{"id":4677,"date":"2015-08-21T06:38:46","date_gmt":"2015-08-21T14:38:46","guid":{"rendered":"http:\/\/associatednews.info\/content\/kansas-town-takes-dental-care-to-school\/4677\/"},"modified":"2015-08-21T06:38:46","modified_gmt":"2015-08-21T14:38:46","slug":"kansas-town-takes-dental-care-to-school","status":"publish","type":"post","link":"https:\/\/associatednews.info\/content\/kansas-town-takes-dental-care-to-school\/","title":{"rendered":"Kansas Town Takes Dental Care To School"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a target=\"_blank\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/08\/21\/433446907\/kansas-town-takes-dental-care-to-school?utm_medium=RSS&amp;utm_campaign=healthcare\">Andrea Muraskin<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/08\/21\/433446907\/kansas-town-takes-dental-care-to-school?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"http:\/\/media.npr.org\/assets\/img\/2015\/08\/21\/dentistry_custom-7d99b7582f5b710196ef23ec9fd1d3e544edbe9c-s1100-c15.jpg\" title=\"To make dental care more accessible, some schools are bringing dentists to students.\" alt=\"To make dental care more accessible, some schools are bringing dentists to students.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>To make dental care more accessible, some schools are bringing dentists to students. <strong>iStockphoto<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>i<\/strong>toggle caption <span>iStockphoto<\/span><\/div>\n<\/div>\n<p>Weeks before school started in Olathe, Kan., earlier this month, the town&#8217;s school district began its annual effort to get low-income students signed up for dental checkups.<\/p>\n<p>When parents register at the elementary schools that serve the district&#8217;s poorest students, they are asked whether their children have a dentist. &#8220;And if they say no, we say, &#8216;We have a program in our school \u2014 a dentist is coming to our school this year,&#8217; &#8221; says health services director Cynthia Galemore.<\/p>\n<p>The goal is to make dental care more accessible for low-income families. The obstacles to care aren&#8217;t limited to cost.<\/p>\n<p>&#8220;A lot of times in these families dental care is not a priority,&#8221; says Galemore. &#8220;It&#8217;s not that the parents wouldn&#8217;t want to provide it, but they maybe can&#8217;t miss work to take their child to the dentist, [or] they may not have transportation.&#8221;<\/p>\n<p>A lack of preventive dental care for poor children is a national problem. Medicaid and the Children&#8217;s Health Insurance Program, which cover children from low-income families, both pay for dental services. But fewer than half of children and teens enrolled in those programs received a preventive dental service last year, according to Stacey Chazin, a public health specialist with the <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.chcs.org\/\">Center for Health Care Strategies<\/a>.<\/p>\n<p>The participating schools in Olathe, a suburb of Kansas City, Mo., are among a few hundred across the country that offer oral health care. &#8220;What&#8217;s nice about the schools is [they&#8217;re] a place where students already go on a regular basis, whether it&#8217;s back to school night, or it&#8217;s a meet-the-teacher, or to pick up or drop off their kids,&#8221; says Chazin. In some schools, dentists provide care. In others, dental hygienists perform preventive services.<\/p>\n<p>In a <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.chcs.org\/media\/OHIIssBrfEngagingSchools.pdf\">recent policy brief<\/a>, Chazin recommends school-based oral health care as an important children&#8217;s health strategy. And, as it turns out, the federal government set goals to increase the proportion of children enrolled in Medicaid and the Children&#8217;s Health Insurance Program receiving any preventive dental service by 10 percent between 2011 and 2015.<\/p>\n<p>Tooth decay is the most common chronic disease among American children, according to the American Academy of Pediatrics.<\/p>\n<p>Some 25 percent of children ages 5 to 19 who live at or below the federal poverty level had untreated tooth decay, <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db96.pdf\">according to data<\/a> from the Centers for Disease Control and Prevention. Only 12 percent of children with family incomes double that of poverty level had untreated tooth decay.<\/p>\n<p>According to Chazin most school-based oral health programs focus on preventive services like cleanings, fluoride varnish and sealants \u2013 protective coatings placed over molars to prevent cavities. &#8220;The hope in all of it is that they&#8217;re referred to, and begin to get care from a dentist, where they would subsequently go for regular preventive visits and any needed treatment,&#8221; says Chazin. Medicaid and CHIP keep tallies of services performed at schools, when they are billed.<\/p>\n<p>But it&#8217;s difficult to know if parents are scheduling those follow-up dentist visits. That data are hard to track, and to Chazin&#8217;s knowledge, no insurers or state health departments are taking the time to do it.