MINNESOTAS EARLY HEAD START ORAL HEALTH CAMPAIGN

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					     MINNESOTA’S
  EARLY HEAD START
ORAL HEALTH CAMPAIGN
PREVENTING TOOTH DECAY AT
  THE EARLIEST STAGE OF A
   CHILD’S DEVELOPMENT
             Oral Presentation
   Presented at the 2006 National Oral Health
    Conference on May 2, 2006 in Little
    Rock, Arkansas

   Authored by David Born PhD, University of
    Minnesota School of Dentistry, Christopher
    Okunseri, BDS, MSc, Marquette School of
    Dentistry and Gayle Kelly, BS, MS, Minnesota
    Head Start Association, Inc.
Minnesota Head Start Association in
         partnership with
MN State Head Start Collaboration Office
Dental Consultants from the
 University of MN School of Dentistry
 Marquette University School of Dentistry
Minnesota’s Early Head Start Programs
    And with funding and support from
    Head Start and Early Head Start
                 Goals
To help low-income families
  prepare their children for
  school and life success:

   Improving their child's:
     - Health
     - Social Competence
     - School Readiness

   Promoting self-sufficiency
    for parents
  Early Head Start
Eligibility Guidelines
               Serves children 0-3 and
                pregnant women
               At least 90% of enrolled
                children must come from
                families
               - at or below the federal
                poverty level or
               - eligible to receive
                public assistance.
               10 % of enrollment in
                Head Start is reserved for
                children with diagnosed
                disabilities
                        In 2005:
   21 federally designated and state-funded
    Early Head Start grantees served
    Minnesota

   MN Early Head Start grantees served
    1,295 children and 129 pregnant women

     FOR MORE INFO...
Head Start Program Information Report for the 2004-2005 Program
Year – Wayne Kuklinski, MDE 651-582-8385
   MN Early Head Start Oral Health
    Campaign Goals, 2003-2005
                    Family Education
Help young families value their children's oral health and
    adopt habits that prevent tooth decay.

                       Staff Training
Prepare Early Head Start (EHS) Home visitors to perform
    simple oral risk assessment to prioritize children for
    oral health prevention and dental referrals.

                  Oral Risk Assessment
Offer regular and consistent oral risk assessment and
    follow-up of EHS children (0-3) to prevent caries and
    refer children for treatment services.
                      Family Education
                                      The Tooth Book is MN Head
                                        Start’s oral health guide for
                                        families and educators.

                                      Produced in
                                        English, Spanish, Somali
                                        and Hmong

                                      Training and tools were
View an Electronic copy @               available to all Head Start
www.mnheadstart.org/toothbooken.pdf
                                        and Early Head Start
               Staff Training
Intensive one-day workshop taught by dental school
  professors covering:
 Early Childhood Dental Caries and Guidance

 Oral Risk Assessment and Referral

 Cultural Perspectives



Teaching Objectives were to enable Home Visitors to:
 Explain basic tooth development and appropriate
  oral health practices
 Conduct an oral health risk assessment of children
  up to age three
         Oral Risk Assessment
Home visitors met with EHS families in their
 home at a frequency determined by the
 families’ risks to assess:

   Environmental Risks (brushing, diet, bottle
    feeding practices, water source)

   Family Risks (Caregiver oral
    health, SES, general health)
Oral Risk Assessment (continued)

                 Observe the child’s mouth
                  (tooth development,
                  decay, white spots, red or
                  swollen gums, cleanliness
                  of the teeth)
                 Provide oral health
                  education and skill
                  building with family
                  members
              Results
    FAMILY EDUCATION: 2003 -2005
   100% of 48 HS and EHS Health managers had
    access to parent education tools

   88% of 48 HS and EHS Health managers
    participated in group instruction on oral health

   40,000 copies of The Tooth Book distributed
    from 2003-2005

   69% of 15,227 HS and EHS families participated
    in oral health education.
                   Results
         Staff Training: 2003-2005
   90% of 90 EHS Home Visiting Staff participated
    in one of three oral risk assessment workshops

   Knowledge assessments conducted prior and
    one month after the training showed gains for
    all three groups (p<.001)

   Program evaluation results showed high level of
    satisfaction and strong desire for more training
    Results: Oral Risk Assessment

   87% of 1,014 EHS clients received one or
    more oral risk assessment and education

   “Reliability Check” showed home visitors
    identified most potential problems and
    missed very few
    Results: Parent Attitude Survey
Measured pre/post changes in EHS parent
 attitudes about early childhood oral health
 risks.

   Increase in parent’s awareness of oral
    health risks (p<.008)
   More education needed:
       1) Parent’s role in disease transmission
       2) Oral health during pregnancy
       3) Age for first dental visit
                                Impact on Dental Treatment Access
                                                  Minnesota Head Start Children
                                             Receiving Dental Examinations, 2002-2005

                                100
                                 90
Percentage of Children Served




                                 80                        Flat ~73%
                                 70
                                 60
                                                                                        Head Start
                                 50
                                                                                        Early Head Start
                                 40                                 Increased by 50%
                                 30
                                 20
                                 10
                                  0
                                      2002          2003            2004         2005
                                                            Years
      Next Steps: 2006 - beyond
   Offering statewide training via ITV

   Exploring best approaches to outreach to
    culturally diverse clients

   Considering the feasibility of fluoride
    varnish and xylitol gum as Center-based
    strategies

				
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