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Hillsborough County Health Department
Community Dental Health Program
Kim Herremans, RDH, MSKaren Hodge, RDH, MHSc
What is ‘WIC Smiles 4 U’ ? Community based preventive dental
program developed to address the oral health needs of vulnerable women, infants and children enrolled in WIC
Objectives: Reduce caries incidence of infants,
children in high risk, vulnerable populations.
Target: Evidence supports engaging pregnant women who are most receptive to follow advice/education for care of their child.
Who are key stakeholders?
Hillsborough County Health Department and local Federally Qualified Health Centers: Suncoast CHC and Tampa Family HC.
Collaboration of private and public agencies.
Plan
Integrate systems of care - increase access and reduce oral health disparities of women and children enrolled in WIC.
Expand effective bio-behavioral interventions that can be delivered by social workers, community health workers and nutritionists.
Action
Establish a partnership with
local community health centers
to provide early preventive
dental health services onsite
at WIC clinics for vulnerable
pregnant women and children
Developed an online course to meet the educational needs of WIC staff/nutritionists on the importance of children’s dental health and overall health.
Oral Health Champions!
98% WIC staff participation!
- 133 HCHD WIC staff completed a 1 hour ‘WIC Smiles 4 U’ CME course in TRAK IT.
- 100 other DOH employees from around the state have logged in to complete the course.
Training for dental providers Oral risk assessment, Latest on fluoride varnish, Didactic and “hands on” training for glass
ionomer sealants Education and information on reducing
vertical transmission of the caries from caregiver to child.
Launched October 11, 2011 (10 months)
900 Clients served to date
WIC smiles 4
Dental Services onsite:
Oral risk assessment Oral hygiene instructions and nutritional counseling Fluoride varnish Sealants (primary and permanent teeth) Prophylaxis Referral to a health home
WIC ‘Smiles 4 U’ clients receive dental products and educational materials
Referral into a health home…
Other things to smile about:
Clients are encouraged to continue breast feeding
Parents get guidance to obtain Florida Kidcare coverage for their children
Clients are counseled by dental providers to reduce frequency of sugar consumption
Mothers receive education to reduce incidence of early childhood caries
WIC Smiles 4 U Preschool Survey Results
No obvious problems. Your child should see a dentist for a comprehensive examination and radiographs (x-rays).
Early dental care is needed. Care is needed soon. Your child has a dental problem that should be treated within the next 6 weeks.
Urgent care is needed. Your child has a dental problem that needs to be treated immediately.
54% No obvious problem
30% Early care is
needed
16% Urgent care
is needed
Hillsborough County
46% Unmet Needs
vs.
National
23% for Unmet Needs
Lessons learned Start small – think big Start early and involve all Assure oral health literacy Maximize the utility of science Fix public program Empower families and enhance their
capabilities
Burton Edelstein, Children Dental Health Project Improving Delivery Systems Through Workforce Innovations:
Options and Opportunities for the Dental Safety Net
Challenges that we met:
Buy in from WIC staff and community health centers Patient no show – Developed a Walk in system for clients
as they arrive at mobile dental coach Contracts between health department and
community health centers Language barrier Resource guide/brochure for clients looking for
medical/dental care. Referral system for urgent dental care services
required Receiving copies of referral forms from CHC’s on a timely
basis Receiving invoices for services rendered on a timely basis Dental staff communicating with WIC staff Parking mobile coach near clinic
Best practices: Online interactive children’s
dental health course for WIC Dental ‘event’ calendar Hosted “Dinner and Learn”
training Messaging
Designated WIC employee as ‘key contact’ for dental events
Versatility of bilingual dental coach staff. 1 week prior to dental event - CHC’s
collect medical histories and appointment sheets.
2 days prior to event confirm client appointments.
Best practices: (continued)
Future program plans may lead to:
• Expansion to other safety net providers and health agencies.
• Expansion across the state and to the nation.
• NOHC/Oral Health Florida/ FPHA/ FDHA/ APHA/ Robert Woods Foundation/ASTDD
