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HomeMy WebLinkAboutAgenda - 03-21-1995 - VIII-A 1 Y ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. A ACTION AGENDA ITEM ABSTRACT Meeting Date: March 21, 1995 SUBJECT: Smart Start Award, Dental Project. DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No ATTACHMENT(S) : INFORMATION CONTACT: HEALTH DIRECTOR'S OFFICE X2411 1. A grant proposal. 2. Notice of Award. TELEPHONE NUMBER: Hillsborough - 732-8181 Chapel Hill - 968-4501 Mebane - 227-2031 Durham - 688-7331 PURPOSE: To accept a $32,890 dollar grant award from the Orange County Partnership for Young Children (Smart Start) . The grant award will allow the Health Department in collaboration with the UNC School of Dentistry, to provide dental screening, education, treatment planning, prophylaxis and referral for approximately 1,500 children, age 0 - 5 in daycare centers, family daycare homes, and health department clinics. The project will be carried out during May and June, 1995. BACKGROUND: Last year, the Orange County Partnership for Young Children, the local Smart Start board, awarded a grant in the amount of $29,575 for this same project. The project involves using dental and hygiene students who have completed their course work and are awaiting their board examinations to screen, educate and arrange for the treatment of 0 - 5 year old children in multiple settings. This work was carried out under the supervision of qualified dental faculty and in collaboration with day care organizations in the community. This low cost and effect approach screened 1,350 dentate children, 158 of whom ( 11.7%) needed care. Care was arranged through private dentist, the Piedmont Health Services, the Health Department and the School of Dentistry. This year approximately 1,500 children will be screened and additional funds have been provided to improve coordination and follow-up. All of the cost of the project will be covered by the grant. No county match will be required. RECOMMENDATION(S) The Manager recommends that the grant award be accepted as a grant project ordinance. 2 Orange County Partnership for Young Children ` Membership January 27, 1995 John Walker, President Child Cue Resources Dr. E. S. Sandler 'Nsk FOCCe Anita Daniels, Orange County Health Department Dental Program ,. Vice-President P.O. Box 8181 Uaited Way of 300 W. Tryon St. Greater Orange Co. Marti Pryor-Cook; Hillsborough, NC 27278 Treasurer Orange Co.Dept.of Social Services Dear Dr. Sandler: Sue Russell, Secretary Day Care Services Congratulations! You have been awarded an additional $32,890 in Smart Start Ass°°uioa Grants for the Child Dental Screening Program from the Orange County Brenda Breeze Parent Partnership for Young Children. This grant is effective February 1, 1995 through Jay Bryant June 30, 1995. Curboro Alderman Denise Conner University United The OCPYC has proposed to the state that funding for this project flow directly to Methodist Richar E dwar& the Orange County Health Department through its existing contract. To complete UNC School of this process, the Health Department must complete a revised budget amendment Social Work Ruth Edwards form using the current, most recently amended budget in the budget column. Also, Edwards Day Can please complete the Project Title and Description Form, and the attachment form Pam Evans that is the basis of our contract. This paperwork must be completed to initiate a oPC Meal Health Y P P P Center new project, and should be returned to us at your earliest convenience. Sharon Freeland Orange Congrega- tioas in Mission Please be advised that the state contracting process could take several weeks, and Bill Frenzel we encourage you to begin your project effective February 1, 1995. All funds Orange County Schools must be spent by June 30, 1995. We have been advised there will be no possibility Ann Hart of carry forward funding. We hope that you can start your project before you Chapel Hill-Carrboro Schools actually receive the funds; please let us know if this presents any difficulty. Beckie Hermartrt O.C.Preschool Inter- agency Council Please call me if you have any questions. Thank you fur all of your hard work for versa Insko children and families in Orange county. We look forward to working together Orange County Cornm;«oner age! Mike Mathers Chapel Hill Training Outreach Sincerely, lim Protzman FGI,Inc. Amy Rabb Child Care Networks Dan Reimer Orange Co.Health Michele Rivest, Executive Director Department Charles Sheaffer,MD Chapel I-lill Pediatrics X—cy Tapp Cedar Grove Day Care Center Lynette Thompson Parent Michele Rivest Esec uEive Director 