Oral Health Literacy Activities In State Oral Health Programs. Oral Health Literacy Workshop Institute of Medicine March 29, 2012



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DELAWARE HEALTH AND SOCIAL SERVICES Division of Public Health Bureau of Oral Health and Dental Services Oral Health Literacy Activities In State Oral Health Programs Oral Health Literacy Workshop Institute of Medicine March 29, 2012

Oral Health Most Dental Disease Is Preventable Dental Caries Is the Most Common Chronic Disease Among Children Distressing and Disturbing Paradox? The Time for Oral Health Literacy Is Now to Close the Gap in Oral Health Status

Oral Health Literacy Capacity To Obtain, Process, Understand Oral & Craniofacial Health Information Services Needed to Make Appropriate Health Decisions

State Oral Health Program (SOHP) Perspective Examples of SOHP Initiatives in Oral Health Literacy Overview of SOHPs and Infrastructure Roles for SOHP in Oral Health Literacy Resources and Challenges for SOHPs Future direction

SOHP Infrastructure Varies by State State Office of Oral Health (SOHP) Dental Director Staff Funding Organizational Setting Responsibilities and Priorities Partners Internal External Non-Government Partners Professional Associations Universities and Dental Schools Private Foundations

SOHP Responsibilities Assessment Assurance Policy

State Role in Oral Health Literacy Strategically Positioned Identify Problems and Initiate Discussions Two questions Does it work? What does it cost? Partnerships Funding Decision Making Technical Information Evidence Based, Evaluation and Outcomes

Challenges and Limitations for SOHPs Staff Funding Competing Priorities Accountability to Governor, Legislature, and Taxpayers Partners Limited Research Bureaucracy

State Initiatives in Oral Health Literacy 92% of States Provide Oral Health Education and Promotion Type- OHL Stand-Alone or Program Integrated Program Review Criteria Initiated, Developed, Funded, or Managed by SOHP Arizona Vermont Delaware Maryland

Vermont Tooth Tutor Dental Access Program Initiated in 1997 as Dental Home Placement for Elementary School Children Tooth Tutors Provide Oral Health Education for Elementary School Children in Classrooms School Staff- Nurses, Teachers Literature is Distributed to Parents Multiple Funding Streams

Vermont Tooth Tutor Dental Access Program Multiple Funding Streams State Funds CDC Prevention Block Grant MCH Prevention Block Grant Medicaid Administrative Coding Funds Outcomes 74% of Targeted Children Placed in Dental Home in 2008/ 2009 School Year Expanded to Include Head Start

ADHS Home Page A-Z Index Public Health Services Search Contact ADHS Quick Links: Bureau of Women's and Children's Health About Us Adult and Senior Oral Health American Indian Children Arizona Preschool Children's Oral Health Status Dental Sealant Program Dental Trailer Loan Program Early Childhood CE Fluoride Bureau of Women's and Children s Health Office of Oral Health Arizona Healthy Bodies Healthy Smiles Survey The Arizona Department of Health Services, Office of Oral Health's (OOH) survey of preschool and third grade children shows that the oral health of Arizona children is well below national recommendations. Preschool Children Summary of Findings Preschool Fact Sheet 1 Preschool Fact Sheet 2 Preschool Data Sheet Third Grade Children

Arizona Media Awareness Campaign to Prevent Early Childhood Caries-2005 Social Marketing Research Developed Messages Brochures Billboards Radio Messaging Funded by HRSA & RWJ Foundation

Arizona Billboard

Delaware.gov Text Only Governor General Assembly Courts Elected Officials State Agencies Your Search... Phone Numbers Mobile Help Size Print Email Delaware Health and Social Services» Division of Public Health HOME - About DPH - Sections & Programs - Office Locations - Contact Info - News & Media - Employment - Calendar - DPH Sitemap SERVICES INFORMATION Delaware Oral Health Program Welcome to the Bureau of Oral Health and Dental Services MISSION: To Protect and Promote the Oral Health of the People. VISION: All Delawareans will have the resources to achieve optimal oral health. GOALS: 1. 2. 3. To improve access to care for families, particularly from disadvantaged backgrounds. To decrease the burden of oral disease among Delaware residents through promotion of oral health and primary prevention. Facilitate Delaware s mission to improve the oral health goals set forth in the Healthy People 2020 Report and the Surgeon General s Oral Health Report. PROFESSIONAL LOAN REPAYMENT SPECIAL AWARD INFORMATION NEW! REPORTS & ASSESSMENTS / FINDINGS DENTAL CLINIC DIRECTORY Delaware Division of Public Health Dental Clinics for Medicaid Eligible Children Delaware Community Clinics Delaware Medicaid Participating Dentists for Children ORAL HEALTH FACT SHEETS PATIENT EDUCATION RESOURCES LINKS TO PARTNERS IN ORAL HEALTH CONTACT THE ORAL HEALTH PROGRAM OFFICE

Delaware Oral Health Literacy Delaware State Oral Health Plan Oral Health Awareness Campaign 2008-2011 Collaboration with Delaware Oral Health Coalition (DOHC) Volunteers Marketing Consultant Development of Messaging and Promotional Materials Targeting MCH Families and Early Child Care Programs Public Event Promotions Limited Funding from State and HRSA Grants

Delaware First Smile Initiative Tooth Troop Campaign Pilot 2010-2011 Increase Awareness and Knowledge About Oral Health and Disease Prevention Dental Professionals Train Community and Agency Leaders to Conduct Pre and Post Surveys of Targeted Families to Increase Dental Visits and Promote Healthy Behaviors and Home Practices Implemented by DOHC 2012 Oral Health Training for Physicians and Nurses

Delaware First Smile Initiative Strategic Communications Roadmap Raise the Profile of Oral Health Issues Decrease Prevalence of Dental Disease Infant and Childhood Disease Encourage an Added Importance of Oral Health Among Health Care Providers and Key Influencers Increase Medicaid Dental Utilization (37%) Research

Delaware First Smile Initiative Qualitative And Quantitative Research Implementation Plan Target Audiences Partnerships Messaging Outreach Grassroots Community Outreach Evaluation

Maryland Oral Health Literacy Campaign Healthy Teeth Healthy Kids Social Marketing Campaign Targeting Pregnant Women Children Under 6 Collaboration Maryland Office of Oral Health Maryland Dental Action Coalition

Budget Maryland Oral Health Literacy Campaign CDC Grant of $1.2 Million $860,000 for Campaign Implementation Launched-March 23, 2012 Multi-Media Marketing Until July 2012 Hot Line Established for Two Years Extensive Outreach With Partners

Maryland Oral Health Literacy Campaign Activities Project Director Social Marketing Firm Qualitative and Quantitative Research University of Maryland School of Public Health Advisory Committee Strategic Partnership Council Communication Plan

Maryland Oral Health Literacy Six Strategies Campaign Define and Promote A Call to Action Create a Favorable Environment and a Sense of Urgency Reach Mothers During Critical Milestones Develop an Oral Health Kit Evaluate Campaign Effectiveness Provide a Foundation for Future work

Maryland Oral Health Literacy Campaign Evaluation Pre and Post Campaign Survey Focus Groups Medicaid Utilization Website Visits Serve as Model for Other States

Future Directions for SOHPs Need for National Support Research Specific Methods and Messages Evidence Based Funding SOHPs Are in Key Position to Coordinate and Must Be Included in All Initiatives SOHP Infrastructure Development Information Sharing and Outcomes

Thank You! Gregory B. McClure, DMD, MPH, MHA Dental Director Bureau of Oral Health and Dental Services Delaware Division of Public Health 302-744-4554 greg.mcclure@state.de.us