Best Practice Approach Improving Children

1
Best Practice Approach Improving Childrens
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
Childrens 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

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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

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Components of the CSHP model
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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

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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

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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.

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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.

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West Virginias 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

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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.