<\/p>\n<p>Olathe however, does have data on follow-ups. And that helped push the district to take the idea of in-school dental care one step further than most schools. At the start in 2009, the district tracked the number of follow-up appointments scheduled with dentists. The <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21888775\">results weren&#8217;t good<\/a>. Of the 339 children treated in school by dental hygiene students from the University of Missouri-Kansas City, 63 percent had tooth decay and were referred to a dentist. By the end of the school year, only 11 percent of those referred had had their parents contact a dentist&#8217;s office to schedule an appointment.<\/p>\n<p>But when a clinic in town became a <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.fqhc.org\/what-is-an-fqhc\/\">federally qualified health center<\/a> in 2013, it opened up a new opportunity. The district now works with the clinic\u2014which receives federal funds to provide free or low-cost care to the underserved\u2014 to bring dentists to the schools. These dentists perform the full array of services on site. It&#8217;s a win-win for the school district: Nurses no longer have to worry about parents scheduling follow-up visits, because they are scheduled at school. And the clinic provides a steady source of funding for the district&#8217;s growing number of immigrant students, some of whom don&#8217;t qualify for insurance because of their undocumented status. If a student has no insurance, the service is free.<\/p>\n<p>&#8220;We used to think, &#8216;Oh, schools shouldn&#8217;t do this.&#8217; We thought our job was to provide the education for the kids,&#8221; Galemore says. &#8220;We didn&#8217;t used to feed breakfast to kids at school either. Funding has been cut and cut and cut for schools, but it&#8217;s part of focusing on the whole child. We know if we have better health for that child there&#8217;s better learning.&#8221;<\/p>\n<p>For this school year, the oral health program in Olathe is expanding from 10 to 12 elementary schools, and adding two high schools.<\/p>\n<p><em>This <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/post\/kids-who-can-t-make-it-dentist-dentist-comes-them\">piece<\/a> comes from <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/\">Side Effects Public Media<\/a>, a public radio reporting collaborative that explores the impacts of place, policy and economics on health. Follow Side Effects on social media <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/connect\">here<\/a>.<\/em><\/p>\n<p><em>This entry passed through the Full-Text RSS service &#8211; if this is your content and you&#8217;re reading it on someone else&#8217;s site, please read the FAQ at fivefilters.org\/content-only\/faq.php#publishers.<\/em><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/08\/21\/433446907\/kansas-town-takes-dental-care-to-school?utm_medium=RSS&amp;utm_campaign=healthcare\" target=\"_blank\" title=\"Kansas Town Takes Dental Care To School\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2015\/08\/21\/433446907\/kansas-town-takes-dental-care-to-school?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/08\/21\/433446907\/kansas-town-takes-dental-care-to-school?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"http:\/\/media.npr.org\/assets\/img\/2015\/08\/21\/dentistry_custom-7d99b7582f5b710196ef23ec9fd1d3e544edbe9c-s1100-c15.jpg\" title=\"To make dental care more accessible, some schools are bringing dentists to students.\" alt=\"To make dental care more accessible, some schools are bringing dentists to students.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>To make dental care more accessible, some schools are bringing dentists to students. <strong>iStockphoto<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>i<\/strong>toggle caption <span>iStockphoto<\/span><\/div>\n<\/div>\n<p>Weeks before school started in Olathe, Kan., earlier this month, the town&#8217;s school district began its annual effort to get low-income students signed up for dental checkups.<\/p>\n<p>When parents register at the elementary schools that serve the district&#8217;s poorest students, they are asked whether their children have a dentist. &#8220;And if they say no, we say, &#8216;We have a program in our school \u2014 a dentist is coming to our school this year,&#8217; &#8221; says health services director Cynthia Galemore.<\/p>\n<p>The goal is to make dental care more accessible for low-income families. The obstacles to care aren&#8217;t limited to cost.<\/p>\n<p>&#8220;A lot of times in these families dental care is not a priority,&#8221; says Galemore. &#8220;It&#8217;s not that the parents wouldn&#8217;t want to provide it, but they maybe can&#8217;t miss work to take their child to the dentist, [or] they may not have transportation.&#8221;<\/p>\n<p>A lack of preventive dental care for poor children is a national problem. Medicaid and the Children&#8217;s Health Insurance Program, which cover children from low-income families, both pay for dental services. But fewer than half of children and teens enrolled in those programs received a preventive dental service last year, according to Stacey Chazin, a public health specialist with the <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.chcs.org\/\">Center for Health Care Strategies<\/a>.