Online Program

Determinants of Oral Health for Community-Dwelling Individuals with Intellectual/Developmental Disabilities: A mixed methods evaluation

Sunday, November 1, 2015

Lyubov Slashcheva, BA, DDS 2016, National Health Service Corps Scholar, Virginia Dental Association Long-Term Care Access to Care Work Group, Virginia Commonwealth University School of Dentistry, Richmond, VA
Katherine Libby, MA, BA, Virginia Oral Health Coalition, Glen Allen, VA
Since the Developmental Disabilities Assistance and Bill of Rights Act was passed in 1963 and reauthorized in 2000, organizations providing support to individuals with Intellectual/Developmental Disabilities (IDD) have sought to understand these guidelines as societal and individual expectations for the IDD population continually promote independence. Though accessing dental care has consistently been challenging for this population, a shift towards community-based living has further complicated the ability of individuals with IDD to access dental care and maintain oral health. To build statewide dental workforce capacity and community commitment for the provision of dental care to individuals with IDD, the Virginia Oral Health Coalition (VaOHC) provided three Regional Dental Provider Trainings to dentists, hygienists, assistants, and VCU School of Dentistry students. In addition to expanding access to care through these trainings, the VaOHC conducted surveys and focus groups with patients, family, and caregivers to increase oral health literacy and dental self-advocacy; these accounts have been utilized in advocacy for systems change to reduce barriers to dental care access for this population. Project outcome measures, post-training provider surveys regarding changes in clinical practice, and student participant perspectives indicate strengths and challenges of the framework, yielding several recommendations by which organized and academic dentistry may continue to most effectively build capacity and commitment for meeting the unique oral health needs of individuals with IDD. The focus of this report is to project qualitative and quantitative data from the described initiative to elucidate factors that determine oral health outcomes for community-dwelling individuals with IDD.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe a framework for building community oral health provider and caregiver capacity to support access to preventive oral health services for individuals with intellectual/developmental disabilities Identify quantitative and qualitative factors that determine oral health of individuals with intellectual/developmental disabilities Discuss the role of organized dentistry, caregiver organizations, and family in maintaining the oral health of individuals with intellectual/developmental disabilities

Keyword(s): Oral Health, Disabilities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in each of the provider trainings described in this report and am tasked with analyzing the caregiver/patient surveys, focus-group transcripts, and provider post-training surveys for the project.
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.