connecticut department of public health office of oral health’s home by one program tracey andrews...

Connecticut Department of Public Health Office of Oral Health’s Home by One Program

Tracey Andrews RDH, B.S.

Connecticut Department of Public Health Office of Oral Health 410 Capitol Avenue MS#11DNT Hartford, CT 06106 860-509-8146

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25

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Caries Experience

Untreated Decay

Rampant Caries

Source: CT DPH Every Smile Counts Survey 2007www.ct.gov/dph/OralHealth

Prevalence of Decay in Connecticut’s Preschool Children


Lessons Learned from Every Smile Counts survey

• Parents must be empowered to prevent decay before age 2

• Health professionals must focus dental disease prevention efforts in children less than 2 years

• Statewide consistent oral health

messages needed


Why WIC Is A Perfect Venue• Children on WIC program are already considered at high

risk for developing early childhood caries.• 25,000 of the 65,000 WIC participants in CT are age one

or younger.• 38% of all CT babies are already enrolled in WIC at birth,• National average is 50%• Pregnant, postpartum and breast feeding moms

– Major changes in oral health can occur during this time.– Prime time to educate and give oral health messages.– 21 existing contact opportunities to integrate components of oral

health program.


Home by One Program

• 100% funded by US Department of Health and Human Services. A TOHSS Grant Recipient 2007-2011

Building the dental home network around early

childhood partnerships that focus on oral health as essential to the overall health and well being of children in Connecticut


Home by One Program

GOALS

I. Build a statewide infrastructure of integrated partnerships and referral patterns between WIC, dental and medical providers, parents and caregivers

II. Develop a network of providers that are knowledgeable, available and accessible

III. Reduce and prevent oral disease by increasing age one dental visits in state of Connecticut

IV. Parents understand and value oral health Connecticut Department of Public Health Office of Oral Health 410 Capitol Avenue MS#11DNT Hartford, CT 06106 860-509-8146

