P /P 46 0 R /E (Challenges related to using WIC benefits:) /Pg 9 0 R /K [15] >> endobj 81 0 obj << /Type /StructElem /S /P /P 46 0 R /E (WIC provides participants with support for the purchase of highly specific foods, including pre-selected sizes and brands. This can make it difficult for caregivers to use WIC benefits to shop for their autistic children, as autistic children often have restricted food preferences, which may not be included in the WIC package. ) /Pg 9 0 R /K [16 17] >> endobj 82 0 obj << /Type /StructElem /S /H3 /P 46 0 R /T (For Policy Makers:) /E (For Policy Makers:) /Pg 9 0 R /K [18] >> endobj 83 0 obj << /Type /StructElem /S /P /P 198 0 R /E (Expand food choices and package flexibility for food-selective children.) /Pg 9 0 R /K [19] >> endobj 84 0 obj << /Type /StructElem /S /P /P 199 0 R /E <457874656E642057494320636F76657261676520756E74696C2061206368696C649073203674682062697274686461792C206173206175746973746963206368696C6472656E206F6674656E207374617274207363686F6F6C206C617465722E> /Pg 9 0 R /K [20] >> endobj 85 0 obj << /Type /StructElem /S /P /P 200 0 R /E (Incorporate education on autism, sensory sensitivity, and food selectivity into the training for all WIC employees.) /Pg 9 0 R /K [21] >> endobj 86 0 obj << /Type /StructElem /S /Figure /P 46 0 R /Pg 9 0 R /A [201 0 R 0] /K [22] >> endobj 87 0 obj << /Type /StructElem /S /Figure /P 46 0 R /Pg 9 0 R /A [202 0 R 0] /K [23] >> endobj 88 0 obj << /Type /StructElem /S /P /P 47 0 R /E (Autism Research Institute. \(n.d.\). What is autism? https://autism.org/what-is-autism/ ) /Pg 10 0 R /K [0] >> endobj 89 0 obj << /Type /StructElem /S /P /P 47 0 R /E <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> /Pg 10 0 R /K [1] >> endobj 90 0 obj << /Type /StructElem /S /P /P 47 0 R /E <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> /Pg 10 0 R /K [2] >> endobj 91 0 obj << /Type /StructElem /S /P /P 47 0 R /E (Food Research & Action Center. \(2019, May\). Making WIC Work Better: Strategies to Reach More Women and Children and Strengthen Benefits Use. https://frac.org/) /Pg 10 0 R /K [3] >> endobj 92 0 obj << /Type /StructElem /S /P /P 47 0 R /E (Food Research & Action Center. \(2019, May\). WIC IS A CRITICAL ECONOMIC, NUTRITION, AND HEALTH SUPPORT FOR CHILDREN AND FAMILIES. https://frac.org/wp-content/uploads/frac_brief_wic_critical_economic_nutrition_health_support.pdf ) /Pg 10 0 R /K [4] >> endobj 93 0 obj << /Type /StructElem /S /P /P 47 0 R /E (Mayo Clinic. \(2019, May 21\). Autism spectrum disorder and digestive symptoms. https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/expert-answers/autism-and-digestive-symptoms/faq-20322778 ) /Pg 10 0 R /K [5] >> endobj 94 0 obj << /Type /StructElem /S /P /P 47 0 R /E (Minnesota Department of Health. \(2025, May 7\). 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