ASTDD School and Adolescent Oral Health Committee Tools, Tips, and Strategies to Increase Consents in School Sealant Programs ASTDD School and Adolescent Oral Health Committee Donna Behrens Moderator May 15, 2019

General reminders: The webinar will be recorded and archived on the ASTDD website. Please be sure to call in to the phone number provided rather than your computer audio To reduce background noise, please mute your phone when you are not speaking. For those of you new to Zoom, here are some tips: We will not be using video camera so please keep your video camera off – this presentation will be using power point slides Please keep yourself muted Participant Icon: click on it so your name appears as a participant Microphone Icon: click to mute or unmute yourself Hand Icon: click on this to raise your hand to ask a question and the moderator will call on you. Chat box: click on to open the chat box. Please type in your name and the state you are from and when you chat please chat to everyone so we all can be in on the conversation.

Conquering Barriers to Increase School Sealant Consent webinar series Conquering Barriers to Increase School Sealant Consent webinar series. (Part 1 of 3 webinars) Webinar 1 – Tools, Tips, and Strategies to Increase Consents in School Sealant Programs Webinar 2 - Successfully Working with Schools To Improve Oral Health Consent Returns will explore ways to build positive relationships with the schools, school administrators, and districts and discuss strategies for partnering with school nurses to advance school oral health and improve consent returns. Tentative date June 12th Webinar 3 – Partnering with Parents and Communities Around Improved Oral Health – coming in the fall

Educational Objectives At the completion of today’s webinar - Tools, Tips, and Strategies to Increase Consents in School Sealant Programs - participants will: identify successful resources, tips and tools used by school oral health programs that led to increased consent rates in their student population; list school, family and student engagement strategies that can lead to increase parental consent. (organized on website according to key functions of assessment, policy development and assurance)

Presenters Mary Pat Burgess, program director of the School – Based Oral Health Program for the City of Chicago, in partnership with the Chicago Public schools and the Oral Health Forum, provides in school oral health education, dental exams, fluoride treatment and dental sealant for students in 568 schools in Chicago Illinois. A referral network and case management program are also provided along with a quality assurance program reviewing services provided for the students. Matt Crespin, associate director of Children’s Health Alliance of Wisconsin, directs the oral health program including the Wisconsin Seal-A-Smile program, Earlier Is Better, Healthy Smiles for Mom and Baby, and the Wisconsin Oral Health Coalition. Wisconsin Seal-A- Smile is the state school-based dental sealant program and has grown under his direction to serve nearly 850 schools across the entire state of Wisconsin. Being mindful of state OH Program and DWP limitations (Tracy)

CDPH School-Based Oral Health Program Mary Pat Burgess RDH, MBA MAY 15, 2019

Program Overview The Chicago Department of Public Health provides a program that offers Oral Health Care for the children of Chicago. The dental treatments provided are: Dental exams/ Screenings Dental cleanings Fluoride treatments Dental sealants as needed Referrals for treatment services if needed Case management program provides referrals for students needing extended care

Program Overview The initial collaboration between Chicago Public Schools, Oral Health Forum and Chicago Department Public Health and the learning community started in 2015. Determined a census around increased consents where a pilot program was developed between 3 schools with a low consent rate of less than 20% and 1 with a higher return rate of 33% . We wanted to see if a high touch point school would show an increase number of consents returned The four schools selected were: Cardenas Elementary, Mahaila Jackson Elementary, Wentworth Elementary and North Lawndale – Collins High School

Consent Forms

Improvement Plan Process Introduction letter was sent In person meeting with the schools Determined the date of the dental provider visit. Established a date of 10-14 days prior to dental visit for education to be provided classroom to classroom. In conjunction with the education, a poster was placed in the office to notify of the upcoming dental visit.

