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Care Delivery Systems: Community-based Approaches Michelle M. Henshaw, DDS, MPH Boston University School of Dental Medicine Current environment Dental care segregated Dental schools provide inadequate training in elder care

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Care Delivery Systems: Community-based Approaches


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care delivery systems community based approaches

Care Delivery Systems:Community-based Approaches

Michelle M. Henshaw, DDS, MPH

Boston University School of Dental Medicine

current environment
Current environment
  • Dental care segregated
  • Dental schools provide inadequate training in elder care
  • Non-dental health professionals have limited to no training in oral health
  • Low oral health literacy
  • As disability increases, focus on prevention decreases and acute care increases (oral health not valued)
  • Lack of financing
what we need
What we need
  • Integration in existing care delivery systems
  • Additional training for dentists
  • Training for non-dental health professionals
  • Focus on social marketing
  • PREVENTION, PREVENTION
  • Partnerships, Partnerships, Partnerships
community based models
Community-based Models
  • Volunteer dental clinics/dentists
  • Physician based (pediatricians)
  • Community-based service delivery
    • Preventive services
    • Comprehensive care
slide5
Oral Health Equity Project (OHEP)

Partners

  • Boston Public Health Commission
  • Boston University School of Dental Medicine
  • Harvard School of Dental Medicine
  • Tufts University School of Dental Medicine
  • Massachusetts College of Pharmacy and Health Sciences, Forsyth School of Dental Hygiene
  • Boston Housing Authority
  • Boston City Commission on Affairs of the Elderly
slide6
OHEP
  • Enhance dental school curriculum
  • Provide preventive services to elders living in public housing
  • Develop network of CHCs, dental schools, private practices for treatment needs
  • Partner with Social Service Agencies
  • Train non-dental health providers
  • Web based tool kit (under development)
  • Social marketing - Watch Your Mouth
  • Advocacy
lessons learned
Lessons Learned
  • Service learning/experiential education works in dental education
  • Triaging and education in community settings increases demand
  • Case management is vital – partnerships important
lessons learned8
Lessons Learned
  • Primary care MDs not ready to connect the mouth with the body
  • Social marketing is necessary but not sufficient
  • Advocacy is essential – even when Medicaid covers adult services, preventive component is not adequate for elders