Oral Health and Wellness Program Support to TEAP

1. Oral Health and Wellness Program Support to TEAP Pamela Alston, DDS Region 6 Dental Consultant

2. TAG 5-N Suggestion “Enlist the support of all center departments to identify how alcohol and other drug prevention is applicable to their areas.”

3. Incentive for Oral Health and Wellness Program Support to TEAP? “Student recreational drug abstinence fosters oral health.” Pamela Alston, DDS

4. TEAP Components • Assessment • Intervention • Counseling • Relapse Prevention • Prevention and Education

5. National Oral Health and Wellness Program Survey Participating Centers Anaconda Edison Oneonta Angell Excelsior Springs Phoenix Barranquitas Flint Hills Pine Ridge Blackwell Fred G. Acosta Quentin N. Burdick Cascades Glenmont Ramey Cassadaga Golconda San Jose Centennial Grand Rapids Sierra Nevada Chicago Hubert H. Humphrey South Bronx Cincinnati Inland Empire Timber Lake Clearfield Joliet Tongue Point Dayton Kicking Horse Wolf Creek Delaware Valley Loring Detroit Maui

6. National Oral Health and Wellness Program Survey(continued) 52% interface with TEAP 48% do not interface with TEAP 17% TEAP serves as a resource oral health and wellness 17% Oral health and wellness serves as a resource to TEAP 17% referral relationship

7. National Oral Health and Wellness Program Survey(continued) 72% speak to students 18% do not speak to students

8. National Oral Health and Wellness Program Survey(continued) 54% dentist 3% dental assistant 7% dental hygienist 36% Multiple oral health and wellness team members

9. National Oral Health and Wellness Program Survey(continued) How drug use affects the teeth and contributes to caries 57% Statement that drug use causes decay 28% Effects of tobacco use on oral tissues 28% Oral disease prevention strategies 100%

10. National Oral Health and Wellness Program Survey(continued) Of the oral health and wellness team members who speak to students: One-on-one counseling 86% Group presentations to inputs 14%

11. National Oral Health and Wellness Program Survey(continued) Message content: • Smoking effects on oral health • Potential consequences of recreational drug use • Drug use effects on oral health • Strong prevention message • Smoking effects on total health • Smoking and street drug use effects on employability • Drug use effects on physical well-being • Personal appearance, tobacco use, and self-esteem

12. Side-Effects for . . . • Dry mouth • Cannabinoids • Cocaine • Methamphetamines • Heroin • Inhalants and solvents

13. Side-Effects for . . . • Elevated blood pressure • Cocaine • Cannabinoids • Methamphetamines • LSD • Vomiting and nausea • Opiates

14. Side-Effects for . . . • Craving for sweets • Heroin • Bruxism • Cocaine • Signs of Relapse • Oral neglect

16. Oral Health and Wellness Needs • Orientation to the whole health record • Orientation to the center’s zero tolerance policy

17. Orientation to TEAP • Introduction to the TEAP specialist • Oral health and wellness referral mechanism to TEAP • Cultural competency training • Content and delivery training

19. TEAP Needs • TEAP referral mechanism to Oral Health and Wellness Program • Group presentations on the oral manifestations of illicit drug use

20. Best Practice • Include the oral health and wellness team in the student’s comprehensive care plan • Each oral health and wellness team member plays a role • Oral health and wellness team members receive training

21. Push the Envelope • Mentoring students • Identifying volunteer opportunities • Linking oral health and wellness prevention and education strategies to student drug and alcohol abstinence • Identifying training opportunities

22. “We all know what we know, and we have an idea of what’s just beyond our knowledge, but a vast, untapped body of knowledge is out there that we don’t even perceive.” Glen Wysel, DDS