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Sue Dodd RDH,BA SCD Healthcare Consulting LLC

Best Practice Approach Improving Children’s Oral Health through Coordinated School Health Programs. Sue Dodd RDH,BA SCD Healthcare Consulting LLC. What is a Best Practice Approach?. A description of a public health strategy

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Sue Dodd RDH,BA SCD Healthcare Consulting LLC

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  1. Best Practice Approach Improving Children’s Oral Health through Coordinated School Health Programs Sue Dodd RDH,BA SCD Healthcare Consulting LLC

  2. What is a Best Practice Approach? • A description of a public health strategy • Assesses the strength of evidence on the effectiveness of the strategy • Uses practice examples to illustrate success and sustainability • Describes innovative implementation • Demonstrates collaboration • Meets National Call to Action and HP 2010 objectives

  3. Uses for Best Practice Reports • Use as building blocks to improve systems of care • Share ideas & lessons learned • Raise awareness of oral health • Promote collaborations • Update program guidelines • Promote optimal oral health across the lifespan while reducing disparities

  4. Children’s Oral Health • Surgeon General Richard Carmona-”No child should be found unable to concentrate because of the pain of untreated oral infections.” • Oral Health care remains most common unmet need. • Focus on prevention and controlling decay • Association between tobacco use and oral disease • Prevention of injury to face, teeth and mouth • Shortage and distribution of oral healthcare professionals

  5. Relationship of Oral Health to Academic Performance • S-G Antonia Novello: “Health and education go hand in hand: one cannot exist without the other” • Dental pain and disease results in decreased school performance, absenteeism, chronic illness, poor social relationships, anxiety and isolation • Importance of adequate nutrition

  6. Cost Effectiveness of Preventing Tooth Decay • Early prevention- visit by age one less likely to have restorative or ER visits • Community Water Fluoridation and School Fluoride Rinse programs • ER visits vs. preventive care- Medicaid costs are10 times higher in ER rather than dental office • School based Dental Sealant programs are effective in preventing tooth decay

  7. Coordinated School Health Programs • Developed by CDC Division of Adolescent and School Health • West Virginia is one of 22 funded states, territories and tribal nations. • Planned, organized set of health-related programs, policies and services • Meet the health and safety needs of K-12 students • Implemented at both school district and individual school levels

  8. Components of the CSHP model

  9. Integrating Oral Health into CSHP models • Health Education: Includes prevention and control of oral and dental disease, injury prevention, and promotion of good oral health practices. • Physical Education: Address prevention and protection from facial and oral injuries. Provide fabricated mouth guards and head gear. Work with dentists and physicians

  10. Integrating Oral Health into CSHP models • Health Services: Access and referral to oral health care services and emergency treatment. School nurse has oral health educational material available. Identify providers who accept Medicaid and SCHIPS. • Nutrition Services: Teach students choices to reduce risk of oral disease. Relate oral health to obesity, diabetes and general health

  11. Integrating Oral Health into CSHP models • Counseling, Psychological and Social Services: Ensure children with oral health needs obtain needed professional care. • Healthy School Environment: Work to develop tobacco use prevention policy. Promote safety and unintentional injuries to face and mouth. Address availability of junk foods and vending machine choices.

  12. Integrating Oral Health into CSHP models • Health Promotion for Staff: Provide staff with access to oral health information. Provide specific in-service training for teachers. Support tobacco cessation efforts • Family/Community Involvement: Integrate oral health efforts into advisory councils, coalitions, parent organizations. Conduct workshops on oral health care protocol and tobacco cessation.

  13. West Virginia’s CSHP model • Receive funding from DASH to promote CSHP, prevent HIV infection and conduct YRBS. • CSHP emphasis on physical activity, nutrition and tobacco use prevention • Provide HIV education and technical assistance to local educational agencies • Coordinates YRBS and YTS to collect risk behavior data for grades 9-12

  14. Acknowledgements • This report is the result of efforts by the ASTDD Best Practices Committee • The ASTDD Best Practices Committee extends a special thank you to the ASTDD School & Adolescent Oral Health (SAOH) Committee for their contributions to this report. • A copy of the Report can be found at www.astdd.org • This publication was supported by Cooperative Agreement U58DP001695 from CDC, Division of Oral Health and by Cooperative Agreement U44MC00177 from HRSA, Maternal and Child Health Bureau.

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