The Intersection of Primary Care and Public Health Through Oral Health Services For Students In an SBHC July 7, 2015
Help Us Count! If you are viewing as a group, please go to the chat window and type in the name of the person registered and the total number of additional people in the room, e.g., Tammy Jones, +3. This will help us with our final count.
Reminders This presentation may be downloaded now. Please visit http://www.sbh4all.org/webinars to download the presentation. All attendees are in listen-only mode. We want to hear your questions! To ask a question during the session, use the chat tool that appears on the bottom right side of your control panel.
Webinar Archives Access previous webinars, sorted by topic: • Clinical Services ( Diabetes, ADHD) • SBHC Operations (PCMH, HIT) • Policy & Advocacy • Quality Improvement • Special Initiatives • School-Based Health Alliance Tools http://www.sbh4all.org/webinars
Objectives 1. The attendee will be able to discuss the significance of oral health disease in children and youth 2. The attendee will be able to list three strategies for preventing dental caries using School-Based Health individual and population based approaches 3. The attendee will be able to explain how a SBHC working with other community resources can provide care to children with dental disease and can participate in prevention initiatives.
Poll Question Do you or does your organization provide direct patient care to children and youth? 1) Yes 2) No
Today’s Presenters Jane Hamilton, Leah Carpenter, Elizabeth Bray, Carissa Neubert, RN, BSN DMD RDH RPA Manager, School- School-Based Oral Health Access School-Based Based Health Health Dentist Project Coordinator Health Physician Assistant
“Oral Health: the Teeth in School- Based Health” Jane Hamilton, RN Leah Carpenter, DMD Betsy Bray, RDH Carissa Neubert, RPA
Why Oral Health for Children Matters
Growth of SBHC Program . 1992-2015 May 28, 2015
Quiz: What is the most common chronic illness among children? May 28, 2015
Quiz: What is the most common chronic illness among children? May 28, 2015
History of SBH Oral Health May 28, 2015
Insert Poll Question: What percentage of 5-11 yr olds have untreated decay? May 28, 2015
Caries in Children Ages 6-11: 1 in 5 Ages 12-19: 3 in 5 May 28, 2015
Caries in Children • >51 million school hours are lost each year to dental-related illness. • Problems in eating, speaking, and attending to learning May 28, 2015
Caries in Children • >51 million school hours are lost each year to dental-related illness. • Problems in eating, speaking, and attending to learning May 28, 2015
Epidemiology of Oral Health Untreated Tooth Decay in 3rd Grade Children (excluding NYC) SBHC-all grades 45% 40% 35% 30% 25% 2002-2004 2009-2011 20% SBHC 2013-14 15% 10% Source for NYS data, NYSDOH Oral Health 5% Survey of Third Grade Children & Bassett SBHC 0% All children High Income Children Low Income Children May 28, 2015
Disparities in Oral Health • Poor Children • Poor Seniors • Racial Minorities • Special Needs May 28, 2015
Delaware County Poverty Profile Individuals in Poverty ………….….…… 12.7% Children (under 18) in Poverty ……..…17.9% Otsego County Poverty Profile Individuals in Poverty ………….….…… 14.7% Children (under 18) in Poverty……..…16.4% Chenango County Poverty Profile Individuals in Poverty ………….….……15.1% Children (under 18) in Poverty …...…… 23.8% May 28, 2015
Changing the Context of Decision Making Less or More of none of May 28, 2015
NYS DOH Prevention Agenda 2013-2017 Objective 5-1 : Reduce the prevalence of tooth decay among children Objective 5-2 : Increase the proportion of children who have sealants Objective 5-3 : Increase the proportion of children who receive regular dental care Objective 5-4 : Increase the percentage of NYS population with fluoridated water Objective 5-5 : Strengthen systems to improve oral health those with special health needs May 28, 2015
NYS Recommended Oral Health Interventions: Counseling and education Long-lasting protective interventions Clinical interventions Changing the context of decision making Socioeconomic factors (not a SBHP option) May 28, 2015
Counseling and Education May 28, 2015
