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Neglected child and food.

post #1 of 20
Thread Starter 
I have a friend who has found herself a guardian of a neglected child. This child's appetite is insatiable. The child moans about food, talks about it non-stop, asks for it constantly (especially sweets.) The child looks through the fridge and cabinets constantly. I think it borders on obsession.

How do you deal with this? The child is 8. Is there a book or some reading material that would be helpful?
post #2 of 20
Therapy would be helpful, although I know it's hard to afford.

My kids have not (thank God) been neglected, but I would still have a problem if they were allowed to go through the cabinets and fridge at will. My solution is to not keep junk in the house, maintain a "snack basket" that they can eat from at anytime without asking for permission, and in addition to that they get three meals a day that I prepare and serve at predictable hours.

I know it's very delicate with a kid who has gone hungry, but at the age of 8, maybe your friend could sit down and explain to him that she's worried he'll hurt his body with too much eating and too many junk-food choices, and then together they make a list of things that go in the snack basket every day? And she makes doublesure to have those things always available to put in the basket? And THEN she establishes the no-browsing rule, referring him each time back to the snack basket?
post #3 of 20
Have them get a fanny pack (or small backpack) that she can fill with food and carry it around with her. For some kids, it may even be a canned food. Refill as needed. This may help the child feel safe in knowing that food will ALWAYS be available to her.

Therapy is a must. Does the child have private insurance or Medicaid? She would really benefit from therapy from someone who has worked with neglected children.
post #4 of 20
Awww, how sad. I'm glad your friend will now be able to be around to take care of this child and nourish him/her.

I have no suggestions or knowledge about the situation, but I think the previous suggestions were great.
post #5 of 20
I haven't dealt with this but my instinct is to:
* first worry about primary issues like bonding/ attachment before worrying about other issues
* allow the kid to "graze" as much as she wants to but just make sure the food options available are healthy ones
* distract, distract, distract: get the kid into programs, classes, sports so she's thinking about stuff other than food
* later, if it's still a big problem, try some therapy
post #6 of 20
Thread Starter 
Thanks. I will tell her your suggestions. She thinks that this child is malnourished and is trying really hard to get nutrient dense foods into the child's diet. She's been sending her out to the garden to forage for snacks Apparently, most food came from 7/11 before. I think she's handling it really well, but wanted to see if there was anything else she could do that wouldn't be as obvious. I'm sure she'll do therapy, but this all very new.

Thanks again.
post #7 of 20
My child is allowed to go through the cabinets and fridge at will. I control her diet by only buying foods I want her to eat. I really agree that bonding and attachment are the most important issues and would also allow the kid to eat as much as she wants but control the types of food available by only buying healthy foods. Trying to apply limits and rules about food won't help the fear of hunger go away.
post #8 of 20
We have a food hoarder and one of the things that we have to do is lock up sweets. I don't keep a ton of sweets around but snack packs for lunch boxes or fruit snacks or special occasion sweets (like marshmallows for smores or Christmas candy) have to be locked away or he will take all of them and eat them all at once.

Everything else in the kitchen can be eaten for snacks. I have specific meal and snack times so I try to limit in between snacking but if one of the kids has eaten all of their lunch and then all of their snack they can have as many healthy snacks as they are willing to eat all of (no extra snacks if lunch wasn't eaten).

We have to be especially careful with sweet flavored medicines! He will eat an entire bottle of Tums or gummy vitamins or flavored prescription meds. All medicines are in a locked cabinet but if it tastes sweet I have to hide it or he will break the lock to eat it.
post #9 of 20
We had a foster child growing up.

Therapy is a must, eliminating junk, and start talking as a family heathly eating habits and moderation.

