Head Start and Oral Health in Iowa
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Head Start and Oral Health in Iowa Overview What is Head Start? Services Provided Eligibility Organization State Collaboration Offices Head Start Performance Standards Head Start in Iowa Head Start Oral Health Work What is Head Start?

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Overview l.jpg
Overview

  • What is Head Start?

    • Services Provided

    • Eligibility

    • Organization

    • State Collaboration Offices

    • Head Start Performance Standards

  • Head Start in Iowa

  • Head Start Oral Health Work


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What is Head Start?

  • Early Head Start and Head Start are comprehensive child development programs which serve children from birth to five, pregnant women, and their families.


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Goals of Head Start

  • Promote school readiness by enhancing the social and cognitive development of low-income children

  • Support parents in their role as primary educators of their children and empower families

  • Provide a supportive learning environment for children, staff and parents

  • Meet basic health needs including prevention

  • Respect children & adults

    • As individuals

    • With roots in many cultures and languages

    • As members of a community


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Head Start is unique…

  • Involves parents in all aspects of decision making

  • Parent volunteering and community representation on the policy council are part of the Head Start budget

  • Community partnering is a requirement

  • Parent preference in hiring


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Head Start Services

Child development and education

Determination of child’s health status

Disabilities

Nutritious meals

Mental wellness

Parent education

Home visits

Staff development

Community connections

Parent involvement in decision-making

Socialization

Tracking and Referrals


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Birth to 3 (EHS)

Ages 3-5

Meet family income guidelines

Grantees may serve up to 35% of their enrollment with children whose incomes are between 100-130% of poverty. (This is in addition to the current 10% over-income.)

Children in foster care regardless of income

Children who are homeless

Families receiving public assistance (TANF or SSI) regardless of income

10% of enrolled children must be for children with disabilities

Eligibility


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2009 HHS Poverty Guidelines

Source:Federal Register, Vol. 74, No. 14, January 23, 2009, pp. 4199-4201


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Lyon

Winnebago

Mitchell

Worth

Howard

Emmet

Osceola

Dickinson

Kossuth

Winneshiek

Allamakee

Hancock

Clay

Cerro Gordo

Sioux

Palo Alto

Floyd

Chickasaw

O’Brien

Clayton

Fayette

Bremer

Plymouth

Buena Vista

Humboldt

Cherokee

Pocahontas

Wright

Franklin

Butler

Webster

Woodbury

Ida

Delaware

Dubuque

Sac

Buchanan

Calhoun

Black Hawk

Hamilton

Grundy

Hardin

Jackson

Jones

Benton

Tama

Monona

Linn

Crawford

Greene

Boone

Story

Carroll

Marshall

Clinton

Cedar

Audubon

Johnson

Iowa

Jasper

Shelby

Dallas

Poweshiek

Guthrie

Polk

Harrison

Scott

Muscatine

Adair

Keokuk

Madison

Marion

Washington

Cass

Mahaska

Pottawattamie

Warren

Louisa

Lucas

Monroe

Clarke

Wapello

Jefferson

Mills

Union

Montgomery

Adams

Henry

Des Moines

Fremont

Page

Van Buren

Taylor

Wayne

Ringgold

Davis

Decatur

Appanoose

Lee


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Department of Health

and Human Services

Administration for

Children and Families

Office of Head Start

Regional Offices (12)

Head Start State

Collaboration Offices

Head Start Grantees

Head Start

Delegate Agencies

Head Start Organization Chart

Federal

Local


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Head StartState Collaboration Offices

  • Create a visible partnership at the state level to support the development of multi-agency and public/private partnerships.

  • Help build early childhood systems

  • Encourage widespread collaboration among Head Start and other appropriate programs, services, and initiatives,

  • Facilitate the involvement of Head Start in state policies, plans, processes, and decisions


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Head StartProgram Performance Standards

  • The code of Federal regulations- 45 CFR PART 1304 — contains the program performance standards for the operation of Head Start programs by grantee and delegate agencies.