Home by One Program

ACTIVITIES

• Parent Training/Education

• Physician Training/WIC Staff Training

• Integration of Systems of Care

• Dental Home Development/Age One Dental Visit Training

• Consistent Oral Health Messages Throughout State


www.ct.gov/dph/HomebyOne


12 CT WIC Regions& Dental Home Networks

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Kent

Sharon

StaffordSalisbury

Lebanon

Newtown Lyme

Goshen

Norfolk

Litchfield

Killingly

Woodstock

Guilford

Granby

Haddam

Suffield

TollandPomfret

Danbury

Cornwall

Hebron

New Milford

Ashford

Ledyard

Union

Salem

Enfield

Colchester

Oxford

Groton

Thompson

Mansfield

Montville

Greenwich

Plainfield

Canaan

Avon

Berlin

Preston

East Haddam

Glastonbury

EastonMadison

Shelton

Stamford

Coventry

Wilton

Griswold

Bristol

Hartland

Southbury

Somers

Torrington

Redding

Warren

Cheshire

Ellington

Windsor

Voluntown

Stonington

Simsbury

Canterbury

Fairfield

MiddletownWoodbury

Canton

Eastford

Waterford

Wallingford

Norwich

Monroe

Ridgefield

Washington

North Stonington

Colebrook

Brooklyn

Roxbury

Winchester

Southington

Milford

Barkhamsted

Harwinton

Durham

Portland

Windham

Meriden

Burlington

Bozrah

Weston

Waterbury

Morris

New Hartford

WatertownWolcott

Putnam

Norwalk

Bethel

Bethany

Trumbull

Vernon

Chaplin

Old Lyme

Farmington

Branford

Manchester

Orange

Franklin

Westport

Columbia

Chester

Clinton

Essex

Darien

BethlehemSprague

Hamden

Sterling

East Lyme

Willington

Killingworth

Hampton

ShermanEast Hampton

Lisbon

Bloomfield

Plymouth

Bolton

Scotland

Stratford

Hartford

East Windsor

South Windsor

Brookfield

New Fairfield

Andover

Marlborough

New Canaan

North Branford

Prospect

Seymour North Haven

New Haven

West Hartford

Woodbridge

Middlebury

Bridgeport

Naugatuck

Westbrook

East Granby

Bridgewater

North Canaan

East Hartford

Cromwell

Rocky Hill

Deep River

Newington

Old Saybrook

Middlefield

East Haven

New BritainThomaston

Wethersfield

Plainville

West Haven

Derby

Beacon Falls

Ansonia

Windsor Locks

New London

CONNECTICUT WIC PROGRAM

TVCCA

Bridgeport

Hartford

Waterbury

Stamford

Meriden

Windham

Bristol

Danbury

Torrington

East Hartford

New Haven

Local WIC ProgramService Areas

" Represents the location of the main offices of the local WIC Program

0 10 20 30 405

Miles

± 12 LOCAL WIC REGIONS

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..DENTAL HOMES


Key Factor for Building Successful Collaboration Key Factor for Building Successful Collaboration with WICwith WIC

CContact, personalized attention, one to one

OOvercome Challenges, troubleshoot

OOrchestrate links to community dental resources

RRecruiting parent dental advocates

DDevelop dental provider networks, relationships

IIntegration of oral health education into site

NNavigate patient’s to dental home

AAvailability to answer questions from WIC staff

TTravel out to sites, special events, presentations

OOnline training including consistent messaging

RResource for education materials, connectionsConnecticut Department of Public Health Office of Oral Health 410 Capitol Avenue MS#11DNT Hartford, CT 06106 860-509-8146

Develop Resources to Enhance WIC Nutritionists Existing Oral Health Education

-Fact sheets for parents and caregivers-Referral forms to dental homes-Contact information of Regional Dental Care Specialist-Caries risk assessment tools-Educational Resources for WIC secondary education classes focusing on early oral health disease preventionConnecticut Department of Public Health Office of Oral Health 410 Capitol Avenue MS#11DNT Hartford, CT 06106 860-509-8146

FAMILYDENTAL

HOME

Dental Home Models Developed Around WIC

WICCOMMUNITY

HEALTHHOME

MODEL

LOCALHEALTHDENTAL

HOMEMODEL

WICPEDIATRIC

DENTISTPARTNERSHIP

RDH AT WIC

SITE

MEDICALDENTAL

MARRIAGE

DH STUDENT COMMUNITY

PROGRAMSLinking WIC CLIENTS to

DENTALHOMES

MEDICAL CARECoordinator

WICPARTNERSHIP


Factors For A Successful ProgramIncrease

# of

Dental

Medicaid

Providers

Increase Reimbursement Rate for

Medicaid Dental

Services (at least for children)

Establish a Single ASO for Dental Medicaid

Establish Regional Care Specialists, who help navigate participants to providers

Establish Advisory

around early childhood

oral health

Buy in from State

Dental Association

&

Age one Visit Education

Establish

Relationship with WIC Coordinators

Recognition of Local WIC staff’s daily challenges

& help reduce barriers through active partnership

Collaborate With Other Existing

Early Childhood Initiatives

Consistent Message Campaign

For

Age One Dental Visit

Advocacy

&

Oral Health

Parent Education Programs

Develop

Website for Resources

&

collaboration


LESSONS LEARNED&

FUTURE CONSIDERATIONS

www.ct.gov/dph/HomebyOneConnecticut Department of Public Health Office of Oral Health 410 Capitol Avenue MS#11DNT Hartford, CT 06106 860-509-8146

Key Concluding Points

•Exercise flexibility when building collaboration and work with community needs to develop a successful program around consistent messages.

•Coordinator is key to building and sustaining collaboration and developing an active partnership with WIC.

•Leverage existing resources.


connecticut department of public health office of oral health’s home by one program tracey andrews...

Documents

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oral disease

capitol avenue ms

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ct babies