<<Disclaimer: Verify this information before applying it to your situation.>> In asking whether any legislation requires nursing homes to provide adequately for residents with celiac disease, Ann Maureen Surra has raised an issue that probably concerns many of us. However, I suspect that legislation such as the Americans with Disabilities Act, even if applicable, won't help much when people cannot constantly monitor their own care or have an advocate who does this for them. As most of us have learned the hard way, we eat (and take drugs) most safely when we can communicate directly and repeatedly with knowledgeable people who care about serving us, and who can do so without having key information lost or garbled in a complex system. Given what can happen with airline meals or in hospitals, the prospect of what could happen in a nursing home is, as Ann Maureen suggests, terrifying. Perhaps one activity the local support groups could start organizing would be a system of advocates for celiacs who live in nursing homes and have no relatives nearby to monitor their diets and raise hell as needed. Having a knowledgeable celiac available to visit nursing home residents and review menus with the dietitian and staff might help. Has any group tried to do this? If so, how has it worked? Nancy Ewald Jackson, Ph.D. Professor, Educational Psychology College of Education, 361 Lindquist Ctr. N. University of Iowa,Iowa City, IA 52242 USA Phone: 319-335-5571 FAX: 319-335-5386 E-mail: <[log in to unmask]>