198964 Increasing Access to oral healthcare for Persons with HIV, the Dental case management model

Monday, November 9, 2009

Helene Sharon Bednarsh, BS, RDH, MPH , BPHC/HIV Dental; BUSPH/HDWG, Boston Public Health Commission and Boston University School of Public Health, Boston, MA
Jane E. Fox, MPH , Health and Disability Working Group, Boston University School of Public Health, Boston, MA
In 2006 HRSA funded 15 HIV Oral Health Demonstration projects under their SPNS initiative to increase access to oral healthcare for persons with HIV. Nine of the sites included a dental case manager (DCM)as part of their innovation strategy. In June 2008 representatives from these programs convened in a focus group to come to consensus on the roles, responsibilities, training needs, and background required to affect access to oral healthcare services. Results of the focus group will be presented as will a discussion on the potential use of DCMs in other oral health programs. Although case management is not a new model in HIV services, it is unique to oral health. DCMs are effective in reducing barriers, non-dental personnel can be trained in this capacity, major functions relate to patient outreach and retention, but also a primary function is linkage to other HIV-related services and cross-referral. DCMs have a more focused client load and can serve a higher volume of patients. Data from the sites using a DCM indicated that they are effective in reducing no-shows, reducing barriers and increasing access to care.

Learning Objectives:
1. Describe the role of the dental case manager in increasing access to oral healthcare. 2. Discuss how linkages to care can be enhanced by a dental case manager 3. Review results of a focus group on roles and responsibilities of a dental case manager and how they relate to other oral health programs.

Keywords: Oral Health, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Part of HRSA/SPNS Oral Health Initiative Evaluation Team, DIrector of HIV Dental at BPHC, have published in this arena and presented recently at NOHC.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.