1. Home by One Dental Homes for Children by Age 1 Building a Service Delivery System in Connecticut Around WIC TOHSS Grantee Meeting April 28, 2010

2. Prevalence of Decay in Connecticut’s Preschool Children Source: CT DPH Every Smile Counts Survey 2007

3. 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

4. Target Population: WIC

5. 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

6. www.ct.gov/dph/HomebyOne

7. Key Factor for Building Successful Collaboration with WIC C C ontact, personalized attention, one to one O O vercome Challenges, troubleshoot O O rchestrate links to community dental resources R R ecruiting parent dental advocates D D evelop dental provider networks, relationships I I ntegration of oral health education into site N N avigate patient’s to dental home A A vailability to answer questions from WIC staff T T ravel out to sites, special events, presentations O O nline training including consistent messaging R R esource for education materials, connections

8. Program Coordinator for Home by One(funded by TOHSS) State of Connecticut, Department of Public Health,Office of Oral Health CT Department of Public Health State Agencies OFFICE OF ORAL HEALTH Home by One Coordinator Child Health Providers Treating the Children of the Local WIC Program Dentists and RDH in the WIC Community Offering AGE ONE Dental Visits Dental Homes Local WIC Regions Bridgeport, 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 Visits 25,000 WIC Children

9. Dental Home Models Developed Around WIC FAMILY DENTAL HOME WIC COMMUNITY HEALTH HOME MODEL LOCAL HEALTH DENTAL HOME MODEL WIC PEDIATRIC DENTIST PARTNERSHIP RDH AT WIC SITE MEDICAL DENTAL MARRIAGE DH STUDENT COMMUNITY PROGRAMS Linking WIC CLIENTS to DENTAL HOMES MEDICAL CARE Coordinator WIC PARTNERSHIP

10. Next Steps :  Utilize Parent Dental Advocates  Connect Physicians to Dental Home Networks  Develop and Pilot: medical-dental home model

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