110 W. Main St., Suite B, Carrboro, NC 27510 (919) 967-9091 3 ORANGE COUNTY PARTNERSHIP FOR YOUNG CHILDREN SECOND ROUND SMART START GRANTS SHORT-TERM SERVICE GRANTS The goal of this project is to promote preventive dental health education and identify needs and barriers concerning access to dental care for children age 0-5 in day care centers and family day care homes including: a) dental screenings , b) dental health education to children, parents and teachers , c ) referral for dental treatment , d) follow up services for children screened who are in need of dental treatment, and e) statistical analysis of the dental screenings . Prior to the submission of this grant , the 199= Smart Start dental screenings determined that there is need to promote preventive dental health education and provide dental treatment to this population. The Dental Service Grant would help to determine the number of children needing dental treatment by conducting screenings in day care centers and family day care homes . We will submit a plan in order to provide the dental treatment for those children who have been screened and need dental treatment but will have difficulty accessing it for a variety of reasons . The Public Health Dental Hygienist can educate .the pre-school teachers in "Dental Health Education Curriculum for Pre-School Children" developed by the NC State Division of Dental Health. The critical need or problem facing young children and their families is dental pain and infection . Preventive care such as topical fluorides and sealants are not readily available to this population because Orange County and surrounding cities lack available dentists who will accept medicaid reimbursements . During the past 15 years of operation, the Orange County Health Department Dental Program coordinates an annual dental screening of school age children. Many of the children screened live with dental pain and infection so severe that both primary and permanent teeth are lost because the dental decay is so extensive. Teachers , school nurses , and social workers report that children come to school for days and weeks with toothache pain and dental infections . The parents send their children to school with toothache medicine to get them through the day trying to alleviate pain. The children can not learn in school nor eat or sleep properly because of the pain . Parents need to be educated about dental health before the children are even born and throughout pre-school years to prevent tooth decay. The funding from the Services Grant will pay the salary of the project coordinators , senior dental and hygiene students screening teams , data entry and detailed data analysis . Funding will also provide for educational materials . From the screenings, the need for dental education as well as treatment will be learned. Follow up contact to the parent will be made via mail or telephone by the same team which screened the child. This contact will determine access and barriers to dental care . The Smart Start Committee will then determine if dentistry is a priority health issue for this age group and whether to support a planning grant which will provide funding for dental. services for these Smart Start children. 4 INCREASING COLLABORATION WITH THE FOLLOWING AGENCIES AND GROUPS : Child Care Networks and Day Care Services Association: would again be utilized as valuable resources for communication and distribution of Information . In addition to Child Care Networks and Dal,- Care Services ssociation the Orange Countv Department of Social. Services and the Chapel HilliCarrb(Dro and Orange County Schools will also be consulted for input . Day Care Providers : will be receptive to the dental screenings and education component , communicate and help with parent involvement , help parents access dental treatment for the children. The day care providers will be better educated in preventive dental health and to the dental services available within the community to help parents access care for their children . Orange County Health Department: will provide the use of the Hillsborough and Carrboro dental clinics as needed. The Dental Director and Dental Program Coordinator of the Orange County Health Department will be responsible for overseeing the Smart Start Grant ._ The OCHD Dental Hygienist together with the Public Health Dental Hygienist will provide the teaching resources for the dental students . and the dental hygiene students and be involved in instituting the educational programs at the day care centers and the family day care homes . They would also provide dental health education to Family