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Ohio Department of Health School-based Dental Sealant Programs

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Ohio Department of Health School-based Dental Sealant Programs Carrie Farquhar Oral Health Section Administrator Ohio Department of Health May 30, 2013 – PowerPoint PPT presentation

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Title: Ohio Department of Health School-based Dental Sealant Programs


1
Ohio Department of Health School-based Dental
Sealant Programs
  • Carrie Farquhar
  • Oral Health Section Administrator
  • Ohio Department of Health
  • May 30, 2013

2
Ohios Sealant Program
  • Targets high risk schools
  • (gt40 of children enrolled in free reduced
    price meal program)
  • Students in grades 2 6 are eligible
  • Follow-up in grades 3 7

3
Ohios 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.

4
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
  • 41return consent
  • 94 screened
  • 95 receive sealants (2012)
  • Will discuss further

5
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

6
Ohios SBSP Expansion Plan
7
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8
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

9
(No Transcript)
10
Contents of Ohios Sealant Manual
  • 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)

11
(No Transcript)
12
SBSP On-line Curriculum
  • 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

13
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

14
Local Oral Health Community
  • Potential concerns include
  • Assessments conducted without bitewing X-rays
  • Dental sealants placed over incipient caries
  • Dental hygienists applying dental sealants
  • Quality of care provided in a portable program

15
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

16
School personnel and parents
  • Key messages
  • Assure understanding of what sealants are (and
    arent)
  • Benefit of sealants and targeting grades
  • Contribution toward learning readiness
  • Minimal classroom disruption

17
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

18
Improving Participation Rates
  • Potential reasons for non-participation
  • Consent form doesnt get to parents
  • Parents lack knowledge about sealants
  • Parents have had negative dental experiences
  • Other health, social, cultural and family factors

19
Distributing consent forms
  • Make presentations to students, show video (Seal
    in a Smile in Ohio) follow with QA
  • Distribute with other forms at beginning of
    school year
  • Second distribution of forms with personal
    notes/phonecalls or second notice

20
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

21
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

22
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

23
Concerns
  • Response of teachers, nurses and students if
    incentives are discontinued later in the program.
    May have negative impact on participation.

24
Ohios 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

25
Ohios experience
  • Efforts to increase rate of returned consent
    forms resulted in receiving more no responses,
    not increased participation
  • No simple solution

26
More about Ohios 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
  • Strong data reporting system
  • Technical assistance/support
  • Periodic on-site reviews
  • Distance learning/sealant manual
  • Continuing education as appropriate

27
Ohios 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.

28
Contact me
  • Carrie Farquhar
  • Oral Health Section Administrator
  • Ohio Department of Health
  • Carrie.Farquhar_at_odh.ohio.gov
  • 614 466-4180

29
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
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