  • Mandatory regulations that grantees and delegate agencies must implement in order to operate a Early Head Start and/or Head Start program.


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Head StartProgram Performance Standards

Provide Head Start grantee regulations for…

  • early childhood education

  • health and safety

  • nutrition

  • transition

  • social and emotional development

  • disabilities

  • parent involvement

  • family partnerships

  • community partnerships

  • administrative and financial management, and facilities


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Head Start and Oral Health

Head Start requires every program to:

  • Provide ongoing training to staff who provide health services, including oral health services.

  • Determine whether each child has an ongoing source of continuous, accessible health care, including dental care.

  • Identify which children are not up-to-date on the required schedule of primary and preventive care.


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Head Start and Oral Health(continued)

Head Start requires every program to:

  • Ensure children who are up-to-date remain up-to-date.

  • Help parents obtain health services for children who are not up-to-date.

  • Ensure children with an observable, known or suspected health problem receives further testing, examination and treatment from a licensed/certified professional.

  • Develop a system to implement ongoing procedures to identify new or recurring dental concerns to facilitate timely referrals.


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Head Start and Oral Health(continued)

Head Start requires every program to:

  • Obtain written documentation if a parent refuses to give authorization for health services.

  • Consult with parents immediately when children's health problems are suspected or identified.

  • Obtain advanced authorizations for health procedures.

  • Help parents familiarize their children , in a developmentally appropriate way, to any health procedures they undergo.


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Head Start and Oral Health(continued)

Head Start requires every program to:

  • In Early Head Start, assist pregnant women immediately after enrollment to access prenatal/postpartum care, including dental care.

  • Promote effective dental hygiene in conjunction with meals.

  • Provide parents and children with education about oral hygiene.


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Oral Health Protocol (example)

Determine child’s oral health status.

Is child up-to-date (EPSDT)?

Yes/No

Ensure child continues to be up-to-date.

Yes

No

Refer to services

Does child have a dental home?

Yes/No

No

Ensure services are received

Obtain written refusal

Yes

Ongoing determination of dental needs.

Ensure child continues to be up-to-date.



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Health Services Advisory Committee

  • Required by performance standards

  • The HSAC comprised of community health professionals (such as physicians, dentists, DHs) Head Start staff, and Head Start parents.

  • Assists programs in identifying resources, developing policies and procedures and other activities.


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Head Start Oral Health Forum2003

Dental Care Access

  • Dentists aren’t there

  • Dentists won’t serve low income families

  • Dentist won’t serve young children

  • KEY ISSUES

Prevalence of Early Childhood Caries

  • Most common infectious disease

  • Invisible illness


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What can we do?Five goals

  • Raise awareness.

  • Promote better linkages at a local level among early childhood health services, Head Start and other stakeholders.

    • Use linkages to promote new practices

  • Strengthen the Head Start Head Services Advisory Committees.

  • Develop a parent curriculum


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Raise awareness Promote linkagesStrengthen the HSACs Develop a parent curriculum

Results

  • legislators

  • child care providers

  • county public health

  • Iowa Community

  • Empowerment

  • Shared lists

  • Distributed information re toothbrushing, fluoride varnish, dental issues for pregnant women

  • Ensured Dentist and/or DH on each HSAC (16/18)

  • Conducted HSAC training

  • Now extended to I-Smile

  • Created “Healthy Smiles” Curriculum & Flip Charts

  • 18 workshops, 610 trained


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“Healthy Smiles” Results(Percentage saying “yes”)


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Next StepsIdentified in Sept. 2008

KEY WORK ITEMS:

  • Strengthen linkages with I-Smile

  • Healthy Smiles (new round of train the trainers)

  • Develop toolkits on setting up incentive systems to motivate families

  • Support TOSS Grant: Public awareness around oral health.

  • Improving Access Strategies


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AAPD Dental Home Initiative Goals 2010

  • To put together a Leadership Team

  • To educate and bring on board Dentist to serve these low income children and families as a dental home.

  • To have a motivational interview training for professionals to address families

  • To develop a tool kit for this


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