228054 Access to Oral Health Care in Detroit: A Dental Partnership in Detroit School-Based Health Centers

Monday, November 8, 2010

Amanda Roffe, MPH , School-Based & Community Health Program, Henry Ford Health System, Detroit, MI
The University of Detroit Mercy (UDM) School of Dentistry (SOD), Henry Ford Health System School-Based and Community Health Program (HFHS SBCHP) with the support of the Michigan Department of Community Health (MDCH), formed a partnership. The program targets children identified with high disease rates and lack of access to dental care. It is delivered in HFHS School-Based Health Centers (SBHC) and is facilitated by an Oral Health Coordinator and two UDM SOD PA 161 dental hygienists, providing preventive oral health care and oral health education. Dental hygiene students have been incorporated for educational learning and service. Children are referred to UDM SOD for restorative care. A unique web-based referral tracking system has been developed for this program.

The objectives are to: 1) increase oral health prevention services; 2) ensure restoration of active disease; and 3) reduce disparities through the provision of dental sealants and oral health education.

To date, over 1,800 unduplicated children have been treated. Approximately 70% of the students identified require restorative care. Yet, only 15% of the students requiring restorative care are successful at maintaining appointments. Although low, this number is similar to other dental programs in the area.

Restorative rates remain low. Other health providers and social workers have assisted with follow-up. A parental education component is being added to address lack of knowledge as one method to increase restorative rates. Providing on-site restorative care is also being considered. Poor public transportation and traditional work week appointment times are cited as barriers to restorative services.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1.Demonstrate the value in conducting oral health services in school-based clinic setting and the role school-based clinic staff can offer to improve service delivery. 2.Discuss the importance of open communication and collaboration between all providers (dental, medical, mental health) in school-based clinic setting. 3.Formulate responsibilities and guidelines for working partnerships. 4.Identify methods to increase providers in underserved areas.

Keywords: School-Based Programs, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the coordinator for the program in discussion.
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.