Oral Health and Wellness Program Support to TEAP

Pamela Alston, DDSRegion 6 Dental

Consultant

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TAG 5-N Suggestion

“Enlist the support of all center departments to identify how alcohol and other drug prevention is applicable to their areas.”

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Incentive for Oral Health and Wellness Program Support to

TEAP?

“Student recreational drug abstinence fosters oral health.”

Pamela Alston, DDS

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TEAP Components

• Assessment• Intervention• Counseling• Relapse Prevention• Prevention and Education

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National Oral Health and Wellness Program

SurveyParticipating Centers

Anaconda Edison OneontaAngell Excelsior Springs PhoenixBarranquitas Flint Hills Pine RidgeBlackwell Fred G. Acosta Quentin N. BurdickCascades Glenmont Ramey Cassadaga Golconda San Jose Centennial Grand Rapids Sierra NevadaChicago Hubert H. Humphrey South BronxCincinnati Inland Empire Timber LakeClearfield Joliet Tongue PointDayton Kicking Horse Wolf CreekDelaware Valley LoringDetroit Maui

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National Oral Health and Wellness Program

Survey (continued)

52%interface with TEAP48%do not interface with TEAP17% TEAP serves as a resource oral health

and wellness17% Oral health and wellness serves as a

resource to TEAP 17% referral relationship

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National Oral Health and Wellness Program

Survey (continued)

72% speak to students18% do not speak to students

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National Oral Health and Wellness Program

Survey (continued)

54% dentist3% dental assistant7% dental hygienist36% Multiple oral health and

wellnessteam members

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National Oral Health and Wellness Program

Survey (continued)

How drug use affects the teeth andcontributes to caries 57%

Statement that drug use causes decay 28%

Effects of tobacco use on oral tissues 28%

Oral disease prevention strategies 100%

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National Oral Health and Wellness Program

Survey (continued)

Of the oral health and wellness team members who speak to students:

One-on-one counseling 86%Group presentations to inputs14%

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National Oral Health and Wellness Program

Survey (continued)

Message content:• Smoking effects on oral health• Potential consequences of recreational drug use• Drug use effects on oral health• Strong prevention message• Smoking effects on total health• Smoking and street drug use effects on

employability• Drug use effects on physical well-being• Personal appearance, tobacco use, and self-esteem

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Side-Effects for . . .

• Dry mouth– Cannabinoids– Cocaine– Methamphetamines– Heroin– Inhalants and solvents

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Side-Effects for . . .

• Elevated blood pressure– Cocaine– Cannabinoids– Methamphetamines– LSD

• Vomiting and nausea– Opiates

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Side-Effects for . . .

• Craving for sweets– Heroin

• Bruxism– Cocaine

• Signs of Relapse– Oral neglect

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Oral Health and Wellness Needs

• Orientation to the whole health record

• Orientation to the center’s zero tolerance policy

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Orientation to TEAP

• Introduction to the TEAP specialist• Oral health and wellness referral

mechanism to TEAP• Cultural competency training• Content and delivery training

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TEAP Needs

• TEAP referral mechanism to Oral Health and Wellness Program

• Group presentations on the oral manifestations of illicit drug use

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Best Practice

• Include the oral health and wellness team in the student’s comprehensive care plan

• Each oral health and wellness team member plays a role

• Oral health and wellness team members receive training

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Push the Envelope

• Mentoring students• Identifying volunteer opportunities• Linking oral health and wellness

prevention and education strategies to student drug and alcohol abstinence

• Identifying training opportunities

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“We all know what we know, and we have an idea of what’s just beyond our knowledge, but a vast, untapped body of knowledge is out there that we don’t even perceive.”

Glen Wysel, DDS