All individuals are evaluated by a registered dietician and a weight management plan is established. The dietician consults with the group home support staff monthly to review each individual’s weight management plan and modify it as needed. The dietician also reviews the house menus to ensure that a wide variety of healthy and nutritious meals are being served. Due to the food seeking behaviors inherent with the syndrome, environment controls, such as locked refrigerators, freezers, and all food cupboards, are used to ensure each person’s health, safety, and well-being. Each group home has a different level of exposure to food preparation; however, all access to food is structured and supervised.