For Students In an SBHC July 7, 2015 Help Us Count! If you are - - PowerPoint PPT Presentation

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For Students In an SBHC July 7, 2015 Help Us Count! If you are - - PowerPoint PPT Presentation

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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

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The Intersection of Primary Care and Public Health Through Oral Health Services For Students In an SBHC

July 7, 2015

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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.

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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.

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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

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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.

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Poll Question

Do you or does your

  • rganization provide

direct patient care to children and youth?

1) Yes 2) No

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Today’s Presenters

Jane Hamilton, RN, BSN Manager, School- Based Health Elizabeth Bray, RDH Oral Health Access Project Coordinator Leah Carpenter, DMD School-Based Health Dentist Carissa Neubert, RPA School-Based Health Physician Assistant

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Jane Hamilton, RN Leah Carpenter, DMD Betsy Bray, RDH Carissa Neubert, RPA

“Oral Health: the Teeth in School-Based Health”

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Why Oral Health for Children Matters

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May 28, 2015

.

Growth of SBHC Program

1992-2015

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Quiz: What is the most common chronic illness among children?

May 28, 2015

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Quiz: What is the most common chronic illness among children?

May 28, 2015

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May 28, 2015

History of SBH Oral Health

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May 28, 2015

Insert Poll Question: What percentage of 5-11 yr olds have untreated decay?

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May 28, 2015

Caries in Children Ages 6-11: 1 in 5 Ages 12-19: 3 in 5

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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

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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

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Epidemiology of Oral Health

May 28, 2015

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% All children High Income Children Low Income Children

Untreated Tooth Decay in 3rd Grade Children (excluding NYC)

SBHC-all grades

2002-2004 2009-2011 SBHC 2013-14

Source for NYS data, NYSDOH Oral Health Survey of Third Grade Children & Bassett SBHC

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May 28, 2015

Disparities in Oral Health

  • Poor Children
  • Poor Seniors
  • Racial Minorities
  • Special Needs
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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%

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Changing the Context of Decision Making

More of Less or none of

May 28, 2015

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NYS DOH Prevention Agenda 2013-2017

May 28, 2015

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

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NYS Recommended Oral Health Interventions:

May 28, 2015

Counseling and education Long-lasting protective interventions Clinical interventions Changing the context of decision making Socioeconomic factors (not a SBHP option)

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Counseling and Education

May 28, 2015

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May 28, 2015

Discover Champions

Begin the conversation. Where to start….. School Nurses Dental Community Early Childhood Learning Center Teachers Coalitions serving youth

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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

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May 28, 2015

Building on Success

  • Prevention

Based

Mission

  • Securing

Partners

Funding

  • PR/Messaging

Outreach

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May 28, 2015

Challenges

Uncommon Ground Private Practice Model Delayed Results Funding Shortage

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Long-lasting Protective Interventions

May 28, 2015

Sealants: A thin plastic coating that are applies to the grooves on the chewing surfaces

  • f back teeth

to protect them from decay

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Poll

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May 28, 2015

Water Fluoridation is one

  • f 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

Changing the Context of Decision Making

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Changing the Context of Decision Making

School Wellness Policies and Practices

More of Less of

May 28, 2015

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Changing the Context of Decision Making

More of Less or none of

May 28, 2015

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Socioeconomic Factors (Beyond the scope of SBHC’s work)

May 28, 2015

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May 28, 2015

Clinical Interventions

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Integrating Oral Health

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May 28, 2015

Success measured in SMILES

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Integrating Oral Health into Primary Care *Caries Risk Assessment *Nutrition Counseling *Fluoride Varnish Application *Referrals to Dental Care

May 28, 2015

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Caries Risk Assessment

May 28, 2015 http://www2.aap.org/oralhealth/docs/riskassessmenttool.pdf

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May 28, 2015

Caries Risk Assessment Tool

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Incipient caries are caries May 28, 2015

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Fluoride Varnish Application

May 28, 2015

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Thank you to Oral Health America, who has donated varnish to our program since its inception.

May 28, 2015

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Nutrition Counseling

May 28, 2015

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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

Acid & Sugar – A Dental Double Whammy It’s how drinks destroy teeth!

May 28, 2015

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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

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Referral to Dental Care Community Dental Practitioners SBHC Dentist

May 28, 2015

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May 28, 2015

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SBH Dental Team

May 28, 2015

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New York State Department of Health

Children’s Oral Healthcare Access Project(HRSA) Dental Trade Alliance Foundation

May 28, 2015

Work supported by:

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Thank you.

May 28, 2015

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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

Contact Information

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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.

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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

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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

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Membership

Individual - $100

  • A national voice

advocating for SBHCs at the federal level

  • Access to exclusive

members-only content on the website (including archived resources)

  • Monthly Federal Policy

Updates

And many more….

Organizational - $500

  • All individual member

benefits

  • Discounts on professional

services and products

  • Letters of support for

grants

To learn more, visit: www.sbh4all.org/membership

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Closing Reminders

This presentation has been recorded and will be archived on the School-Based Health Alliance website within the next 3-5 business days. To request support and technical assistance related to Oral Health and SBHCs, please send us an e-mail at: programs@sbh4all.org Take a moment to fill out four poll questions that will appear on your screen.

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Poll Question

Did this presentation meet your needs? 1) Yes 2) No

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Poll Question

How well did the presentation meet the stated objectives? 1) the T/TA did not meet the stated objectives 2) the T/TA somewhat met the stated objectives 3) the T/TA mostly met the stated objectives 4) the T/TA met all stated

  • bjectives
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Poll Question

How likely are you to apply information from the presentation in your

  • rganization?

1) not at all likely 2) unlikely 3) likely 4) extremely likely

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Poll Question

Would you recommend this webinar to others? 1) Yes 2) No

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Thank You for attending!

Additional Questions? Contact us at: programs@sbh4all.org