and Home Day Care Associations , write articles to be included in the organizations newletters, provide educational materials to be distributed for the organizations use. UNC School of Dentistry: will provide dental students , dental hygiene students, pediatric dental preceptors and coordinators . Teaching dental students and dental hygiene students how to provide dental services and become more aware of the dental needs of this age population is a secondary goal . The grant should also be a source of referral for those children needing dental treatment. SPECIFIC OUTCOMES THAT WILL BE ACHIEVED ARE: Dental Screenings would be available to children age 0 to 5 through Day Care Centers and Family Day Care Homes and children not attending day care by informing the parents . The grant would pay for contacting the day care providers to schedule screening dates, conduct the screening and pay for educational supplies . The dental screening would determine the number of children in the 0 to 5 age population needing dental treatment, the priority of the treatment needed and determine access and barriers to dental care . Dental Health Education Programs such as , prevention of milk bottle tooth decay, diet and nutrition concerning dental health, educating teachers in "Dental Health Education Curriculum for the Pre-Schools" will be included in order to incorporate them into their lesson plan . Provide referrals for treatment for the children needing dental care . Help parents access dental care according to the dental needs of the children, financial considerations , transportation barriers , etc . r 5 ADDENDUM TO THE BUDGET FOR PROVISION OF DENTAL TREATMENT If it is determined b%• the Smart Start Committee that payments for dental treatment will be made available , the following is my estimated cost and method for determination. 1 ) The 1994 screening survey determined that approximately 12 % of the children would need treatment ( 1350 dentate children screened and 158 needed care = 11 . 7% ) 2 ) we will assume that 1500 children will be screened in 1995 and that 12% will need care = 180 children . 3 ) Headstart approximates payments of $130 . 00 to $200 . 00 per child for dental treatment . 4 ) Smart Start children include a younger age group who would be more difficult and time consuming to treat. .5 ) Many Smart Start children would not need funding as their families tend to be insured or be able to pay for dental care on their own. For the above reasons , I estimate Smart Start would pay for treatment for 100 children and it would cost $300 . 00 per child. PROVISION OF DENTAL TREATMENT $30 , 000 . 00 r 6 (�_(� (� children at highest risk. �C.— aGX�G The F(filled)component of the DMFS scores of non Or, There Still are Many Children in white children is smaller than in white children for Need of Dental Care every age cohort over seven years of age. Guest Editorial More than 45 percent of black children and 39 percent By H. Barry Waldman, B.A., D.D.S., M.Ph., Ph.D. of Hispanic children(compared to 15 percent of white children) live in poverty. Despite a greater need for • It's only natural to be proud of the successful comple- dental services,six million poor children have not seen tion of some difficult task. We celebrate these events in books, a dentist in the past two years." newspapers, even in professional journals. The successful ef- Black,and in particular, Hispanic children are less fort to reduce pediatric dental pries is an example of a highly likely than white children to visit a dentist,even when successful media event which has been reported ad nauseam in there are no socioeconomic differences between these every conceivable lay and professional publication. groups. The frequently herd"no need"explanation for not visiting a dentist suggests the necessity for an Accomplishments intensive education program which would identify the Many children begin school Erse of dries and an esti- need for routine and preventive services! mated 16 percent will graduate from high school without hav- While no national studies have been conducted to ing had a cavity. determine the prevalence of dental disease among 4 Approximately 70 percent of school various special population groups(e.g.the develop- mentally disabled)local and regional studies age children have visited a dentist in the past indicate higher DMF rates among increasing year. numbers of children receiving special educa- More than 60 percent of children use If we are to provide for lion and related services(almost 11 percent of drinking water that is optimally fluoridated the total number of children enrolled