Home by OneDental Homes for Children by Age 1

Building a Service Delivery System in Connecticut Around WICTOHSS Grantee Meeting April 28, 2010

Prevalence of Decay in Connecticut’s Preschool Children

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

Home by One Program• GOALS

– Parents Understand and Value Oral Health– Develop partnerships and referral patterns

between WIC, dental and medical providers – Develop a network of providers that are

knowledgeable, available and accessible– Reduce and prevent oral disease

• 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

Target Population: WIC

WIC is a Federally Funded Nutrition Program:–Infants and preschool children (0-5 yrs)

–Mothers

Pregnant Postpartum Breastfeeding

–38 % - of all CT babies are already enrolled in WIC at birth

–50 % - of US babies are already enrolled in WIC at birth

•Why the Women’s Infant and Children’s Supplemental Food Program (WIC)?

–“Teachable” moment

–Convenient access to population of age 1 children

–WIC supports interface between oral health and nutrition

–WIC provides support services to help ensure parents attend appointments

–Children at risk for poor oral health

–Early prevention is effective in reducing oral disease

www.ct.gov/dph/HomebyOne

Key Factor for Building Successful Collaboration with WICKey Factor for Building Successful Collaboration with WICCContact, 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, connections

Program Coordinator for Home by One(funded by TOHSS) State of Connecticut, Department of Public Health,Office of Oral Health

CT Department of Public HealthState Agencies

OFFICE OF ORAL HEALTH Home by One Coordinator

Child HealthProviders

Treating the Children of

the Local WIC ProgramDentists and RDHin the WIC Community

OfferingAGE ONE Dental Visits

Dental Homes

Local WIC RegionsBridgeport, Bristol, TVCCA, Danbury,

New Haven, East Hartford,Hartford, Meriden, Torrington, Windham, Stamford, Waterbury

Parents Advocating

for Children’s Oral Health

Medical-Dental Home Model

By 2011

Oral Health Prevention Age One dental Visits25,000 WIC Children

Dental Home Models Developed Around WIC

FAMILYDENTAL

HOME

WICCOMMUNITY

HEALTHHOME

MODEL

LOCALHEALTHDENTAL

HOMEMODEL

WICPEDIATRIC

DENTISTPARTNERSHIP

RDH AT WIC

SITE

MEDICALDENTAL

MARRIAGE

DH STUDENT COMMUNITY

PROGRAMSLinking WIC CLIENTS to

DENTALHOMES

MEDICAL CARECoordinator

WICPARTNERSHIP

Next Steps:

Utilize Parent Dental Advocates

Connect Physicians to Dental Home Networks

Develop and Pilot:medical-dental home model

Resources

Fact sheets for parents and caregiversResources for professionals Home by One Website www.ct.gov/dph/HomebyOne