I’m not muldoonthief, but I’ve given that a lot of thought. I think it’s best to give them some small level of responsibility just about as soon as you know of the allergy, and gradually increase their level of responsibility as they mature - just like any other task in life.
My daughter’s gluten intolerant (not allergic), and we figured that out when she was three. A week and a half into our allergy elimination diet, another older kid gave her some Wheat Thins at a party, and she got sick. That was a really easy lesson to her that her first responsibility is to ask if she’s not sure. We recited “Wheat, Rye, Barley, Malt*” until it stuck in her head (at that age, about 30 seconds; they’re awesome parrots!). While I didn’t expect her to read food labels herself, I did (and do) expect her to politely catch the attention of whomever is sharing food and say, “I’m sorry, I can’t eat wheat, rye, barley or malt. Do you know if this has any of those?”
She just turned six and I still bring along gluten free snacks and meals when we go to parties, but she packs the bag before we leave the house. (I carry the bag mostly to reduce the “I’m a special snowflake” stigma she still sometimes feels.) She has a “gluten free shelf” at home filled with snack items to choose from, and makes her own sandwiches with the gluten free bread. She’s also still responsible to ask if she doesn’t know if the host’s food is safe to eat. Over the past three years, she’s learned that all common corn/tortilla chips EXCEPT Nacho Cheese Doritos are okay (even Cool Ranch Doritos are okay; the wheat must be in the Nacho Cheese seasoning), she knows that veggies and fruits and cheeses are okay, she knows that salsa is okay but cheese dip needs a label check. She knows that unflavored potato chips are okay if she can see rings on some of the chips from the potatoes, but that “Baked” potato chips and Pringles have gluten and flavored potato chips need a label check. Because eating what everyone else eats is so important to her social development right now, I leave her bag packed and stashed away unless there really is nothing appropriate for her to eat. And most of the time, there’s plenty of safe food for her on the host’s table.
At school, she brings a sandwich and chooses gluten free menu items from the cafeteria, like fruit, vegetables and milk. At a meeting with her teacher, the school nurse, the lunchroom supervisor and myself, the teacher and I agreed she has the maturity and awareness to be trusted with this, and there have been no problems to date.
By next year, if a label is present, I expect that she’ll be able to check the ingredient list herself. I won’t ever refuse to help her out, of course, but by 7, she’ll be ready to be the *primary *person responsible for her dietary restriction.
If a child needs an Epi-Pen on standby, I think they should be taught how to use it as soon as they have the strength in their hands to press it hard enough to deploy - probably about age 5. Whether they have the judgment capabilities yet to know *when *to do it is another matter, best determined on a case by case basis.
All of this is practical responsibility, of course. **Legal **responsibility still lies with me, as her parent, and with her school as long as we have a 504 in place.
*“Malt” was added to her list because it’s made from barley, but I don’t think most people know that. For the same reason, we taught her the sources of gluten instead of asking if something “has gluten”. She knows she can ask that at home, but not outside the home.