Since this child has issues moderation will have to be taught with practice and patience.
post #10 of 20
I think it would be beneficial for her to say something like "You are scared that you might go hungry again. That must have been really scary not knowing when you might eat next. You are safe now and you will always have food available here whenever you are hungry." If they work through those feelings with a lot of empathy it should help. Maybe try an exercise where she can close her eyes and focus on what her body is really telling her (wether she is hungry or scared of not eating again).
post #11 of 20
I forgot to add that maybe they could role play. Role playing the pain she went through while she was so hungry in her previous home ( if she is comfortable with that) might really help her let that pain out. Kids learn and release so much through play and role playing.
post #12 of 20
Quote:
Originally Posted by marsupial-mom View Post
I haven't dealt with this but my instinct is to:
* first worry about primary issues like bonding/ attachment before worrying about other issues
* allow the kid to "graze" as much as she wants to but just make sure the food options available are healthy ones
* distract, distract, distract: get the kid into programs, classes, sports so she's thinking about stuff other than food
* later, if it's still a big problem, try some therapy
I agree with this 100%.
post #13 of 20
I saw this in new posts. I would recommend a book by Ellyn Satter, such as Child of Mine: Feeding with Love and Good Sense. I have another of her books (Your Child's Weight: Helping without Harming) and I believe used a case study in that book regarding a child who had been derprived of food and was in foster care to illustrate how her principles worked with a child in that situation. Her methods do work from personal experience, I would definitely recommend taking a look.
post #14 of 20
Quote:
Originally Posted by SarahMCK072 View Post
I forgot to add that maybe they could role play. Role playing the pain she went through while she was so hungry in her previous home ( if she is comfortable with that) might really help her let that pain out. Kids learn and release so much through play and role playing.
That can really be tricky when a child has a history of neglect and/or abuse, so I recommend speaking with a therapist about the best approach when using role playing. The suggestion about empathy and speaking openly about how the child's history may have affected him/her, of course, is a good one, but a child who has experienced neglect is unlikely to trust/believe the adult based on her word alone.

When my dw and I have fostered kids who have had this type of background, we have done a "snack drawer" that is always very well stocked and to which the child is always permitted to go at will. In some cases, when the child tends to hide or hoard food in their bedroom, we will also give the child a drawer in the kitchen that is theirs alone and in which we will not look (it could even be a locked thing, with the child having the only key). This way they can fill their own drawer from the snack drawer, etc. without worrying about someone coming to take anything or being disapproving.

The fanny pack is also a great idea.

It's also helpful to keep a journal about what is in the fridge when the child's food worries seem greatest. Anything could be a trigger, and it is often something nobody else would notice. For example, not having ketchup in the fridge or the mayo jar being less than half full. Does the child seem to worry more when there is no milk or cheese? When there are no leftovers? Etc. Etc.

At one point, we fostered a little girl who had eaten a lot of canned "spaghettios." This is not part of our own diet, and we had no idea it is what she was used to eating despite having talked with her early on about her favorite foods. She hadn't mentioned it. Our practice is generally to buy nothing we would be horrified to have our kids gorge on, but a week into having this kid, we were still trying to figure out her triggers. We asked her lots of specific questions about the foods she ate at home, and we learned about the "spaghettios." We bought a case of them, and we told her we would always make sure there were at least seven cans available at all times (one for each day of the week). This indeed turned out to be one of her triggers, and even though she didn't eat spaghettios everyday, knowing that she had enough to do so did reduce her worry about the food supply. It is ideal to keep the fridge and pantry very well stocked in general at all times, but if it isn't possible to have that kind of abundance, figuring out if there are any specific triggers to avoid can be helpful.

As folks have said, the regular meal and snack times are critical (in addition to the free-for-all drawer), and additionally, many kids need a visual schedule on the wall so they can keep track of when the next meal or snack is coming. For example, the schedule might be illustrated by photos or drawings and say things like "Wake up," "Breakfast," "Playtime," "Cleanup," "Snack," "Swim lesson," "Lunch," and so forth. The schedule can even be set up so the child can mark each item as it is completed.

It helps also to remind kids of some of the landmarks beyond what is just on the visual schedule that can cue them as to the timing of the next meal. For example, "when I put on my apron, it means I am going to cook you something" or "when it gets shady in the backyard, you will know it is almost time for lunch."

When kids have been neglected, often they have been forced to take on a level of adult responsibilities, including obtaining and/or preparing food for themselves. So while preparing food together is a fun activity for adults and kids, for kids who have been neglected, one should be especially aware in those moments about the child's emotional state. For many kids, being involved in food prep is great and even therapeutic, but in some cases it is better to reassure the child that it is an adult responsibility. We've been known to say to kids, "This is an adult job. You let us do the worrying. We'll make sure your food is ready in twenty minutes." This can also be true for things like shopping and even getting stuff from the garden. It depends on the child, but it is something to look out for. As the child gains trust in the adult's follow-through, s/he will be ready to become involved in these things again little-by-little.