in pre- another 10 to 15 percent use fluoride rinses the needs of the school through the 12th grade).' or supplemental fluorides. underserved members Of 4 More than 90 percent of children our communities, we The economics of quality brush with a dentifrice containing flouride.t must emphasize these The quality of care in a community is inexo- continuin roblems to rably bound up with the funding for services. If On the quality of care in your gp we are to provide for the needs of the underserved community... the public and our legis- members of our communities,we must empha- It's only natural to be proud of the lative representatives— size the continuing problems to the public and extra effort we put into the pre we provide not just write about our our legislative representatives—not just write each of our patients. The quality of pre for' about our accomplishments. Or are you so se- the individual patient(Q for each individual) accomplishments. cure in the economics of your practice that you is essential. But so,too,is the quantity of that can afford not to be bothered and continue to care in our community(Q for quantity ofcare). provide care to just"usual"patients? In determining the quality of tare in a com- munity(Q for community pre),we must take note of the extent H. Barry Waldman is professor and chairman of the Depart- of pre available for all residents in our communities,as well as ment of Dental Health, School of Dental Medicine,State Uni- the quality of pre received by individuals. versity of New York at Stony Brook Stony Brook, N.Y. The dental profession in general and pediatric den- tists in particular have made significant strides in the care of References youngsters in our communities. However,theft is a long way I Nowak,AJ.,Waldman,11.9.,Johnson,D.,McTique,D.J., to go before we can claim we are providing services for all young- cir Health Policy P. Pediatric Oft Health Washington.D.C.,center far Health Polity Research of George Washington University,1993. sters. 2 Brunelle J.A,Carlos,J.P. Recent trends in dental cries in U.S. The latest national data indicates: children and the effect of water fluoridation.69(Spec Iss):72.3-727, • One half of children are not caries tree. J Derr Res,1990' 3 tanait.A.L.Szpunar,S.M. The prevalence of total loss dental Twenty-five percent of children have 60 percent of erica,and periodontal d"cease in Mexican Anmicu%Cuban dental decoy. American and Puerto Ricans:fntding from IIIIANES 1982-1984. • The mean DMFS rates for children's permanent teeth U.S. pplcrrmem 1183-1 ncr S 1 Pub Health 1990. jX 4 U.S.Department of Commerce.Statistical Abstract oCthe United progressively increase for each age cohort reaching States,1991.Washington.D.C.,Government Printing Office,1991. 8.06 for 17 years olds. S U.S.Deparunenl of Health and Flutnsn Service. Health Status of Minorities and l.ow Income Groups.DHHS Pub.No.(LIRA)HRS • More than 50 percent of U.S.adolescents have .P-DV a3-1. Washington,D.C..Governmrnt Printing Office,1985. periodontal diseases. 6 GiIL S..Newman,J.F.Oral health activities of U.S.children:result of • Prevalence of nursing caries ranges as high as 58 a national health interview survey.123:96-106,I Amer Dent Assoc, percent in preschool children with Native Ameriain 1992 Southern Smiles Communicator, Vol. I No. 1,page 21 Ccntroctc OR-ANGE COUNT'i KEALTH 'D �aaTM�yT '3tended/Leveraged Smart Start coAL• ACTTVITY: Total Funds I Funds Funds Description Amount ; Arncunt Amount Psrsonnel ScJcrv/Wa eslBeneftrs OQ.0 1 Professional Ser Acss no Board Membw CcmDer-ecMan her I Tofaf Peraonnel SoMces $26,900.00 Su Res and Mctedcis I Crflce suppoed and htcterlats i 'Compiter Supplies&Software Janttcrlat Sup Ned Educational/MedICCI Supplies A(tMMCTNe Su lies Cher. Total Su ties and Materials $2,000.00 $2 f Current abll aflons I Travel Communications(Telephone.Pceage,etc.) Uttjtttes Nntinc and Blndlnq Repdr and Maintenance Ccmputw SeMces(Acctin ou,etc.) Empic yee Training 200.00 20 Adverttsin Board Member Expense rave(,Per Diem) Other: Other. Total Current Obll aticns $700.00 $700-00 Fixed Cha es and Ex ones OMce Rent(Land,Buildln ,etc. Furniture Rental Rental(Phone.Computer,etc.) Vehide Rental Dues and Subscrl tlom lr=crce and Bonds Omer: Overhpaa 2,900.00 T,9UU- Tofai Fixod Chat es&Omer nses ca ttdl CRMCY Land/Buildings Office Furniture CompOor Egulpment 300.00 300-n(i VehlCtes Boole(IJbrcry Reteronce Materials) Other. Total Ccpffcl Outlay Total Controcta and aranfs Total Purchases of Services Costs Total Budgeted Expenditures t32,890.00 R $327890.00 •P!GcSA Idanttty source or blended/leveraged tunc'!ng or,cn attached sheet.