Transcript Welcome (title here)

Ohio Department of Health
School-based Dental Sealant
Programs
Carrie Farquhar
Oral Health Section Administrator
Ohio Department of Health
May 30, 2013
Ohio’s Sealant Program:
• Targets high risk schools
– (>40% of children enrolled in free & reduced
price meal program)
• Students in grades 2 & 6 are eligible
• Follow-up in grades 3 & 7
Ohio’s Sealant Program
•Portable dental equipment
•Ohio statute requires a dentist screen each
child and indicate which teeth are to be sealed
•RDH-DA teams apply sealants
•Each team is to provide sealant for ≥15
children/day
•Children in need of additional dental care
(~1/4) have notes sent home and the school
nurse is notified.
Participation
All children in target grades at high risk schools
are eligible, however the parental consent form
encourages families with access to have child
receive sealants in private dental office
~41%return consent*
– 94% screened
– 95% receive sealants (2012)
* Will discuss further
ODH Dental Sealant Program
21 programs in Ohio, serve 50 counties
– 18 funded with ODH grants
– 25,321 children received sealants in school in
2012 through the ODH-funded programs
Continually working to expand program to
additional eligible schools
Ohio’s SBSP Expansion Plan
ODH sealant programs:
• Limited resources + accountability = utilizing
the most effective and cost-efficient services
(sealants)
ODH has chosen to limit our sealant programs
to providing sealants, exclusively.
• This is providing the right service to the right
people at the right time and place.
• More children receive the most effective caries
prevention measure
Contents of Ohio’s Sealant Manual
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Compliance with ODH reporting and policies
Sample programs forms
Infection control
Materials and sealant application technique
Retention checks
Medicaid billing, collection & reimbursement
ODH program reviews (quality assurance)
SBSP On-line Curriculum
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Required of all ODH-funded programs
Background
Infection control
Tooth Surface Assessment and Selection
Materials and Application Techniques
Operating Effective Programs
Post-tests for 2 hrs ADA CERP CE free
Increasing Program Participation
Back to basics--assure support from:
• Local oral health community
• School officials (school board/superintendent)
• School principals
• School nurses
• Parent/Teacher Associations
• Reference seal america
Local Oral Health Community
Potential concerns include:
• Assessments conducted without bitewing Xrays
• Dental sealants placed over incipient caries
• Dental hygienists applying dental sealants
• Quality of care provided in a portable
program
Local Oral Health Community (cont)
• Effective infection control
• Methods used to target participants
• Disruption to established dentist-client
relations
• Insufficient follow-up for students with tooth
decay or other oral health problems
School personnel and parents
Key messages:
• Assure understanding of what sealants are
(and aren’t)
• Benefit of sealants and targeting grades
• Contribution toward learning readiness
• Minimal classroom disruption
Find a sealant champion
Try to identify a principal, secretary, school
nurse or teacher who can be a strong program
advocate and help convince others of the value
of the sealant program
Improving Participation Rates
Potential reasons for non-participation:
• Consent form doesn’t get to parents
• Parents lack knowledge about sealants
• Parents have had negative dental experiences
• Other health, social, cultural and family factors
Distributing consent forms
• Make presentations to students, show video
(Seal in a Smile in Ohio) follow with Q&A
• Distribute with other forms at beginning of
school year
• Second distribution of forms with personal
notes/phonecalls or “second notice”
Distributing consent forms (cont)
• Provide info to parents via a variety of school
communication mechanisms:
• school website
• calendar
• email
• newsletter
• lunch menus
• parent meetings, etc.
Remind them of dates
Collecting consent forms
• Schedule specific date and time to return to
school and collect consent forms
• Call ahead and confirm when the forms will
be collected
• Make sure forms from all classrooms have
been collected before leaving the school
• Encourage staff to accept completed consent
forms after the due date
Use of Incentives
• Sticker, pencil, sugar-free candy or gum
• Offer pizza party to classes with 100% return
of consent forms
• Teachers offer additional recess, “blue jean
day” other school-determined incentives
• Items for school nurses or teachers, e.g., gift
cards for school supply store or personal use
Concerns:
Response of teachers, nurses and students if
incentives are discontinued later in the
program. May have negative impact on
participation.
Ohio’s experience
• Highest participation is in two rural
programs, around 56% and 57%
• Among the longest running programs
• Continuity (staff and schools served)
• Relationships with school personnel and
presence in the school system
Ohio’s experience
• Efforts to increase rate of returned consent
forms resulted in receiving more “no”
responses, not increased participation
• No simple solution
More about Ohio’s sealant programs
Strengths:
• Pointed out earlier, significant, sustainable funding source
• Provide sealants to large number of higher-risk children
(25,321)
• Effective quality assurance component
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Strong data reporting system
Technical assistance/support
Periodic on-site reviews
Distance learning/sealant manual
Continuing education as appropriate
Ohio’s sealant programs
Weaknesses:
• Low return of consent forms (~41%)
• Low oral health literacy
• Low priority
• Incentives result in more forms returned, not increased consent
to participate
• Do not provide needed dental care for participating
students
• Must rely on dentists to screen students before
sealants may be applied by the sealant team.
Contact me:
Carrie Farquhar
Oral Health Section Administrator
Ohio Department of Health
[email protected]
614 466-4180
Available Information Resources:
• Seal America: The Prevention Invention, school-based dental sealant
program manual, 2012, National Maternal & Child Oral Health
Resource Center.
• Seal in a Smile, videotape, brochure, bookmarks and posters
designed for use by school-based dental sealant programs. National
Maternal and Child Oral Health Resource Center Website:
http://www.mchoralhealth.org
• The School-based Dental Sealant Program (S-BDSP) Manual
provides information and clearly states expectations of, and standards
for; ODH-funded S-BSPs. ODH-funded S-BSPs must comply with the
requirements in this manual.
• School-Based Dental Sealant Program distance learning curriculum
National Maternal and Child Oral Health Resource Center,
Georgetown University and the Ohio Department of Health.
http://www.ohiodentalclinics.com/distancelearning.html