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Children’s Oral Health Project: An Innovative Program for Improving Children’s Oral Health in Lake County. HEALTHY START. Children’s Oral Health Project. About Lake County, CA Project Goal. Project History, Partners and Funders School-based Project Services.

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slide1

Children’s Oral Health Project:

An Innovative Program for Improving

Children’s Oral Health in Lake County

HEALTHY START

children s oral health project
Children’s Oral Health Project
  • About Lake County, CA
  • Project Goal
  • Project History, Partners and Funders
  • School-based Project Services
children s oral health project3
Children’s Oral Health Project
  • Impact on Children's Oral Health
  • Elements of Project Success, Challenges and Opportunities
  • Impact on Systems of Care
  • Collaboration and Opportunities for Replicability
slide5

About Lake County, California

Total Population: 65,000

76% White,

15% Hispanic/Latino,

3% Native American and

6% Multiracial/Other

Rural County with about 52 people per square mile

30 miles from North to South end of Clear Lake

County Seat: Lakeport

Population = 5,000

Clearlake

Population = 14,200

1999: Lakeside Health Center

2001: Lake County Tribal Health Clinic

2005: Clearlake Family Health Clinic

about lake county california
About Lake County, California
  • Unemployment Rate: 17% (Sept 2010)
  • Ranked 50th out of 58 counties in the State
  • Children living in Poverty: 28.4%
  • 67% of school-age children are enrolled in free and reduced price meal programs
about lake county california7
About Lake County, California
  • Overall County Health Status Profile

Ranked 52nd out of 58 counties in the State for all causes of death (CDPH 2010)

  • Children’s Oral Health Care

64% of children age 2-5 had never been to the dentist (CHIS 2003)

slide8

Project Goal: Improve Children’s Oral Health, targeting low income families through school-based services

In California, an estimated 874,000 school days were missed because of dental-related illness.

Students age 5 to 17 years missed an average of 1.7 days due to acute dental problems.

Children whose family could not afford needed dental care missed more school days.

slide9

Project Goal: Improve Children’s Oral Health, targeting low-income families through school-based services

Children who take a test while they have a toothache are unlikely to score as well as children who are undistracted by pain.

Source: UCLA Health Policy Research Brief, Unaffordable Dental Care

Is Linked to Frequent School Absences, N. Pourat and G. Nicholson,

November 2009

slide10

Project History: What, When and Why?

  • 1980: State Funded Dental Disease Prevention Program began in Lake County schools through Public Health
  • 1994: LCOE Healthy Start Program began a holistic approach to education at Elementary Schools
slide11

Project History: What, When and Why?

  • 1998: No pediatric dentists in county, and no dentists accepting MediCal
  • 2000: First 5 Lake included children’s oral health among its identified needs with high priority
  • 2002: Children’s Oral Health Project begins in partnership with LCOE, First 5 Lake and Public Health
slide12

Current Project Partners

Lake County Office of Education,

Healthy Start

Lake County Public Health, Children’s Dental Disease Prevention

Clearlake Family Health Center

Mark Cooper, DDS

Lakeside Health Center (Lakeport) Doug Lewis, DDS

Lake County Tribal Health

First 5 Lake

slide13

First 5 Lake

  • Lake County Office of Education
  • ACCESS Dental, with grant from MRMIB/Healthy Families
  • Redbud Health Care District
  • California Department of Education
  • Lake County Wine Alliance
  • In-kind donations from Lake County Public Health

Project

Funders

school based oral health services
School-Based Oral Health Services

“When children’s oral health suffers, so does their ability to learn” (NMCOHRC, 2003)

  • The Lake County Children’s
  • Oral Health Project works with:
  • 7 School Districts,
  • including 13 school sites
  • 10 State funded and
  • private preschools, and
  • Migrant Head Start programs
  • Countywide Child Population 13,870 (Age Birth-18 years old)
slide15

Dental screening and fluoride varnishes at school sites by LCPH Dental Disease Prevention Program

