Connecticut Department of Public Health Office of Oral ... · PEDIATRIC DENTIST PARTNERSHIP RDH AT...

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

31

20

14

0

5

10

15

20

25

30

35

Caries Experience

Untreated Decay

Rampant Caries

Source: CT DPH Every Smile Counts Survey 2007

www.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


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

"

"

"

"

"

"

""

"

""

"

Kent

Sharon

StaffordSalisbury

Lebanon

NewtownLyme

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

W arren

Cheshire

Ellington

Windsor

Voluntown

Stonington

Simsbury

Canterbury

Fairfield

MiddletownW oodbury

Canton

Eastford

W aterford

Wallingford

Norwich

Monroe

Ridgefield

Washington

North Stonington

Colebrook

Brooklyn

Roxbury

Winchester

Southington

Milford

Barkhamsted

Harwinton

Durham

Portland

Windham

Meriden

Burlington

Bozrah

Weston

W aterbury

Morris

New Hartford

W atertownWolcott

Putnam

Norwalk

Bethel

Bethany

Trumbull

Vernon

Chaplin

Old Lyme

Farmington

Branford

Manchester

Orange

Franklin

W estport

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 Fairf ield

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 Program

Service Areas

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

0 10 20 30 405

Miles

± 12 LOCAL WIC REGIONS

.

..

.... .

. … .

. .. .

..

.....

.

..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 prevention


FAMILY

DENTAL

HOME

Dental Home Models Developed

Around WIC

WICCOMMUNITY

HEALTHHOME

MODEL

LOCAL

HEALTH

DENTAL

HOME

MODEL

WIC

PEDIATRIC

DENTIST

PARTNERSHIP

RDH

AT WIC

SITE

MEDICAL

DENTAL

MARRIAGE

DH STUDENT

COMMUNITY

PROGRAMS

Linking WIC CLIENTS to

DENTAL

HOMES

MEDICAL CARE

Coordinator

WIC

PARTNERSHIP


Factors For A Successful Program

Develop

Website for

Resources

&

collaboration

Advocacy

&

Oral Health

Parent

Education

Programs

Consistent

Message

Campaign

For

Age One

Dental Visit

Collaborate

With Other

Existing

Early

Childhood

Initiatives

Recognition of

Local WIC staff’s

daily challenges

& help reduce

barriers through

active partnership

Establish

Relationship

with WIC

Coordinators

Buy in from

State

Dental

Association

&

Age one

Visit

Education

Establish

Advisory

around

early

childhood

oral health

Establish

Regional

Care

Specialists,

who help

navigate

participants

to providers

Establish a

Single ASO

for Dental

Medicaid

Increase

Reimbursement

Rate for

Medicaid Dental

Services (at least

for children)

Increase

# of

Dental

Medicaid

Providers


LESSONS LEARNED

&

FUTURE CONSIDERATIONS

www.ct.gov/dph/HomebyOne


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.


Date post:	20-Jul-2020
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