Oral health services within community-based organizations for young children with special health care needs

Stephanie Cruz; Donald L Chi; Colleen E Huebner

doi:10.1111/scd.12174

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Oral health services within community-based organizations for young children with special health care needs

Journal article

Peer reviewed

Oral health services within community-based organizations for young children with special health care needs

Stephanie Cruz, Donald L Chi and Colleen E Huebner

Special care in dentistry, Vol.36(5), pp.243-253

09/2016

DOI: 10.1111/scd.12174

PMCID: PMC5010451

PMID: 27028954

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https://www.ncbi.nlm.nih.gov/pmc/articles/5010451View

Open Access

Abstract

To identify the types of oral health services offered by community-based organizations to young children with special health care needs (CSHCN) and the barriers and facilitators to the provision of these in a nonfluoridated community. Thirteen key informant interviews with representatives from early intervention agencies, advocacy groups, and oral health programs who provide services to CSHCN in Spokane county, Washington. We used a content analysis to thematically identify oral health services as proactive or incidental and the barriers and facilitators to their provision. We identified four types of oral health services: screenings, parent education, preventive dental care, and dental referrals. Barriers to providing all four services included limited agency resources, restrictive administrative and system-level policies, and low demand from parents. A barrier to providing education and preventive dental care was community disagreement regarding fluoride. A barrier to providing dental referrals was the perceived lack of dentists who could treat CSHCN. Facilitators included community partnerships among the organizations and utilization of the statewide oral health program. Oral health services for young CSHCN are limited and often delivered in response to oral health problems. Coordinated efforts between community-based organizations, health providers, and advocates are necessary to ensure the provision of comprehensive care, including preventive and restorative services, to all young CSHCN.

Child, Preschool

Dental Care for Children - organization & administration

Dental Care for Disabled - organization & administration

Disabled Children

Female

Fluoridation

Health Services Accessibility

Health Services Needs and Demand

Humans

Infant

Infant, Newborn

Interviews as Topic

Male

Washington

Details

Title: Subtitle: Oral health services within community-based organizations for young children with special health care needs
Creators: Stephanie Cruz - University of Washington
Donald L Chi - University of Washington
Colleen E Huebner - University of Washington
Resource Type: Journal article
Publication Details: Special care in dentistry, Vol.36(5), pp.243-253
DOI: 10.1111/scd.12174
PMID: 27028954
PMCID: PMC5010451
NLM abbreviation: Spec Care Dentist
ISSN: 0275-1879
eISSN: 1754-4505
Grant note: K08 DE020856 / NIDCR NIH HHS U54 DE019346 / NIDCR NIH HHS
Language: English
Date published: 09/2016
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283852602771

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