ACCESS Dental Van for treatment, including fluoride varnishes and sealants

Lake County

Children’s

Oral Health

2002-2010

Major Project

Services

Dental chairs with block appointments at rural health clinics with decreased “no shows”

Transportation from school to dental clinic appointments and to sedated dentistry

slide16

Other Project Services

  • Nutrition and oral health care education for preschool children and their parents
  • Case management for children with complex or severe dental treatment needs.
  • Partnership with Pediatric Dental Initiative (PDI), sedated dentistry program in Windsor
  • Follow-up with parents on the status of children’s oral health to assess long-term outcomes.
slide17

Over 16,480 dental

screenings provided at school sites.

Over 7,480 dental

treatments provided.

Over 2,900 sealants & varnishes provided at school sites.

The Lake County Children’s Oral Health Project has provided sustained, consistent, and comprehensive services for 8 years.

Over 700 children transported for multiple trips from school sites for dental appts.

slide18

Impact on Children’s

Oral Health

Increase in percentage of children screened who are caries free

Project Outcomes

impact on children s oral health
Impact on Children’s Oral Health

Reduction in percentage of preschool children screened with Baby Bottle Tooth Decay

Project Outcomes

impact on children s oral health20
Impact on Children’s Oral Health

Reduction in Average Age of Child’s First Dental Visit at Lakeside Health Center, Dental Clinic

2008 5.9 years

2009 5.3 years

2010 4.4 years

Project Outcomes

impact on children s oral health21
Impact on Children’s Oral Health

Results of Kindergarten Proof of

Dental Assessment

Project Outcomes

slide22

Elements of Project

Success

  • Project originally driven by staff working “on the ground”.
  • Utilized unique skills and talents of existing staff in Public Health and Healthy Start.
  • Strong support and involvement of school administration and teachers in meeting the oral health needs of their students.

Project Success

slide23

Elements of Project

Success

  • Strong collaborative approach and community focus by First 5 Lake, Healthy Start, Public Health and local dental clinics.
  • Sustained, consistent staffing and funding across extended period of time.
  • More dental insurance outreach and enrollment.
  • Growth in clinic-based dental services.

Project Success

elements of project success
Elements of Project Success
  • 1999: Lakeside Health Center (Lakeport) opens with 7 dental chairs
  • 2001: Lake County Tribal Health (Lakeport) opened with 5 dental chairs
  • 2004: Lakeside Health Center expands capacity to 10 dental chairs
  • 2005: Clearlake Family Health Clinic opened dental clinic with 4 chairs
  • 2008: PDI opened, serving Lake County children with sedated dentistry needs
  • 2010: LCTHC opens newly remodeled clinic with 12 chairs

Project Success

current program challenges opportunities
Current Program Challenges & Opportunities
  • Funding, funding, funding
  • Sustained staffing
  • School-based health needs

Project Success

slide26

Impact on Integrated

Systems of Care

  • Developed community and school-based connections for outreach to build awareness of oral health issues and prevent dental disease.
  • Embedded focus on children’s oral health as part of all health care delivery.
  • Developed 8-year set of data on the status of children’s oral health for planning and evaluation

Project

Outcomes

slide27

Impact on Integrated

Systems of Care

  • Created local Oral Health Access Council (OHAC) to support collaboration and communication, and to bring local dentists to the table.
  • Developed 4-year Oral Health Strategic Plan for the County.
  • Identified and taken advantage of opportunities to advocate for increased access to care and awareness of children’s oral health issues at state and national level

Project

Outcomes

slide28

For more information, contact:

Joan Reynolds, MSW, Lake County Office of Education, (707) 262-4146, jreynolds@lakecoe.org

Marta Fuller, RN, Lake County Public Health, (707) 263-1090,martaf@co.lake.ca.us

Cathy Ferron, MBA, Ferron & Associates, Planning & Evaluation Consultants, (415) 453-5647, caferronassoc@comcast.net