1. 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

2. General reminders:
The webinar will be recorded and archived on the ASTDD website.
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3. 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

4. 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)

5. 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)

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

7. 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

8. 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

9. Consent Forms

10. 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 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.

11. 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

12. 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

13. 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%

14. 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

15. 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.

16. 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.

17. Posters Designed by & for High School Students

18. Posters Designed by & for High School Students

19. Posters Designed by & for High School Students

20. Posters Designed by & for High School Students

21. 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.

22. 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

23. 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

24. 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.

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

26. Additional Resources
Confronting the Consent Conundrum: Lessons from a School Oral Health Learning Community. OH2020 white paper, March content/uploads/2018/04/DQF_WP_ConsentConundrum_F.pdf
Association of State and Territorial Dental Directors Best Practice Report: School-Based Dental Sealant Programs. update final.pdf
School Oral Health: An Organizational Framework to Improve Outcomes for Children and Adolescents. OH2020 white paper, March content/uploads/2018/04/DQF_WP_SchoolOralHealth_F.pdf
School Oral Health Resource Library.

27. Thank you for your participation!
Webinar Follow-up
After completion of the webinar, you will receive an 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!

28. Donna Behrens, RN, MPH, BSN
For more information:
Donna Behrens, RN, MPH, BSN
SAOH Consultant
This presentation was supported by Cooperative Agreement NU58DP 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.