Improvement Plan During the health education program, the children received a goody bag consisting of toothbrush, toothpaste, floss, sugar free gum and a second consent/HIPPA form. Children in grades Pre-K – 6th grade received bright colored wrists band with a message that the Dentist is coming to school and to bring back signed consents weekly meetings were held between CDPH, CPS and OHF

Success Stories A strong working relationship between the pilot organizations was established There was an increase of returned consents in all 3 schools A rapport was developed with school staff Change Ideas – Wrist Bands and Posters showed positive results

Success Stories School Student Population Pre-Pilot Return Post Pilot Return Consent # Increase School Population Consented Cardenas Elementary   677 225 274 49 40% Mahalia Jackson Elementary 340 108 147 39 43% Wentworth Elementary 577 103 131 58 28%

Challenges Arranging initial schools in coordination with dental provider schedule Coordinating Oral Health Education in timely manner (10-14 day window) Inability to supply higher grades with wrist bands Unable to implement some program ideas in the school

Recommended Solutions Develop closer review of Google calendar to synchronize dentist dates with oral health education. Initiate early conversations with schools to allow for all program initiatives to be implemented. Work with MIKVA high school student group to find incentives for participation for High School students.

MIKVA Challenge in High Schools MIKVA – Teen Health Council in High Schools Helps young people learn the real- world skills of active citizenship through meaningful and direct experiences in our democracy. Impacts teens now, but also seeds a generation of thoughtful, engaged, ethical citizens and community leaders for the future.

Posters Designed by & for High School Students

Posters Designed by & for High School Students

Posters Designed by & for High School Students

Posters Designed by & for High School Students

MIKVA Challenge Wrist Band Slogans You Can’t Be on FLEEK with Yellow Teeth Get Rid of Decay, Brush Yo Teeth Dat Way (Vernacular works for the students) Don’t Get Played … Brush The slogans were developed by the students with the intent of having catch phrases that the students will react to & create a positive response.

Success Stories School Student Population Pre-Pilot Return Post Pilot Return Consent # Increase School Population Consented Urban Prep - Englewood   397 32 8% Team Englewood HS 140 15 18% LANE TECH HS 4019 20 < 1% MARIE CURIE HS 2767 24

Challenges Difficulties arranging initial schools in coordination with dental provider schedule Coordinating Oral Health Education in timely manner (10-14 day window) High Schools do not have stationary classrooms after 9th grade – difficulty reaching students

Considerations Concentrating on 9th grade students Utilize homeroom & health class to reach students for oral health education Provide an Oral Health information sheet for the students to assist in their understanding of the dental program process in the school and the referral process for those in need of extended care. MIKVA students working with peers to educate and “de-mystify” the dental process Understand the need for “sweat equity” by the oral health providers that provide the in – school services.

Questions Contact Information: Mary Pat Burgess RDH, MBA Program Director School-Based Oral Health Program 4314 So. Cottage Grove - Room 204 Chicago, Illinois 60653 312.764.8003 (Office Cell) marypat.burgess@cityofchicago.org

Additional Resources Confronting the Consent Conundrum: Lessons from a School Oral Health Learning Community. OH2020 white paper, March 2018. http://www.sbh4all.org/wp- content/uploads/2018/04/DQF_WP_ConsentConundrum_F.pdf Association of State and Territorial Dental Directors Best Practice Report: School-Based Dental Sealant Programs. http://www.astdd.org/docs/sealant-bpar- update-11-2017-final.pdf School Oral Health: An Organizational Framework to Improve Outcomes for Children and Adolescents. OH2020 white paper, March 2018. http://www.sbh4all.org/wp- content/uploads/2018/04/DQF_WP_SchoolOralHealth_F.pdf School Oral Health Resource Library. https://www.sbh4all.org/library/sboh/index.php

Thank you for your participation! Webinar Follow-up After completion of the webinar, you will receive an email that includes a short survey. Please click on the link to share your comments and suggestions about today’s webinar. Your feedback will be considered in planning future learning events. Thank you for your participation!

Donna Behrens, RN, MPH, BSN For more information: Donna Behrens, RN, MPH, BSN SAOH Consultant donnambehr@gmail.com This presentation was supported by Cooperative Agreement NU58DP006573-01-00 from CDC, Division of Oral Health. Its contents are solely the responsibility of the author and do not necessarily represent the official views of CDC.