Discover Champions Begin the conversation. Where to start….. School Nurses Dental Community Early Childhood Learning Center Teachers Coalitions serving youth May 28, 2015
Identifying Partners A public Health Approach State and Local Health Departments Hospital Affiliates (SQHC, ART. 28) Present relevant data Project Outcomes Enhance existing programs May 28, 2015
Building on Success Funding • Prevention Based • Securing • PR/Messaging Partners Mission Outreach May 28, 2015
Challenges Uncommon Ground Private Practice Model Delayed Results Funding Shortage May 28, 2015
Long-lasting Protective Interventions Sealants: A thin plastic coating that are applies to the grooves on the chewing surfaces of back teeth to protect them from decay May 28, 2015
Poll
Changing the Context of Decision Making Water Fluoridation is one of the “Ten Greatest Public Health Achievements in the United States between 1900-1999 Unfortunately most children in rural areas do not live within a village where water is fluoridated May 28, 2015
Changing the Context of Decision Making School Wellness Policies and Practices More of Less of May 28, 2015
Changing the Context of Decision Making Less or More of none of May 28, 2015
Socioeconomic Factors (Beyond the scope of SBHC’s work) May 28, 2015
Clinical Interventions May 28, 2015
Integrating Oral Health
Success measured in SMILES May 28, 2015
Integrating Oral Health into Primary Care * Caries Risk Assessment *Nutrition Counseling *Fluoride Varnish Application *Referrals to Dental Care May 28, 2015
Caries Risk Assessment http://www2.aap.org/oralhealth/docs/riskassessmenttool.pdf May 28, 2015
Caries Risk Assessment Tool May 28, 2015
Incipient caries are caries May 28, 2015
Fluoride Varnish Application May 28, 2015
Thank you to Oral Health America, who has donated varnish to our program since its inception. May 28, 2015
Nutrition Counseling May 28, 2015
Acid & Sugar – A Dental Double Whammy It’s how drinks destroy teeth! pH (acid) Level Sugar per 12-oz serving Pure Water 7.00 (Neutral) 0.0 Coffee (Average, Black) 5.00 0.0 Barq’s Root Beer 4.61 10.71 tsp. Sprite 2.90 9.29 tsp. Gatorade 2.83 5 tsp. Mountain Dew 2.80 11.07 tsp. Pepsi 2.43 9.64 tsp. Battery Acid (Yikes!) 1.00 (Acidic) 0.0 May 28, 2015
Sipping all day Every sip counts as an exposure. Drinking all day does more damage "Athletes are especially prone to erosion from sports drinks because they drink them frequently to maintain hydration." May 28, 2015
Referral to Dental Care Community Dental Practitioners SBHC Dentist May 28, 2015
May 28, 2015
SBH Dental Team May 28, 2015
Work supported by: New York State Department of Health Children’s Oral Healthcare Access Project(HRSA) Dental Trade Alliance Foundation May 28, 2015
Thank you. May 28, 2015
Contact Information Betsy Bray, RDH elizabeth.bray@bassett.org Leah Carpenter, DMD leah.carpenter@bassett.org Jane V Hamilton, RN Manager jane.hamilton@bassett.org Carissa Neubert, RPA carissa.neubert@bassett.org May 28, 2015
Exciting News DentaQuest Foundation funded SBHA grant: Innovation in School-Based Oral Health Services: Learning Collaborative Network Project Goal: Facilitate systems change to incorporate oral health services into the nation’s ten largest school districts.
Three Objectives: 1. Assess the capacity and readiness of the ten school districts to engage in a collaborative 2. Bring together a panel of experts to advise and provide expert content to learning collaborative 3. Establish a framework and curriculum based on national scan of best practices
Contact Information Donna Behrens Project Advisor, School-Based Oral Health Services dbehrens@sbh4all.org 410-241-9604 Kate Schechter Program Associate, School-Based Health Alliance kschechter@sbh4all.org 202-638-5872 x215
Membership Individual - $100 Organizational - $500 • All individual member • A national voice benefits advocating for SBHCs at • Discounts on professional the federal level • Access to exclusive services and products • Letters of support for members-only content on the website (including grants archived resources) • Monthly Federal Policy To learn more, visit: Updates www.sbh4all.org/membership And many more….
Recommend
More recommend