<\/p>\n<p>The participating schools in Olathe, a suburb of Kansas City, Mo., are among a few hundred across the country that offer oral health care. &#8220;What&#8217;s nice about the schools is [they&#8217;re] a place where students already go on a regular basis, whether it&#8217;s back to school night, or it&#8217;s a meet-the-teacher, or to pick up or drop off their kids,&#8221; says Chazin. In some schools, dentists provide care. In others, dental hygienists perform preventive services.<\/p>\n<p>In a <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.chcs.org\/media\/OHIIssBrfEngagingSchools.pdf\">recent policy brief<\/a>, Chazin recommends school-based oral health care as an important children&#8217;s health strategy. And, as it turns out, the federal government set goals to increase the proportion of children enrolled in Medicaid and the Children&#8217;s Health Insurance Program receiving any preventive dental service by 10 percent between 2011 and 2015.<\/p>\n<p>Tooth decay is the most common chronic disease among American children, according to the American Academy of Pediatrics.<\/p>\n<p>Some 25 percent of children ages 5 to 19 who live at or below the federal poverty level had untreated tooth decay, <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db96.pdf\">according to data<\/a> from the Centers for Disease Control and Prevention. Only 12 percent of children with family incomes double that of poverty level had untreated tooth decay.<\/p>\n<p>According to Chazin most school-based oral health programs focus on preventive services like cleanings, fluoride varnish and sealants \u2013 protective coatings placed over molars to prevent cavities. &#8220;The hope in all of it is that they&#8217;re referred to, and begin to get care from a dentist, where they would subsequently go for regular preventive visits and any needed treatment,&#8221; says Chazin. Medicaid and CHIP keep tallies of services performed at schools, when they are billed.<\/p>\n<p>But it&#8217;s difficult to know if parents are scheduling those follow-up dentist visits. That data are hard to track, and to Chazin&#8217;s knowledge, no insurers or state health departments are taking the time to do it.<\/p>\n<p>Olathe however, does have data on follow-ups. And that helped push the district to take the idea of in-school dental care one step further than most schools. At the start in 2009, the district tracked the number of follow-up appointments scheduled with dentists. The <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21888775\">results weren&#8217;t good<\/a>. Of the 339 children treated in school by dental hygiene students from the University of Missouri-Kansas City, 63 percent had tooth decay and were referred to a dentist. By the end of the school year, only 11 percent of those referred had had their parents contact a dentist&#8217;s office to schedule an appointment.<\/p>\n<p>But when a clinic in town became a <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.fqhc.org\/what-is-an-fqhc\/\">federally qualified health center<\/a> in 2013, it opened up a new opportunity. The district now works with the clinic\u2014which receives federal funds to provide free or low-cost care to the underserved\u2014 to bring dentists to the schools. These dentists perform the full array of services on site. It&#8217;s a win-win for the school district: Nurses no longer have to worry about parents scheduling follow-up visits, because they are scheduled at school. And the clinic provides a steady source of funding for the district&#8217;s growing number of immigrant students, some of whom don&#8217;t qualify for insurance because of their undocumented status. If a student has no insurance, the service is free.<\/p>\n<p>&#8220;We used to think, &#8216;Oh, schools shouldn&#8217;t do this.&#8217; We thought our job was to provide the education for the kids,&#8221; Galemore says. &#8220;We didn&#8217;t used to feed breakfast to kids at school either. Funding has been cut and cut and cut for schools, but it&#8217;s part of focusing on the whole child. We know if we have better health for that child there&#8217;s better learning.&#8221;<\/p>\n<p>For this school year, the oral health program in Olathe is expanding from 10 to 12 elementary schools, and adding two high schools.<\/p>\n<p><em>This <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/post\/kids-who-can-t-make-it-dentist-dentist-comes-them\">piece<\/a> comes from <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/\">Side Effects Public Media<\/a>, a public radio reporting collaborative that explores the impacts of place, policy and economics on health. Follow Side Effects on social media <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/sideeffectspublicmedia.org\/connect\">here<\/a>.<\/em><\/p>\n<p><em>This entry passed through the Full-Text RSS service &#8211; if this is your content and you&#8217;re reading it on someone else&#8217;s site, please read the FAQ at fivefilters.org\/content-only\/faq.php#publishers.<\/em><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-4677","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/4677","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/comments?post=4677"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/4677\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/media?parent=4677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/categories?post=4677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/tags?post=4677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}