This is one of these things that takes a lot of time and patience, and in some cases, the fear never fully goes away, but with consistency, healing will hopefully occur.
post #15 of 20
Sierra. That was a really wonderful post. Do you mind if I save it to share with others? You have a point or two that I haven't seen referred to before.
post #16 of 20
Sure. No problem.
post #17 of 20
Sierra, thank you for the insightful post. I have not parented a child with food/food hoarding issues but one of my foster sisters dealt with this.

While it is a personal goal of mine to feed my kids nutritious foods, it seems that this should be way down on the list of priorities for kids with these types of food issues. Stocking "healthy" snacks just isn't enough. It seems the first priority should be creating a home were they feel safe and secure. And if that means stocking Spaghettios, so be it.

Chaoticzenmom, I worry about the little girl being encouraged to "forage" through the garden for food when she is hungry. Children in this situation may have had to forage through the garbage, steal food, beg for food, etc. I'm not sure what exactly you meant by "forage" but I wonder if that reaffirms her idea that she must provide/find food for herself.

Ultimately, I hope your friend and this LO get the services they need to heal the wounds that caused this in the first place. I think its wonderful your friend is willing to do the hard work to create a safe and loving family for her!
post #18 of 20
Thread Starter 
Thanks everyone. She's doing much better the last few days. They're doing a lot of re-assuring that meals will be at a certain time. When she starts to get antsy, they talk about meals that have passed and meals that are to come and at what time they'll come. It seems to re-assure her that she's been having meals on time and that they will continue to come on time.

The "foraging" thing was an attempt to get her to stop begging for food. She was told "whatever you can find in the garden, you can have." So, she did. Just in the last few times I've seen her, she seems like a much calmer child. This mom is pretty good about snacks, but it seems you can't out-shop this child.

My friend seemed overwhelmed at first, which is why I came here for advice. A lot of what was mentioned is stuff she is doing and it's working. I'm impressed. She seems to have a handle on this as she's moved on to other concerns. That was just the first and most obvious issue.

Thanks everyone.
post #19 of 20
Quote:
Originally Posted by Sierra View Post
That can really be tricky when a child has a history of neglect and/or abuse, so I recommend speaking with a therapist about the best approach when using role playing. The suggestion about empathy and speaking openly about how the child's history may have affected him/her, of course, is a good one, but a child who has experienced neglect is unlikely to trust/believe the adult based on her word alone.
...

When kids have been neglected, often they have been forced to take on a level of adult responsibilities, including obtaining and/or preparing food for themselves. So while preparing food together is a fun activity for adults and kids, for kids who have been neglected, one should be especially aware in those moments about the child's emotional state. For many kids, being involved in food prep is great and even therapeutic, but in some cases it is better to reassure the child that it is an adult responsibility. We've been known to say to kids, "This is an adult job. You let us do the worrying. We'll make sure your food is ready in twenty minutes."
Thank you for saying this. I wasn't in the system, but I did take care of my sister from a very young age. I handled most of the "adult" tasks in our household, and I wouldn't have wanted to help cook or shop. I'd already BTDT by the age of 8, so it wouldn't be fun to me.

Also, I think role-playing can be dangerous. Even now, as an adult in a stable, comfortable house, there are things I have not/will not/cannot share with my husband. If someone had pushed me as a child to talk about my family's abuse, I would have shut down. After being sexually abused for years, I went to therapy, and the first therapy relationship I had was a disaster because I couldn't speak in detail about the things that had happened to me. So, I wanted to second Sierra's suggestion that perhaps role playing isn't a good idea.

Also - I don't understand sending the child to forage in the garden for snacks. I'm fine with making the garden open to snacking, and maybe that's what you mean. We do that, but I wouldn't send a child who had been starved & neglected out to pick her own food.
post #20 of 20
Thread Starter 
Yes, she meant it in a nice way.."No, you cannot have a snack right now, but if you really want a snack, you can have whatever you find in the garden." The garden is right next to the house..not like she had to go out in a hot field or anything.

"Forage" was my word, not hers. Probably not the best wording. Sorry.
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