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HomeMy WebLinkAboutNS Smart Start Dental Grant Project Ordinance - VIII-A - 3-21-95 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 0-3 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 1994 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. i 14 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 *nformation . In addition to Child Care Networks and Day Care Services `association the Orange County Department of Social Services and the Chapel HilliCarrb<Dro and Orange County Schools will also be consulted for input . Da Care Providers : will be receptive to the dental screenings Y p g 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 S ADDENDUM TO THE BUDGET FOR PROVISION OF DENTAL TREATMENT If it is determined by the Smart Start Ccmmittee 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. �G ?GX}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 caries 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 need for routine and preventive services.' Many children begin school free of aria and an esti- while no national studies have been conducted to mated 16 percent will graduate from high school without hav- ing had a cavity. determine the prevalence of dental disease among various special population groups(e.g the develop- Approximately 70 percent of school 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 childrt n 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. musf 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 care we provide not just write about our our legislative representatives—not just write each of our patients. The quality of care 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 care in a com- munity(Q for community care),we must take note of the extent H. Barry Waldman is professor and chairman of the Depart- of care available for all residents in our communities,as well as ment of Dental Health, School of Dental Medicine,State Uni- the quality of care 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, there is a long way t Nowak,A.J.,Waldman,II.B..Johnson.D.,McTcque,D.I. Center casania=imo, to go before we can claim we are providing services for a!Iyoung- P Pediatric Oral Health. Washington,D.C., for Health Policy Research of George Washington University.1993. sters. 2 Brunelle,J.A.,Carlos,I.P. Recent trends in dental caries in U.S. The latest national data indicates: children and the effect of water fluoridation.69(Spec Iss):723-727, One half of children are not caries tree. J Dent Res,1990' 3 Ismail.A.L,Szpunar,S.&L The prevalence oftotal loss,dental Twenty-Five percent of children'have 60 percent of caries,and periodontal disease in Madcan AmcricM%Cuban dental delay. American and Puerto Ricans:futding from 1111ANFES 1982-1984. • The mean DMFS rates for children's permanent teeth 8 U.S-D'partrni )' 1183-1196,om .S 1 Pub health,1990. jX 4 .S_Department of Commerce.Statistical Abstract of the 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.Department of Health and Human Services flealth Status of • Minorities and taw Income Groups.DHHS Pub.No.(11RA)HRS More than 50 percent of U.S.adolescents have .P-DV 85-t. Washington,D.C.,Government Printing otrce,1985. periodontal diseases. 6 Gil,S.,Newmam J.F.Oral health activities oru.s.children:result of • Prevalence of nursing caries ranges as high as 58 a national health interview survey.123:96-106,J Amer Dent A=C, • percent in preschool children with Native Americtn 1992_ Southern Smiles Communicator, Vol. 1 No. 1,page 21 ICanirocior. OR.AyGE COU'+T'i �lEa .TH !DE?a� MvT i Total Funds 'Blended,'Laveraged Smart Start 7 ' � GaAL ACTIVITY: Funds Funds Description Amount j Amount amount Psrsonnel Scicry/Wa eslBeneftts .00 Professional SerAcw 79,gnn.on on Beard,member Compensation her. i I Total Personnel5eMcos $26 900, supposs and Materials Crice Su Ned and Materaals Computw Supotles &Software Janitariat suo Ned Educational/Medical Su Clles Automcttve 5u Nos Cfher. Total Su lies and Materials $2,000-00 2 Current Obi! ations I Travel Cemmuricatlens(Telephone.Pest e.etc. utumes Nntfnc and 51nding Repdr and Maintenance Cam er Services(Accting.PWOU,etc.) Em ee Training 200.00 20 Advertising Board Member Expense ravel,Per Diem) Othec Other Total Current OtA atlons 70 70 Rxed chc5ges and Ex ensss Ofttce Rent(Land,BOkln ,etc. FurntRue Rental Equormit Rental(Phone.Computer,etc.) Vehicle Rental Dues and Subscrl dons in=ane and Bonds other: ,00 ' Total Fixes!Charges&Other Exponsos Ca list outlay Land/BuHdin Ofnce FUrntture nn 00 Camp uter Equipment Vehicles Books Cutircry Reference Materials) Other: jinn nn Total Czpffcl Outlay Total con'tracts and Gant: Total Purchases d Services Costs Total Budgeted Ex endlture $32,890.00 $32 890.00 'Please Identtfy source cf blended/levarcged tund►ng on on attached sheet.