Missouri Oral Health Preventive Services Program (PSP)

Categories

Categories associated with best practice:

  • Community
  • Health Services
  • Infancy (ages 0-2) icon
  • Early Childhood (ages 3-5) icon
  • Children (ages 6-12) icon
  • Teens (ages 13-18) icon
  • Elementary School Icon 1
  • English
  • Health Care Setting
  • Oral Health
  • Oral Health
  • Oral Health
  • Oral Health
  • Oral Health
  • Oral Health
  • Oral Health
  • Social Relationships That Respect Diversity

Determinants of Health: Social relationships (including those that respect diversity), Access to health services, Social inclusion

Overview

The Preventive Services Program (PSP) is a community-based oral health program model which engages volunteers to provide preventive services and education for underserved children in Missouri. The overall aim of the intervention is to improve the oral health of all children (infant to 18 years of age) in the state of Missouri, with a special emphasis on underserved low-income children in rural areas of the state. The program is free of charge to all communities and involves 4 components (oral health assessment of the community children through annual oral screenings; provision of toothbrushes, toothpaste, floss and education material to all participating children; application of fluoride varnish 2 times a year; establishment of a referral network for immediate/urgent needs identified during the oral screenings). Five part-time dental hygienists served as oral health consultants and coordinated the PSP. The dental volunteers performed the oral health assessment on the community’s children and the referral to dental care as needed. The other volunteers (parents, other community members) applied the fluoride varnish and provide oral health education to the children. In 2006, 273 volunteer dentists and dental hygienists and 415 community volunteers provided oral screenings, oral health education, 2 fluoride varnish applications and referral for unmet dental care for 8,529 children. In 2011, 775 volunteer dentists and dental hygienists and 1,837 other community volunteers provided the PSP services to nearly 65,000 children.

Primary Source Document

AM Hoffman, BG Branson, NT Keselyak, MA, M. Simmer-Beck. All are at the University of Missouri - Kansas City., Preventive Services Program : A model engaging volunteers to expand community-based oral health services for children Journal of Dental Hygiene, 88(2), 69-77

Contact information of developer(s) and/or implementer(s)

Oral Health Program Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102-0570 Phone: 573-751-6219 or (toll-free) 800-891-7415 Fax: 573-522-8146 Email: info@health.mo.gov

Intervention Focus

Intervention Goal / ObjectiveLevel(s) TargetedEquity Focus
To provide oral health preventive services and education for underserved children in Missouri.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
To facilitate community-based health interventions utilizing local partnerships.
  • Community level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.
Improve the oral health of a community.
  • Community level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.
To engage volunteers to oral health promotion activities in their community.
  • Community level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.

Health Issue(s) that is/are addressed by the Intervention

Health Promotion

  • Oral Health Promotion
  • Oral HP Children/Youth
  • Oral HP Infants/Preschool
  • Oral HP Vulnerable Pop
  • Oral HP Integration
  • Oral HP Surveillance
  • Oral HP Planning

Risk Reduction

    Specific Activities of the Intervention

    • Counselling sessions to those who are at high risk for a chronic disease
    • Create a community coalition
    • Educational health information offered
    • Information sessions offered about a risk factor or condition
    • Training offered to deliver the intervention
    • Community event/forum
    • Partnership development
    • Provision of planning tools and evaluation tools

    Priority/Target Population for Intervention Delivery

    Life Stage

    • Infancy (birth to 2 years)
    • Early childhood (age 3-5 years)
    • Children (age 6-12 years)
    • Youth (age 13-18 years)

    Settings

    Educational Settings

    • Elementary school

    Community Setting

    • Health care setting
    • Other

    Outcomes

    Outcomes and Impact Chart
    Level of ImpactDescription of OutcomeEquity Focus
    Community LevelThe number of community volunteers increased from 2006 (273 volunteers dentists and dental hygienists and 415 other volunteers) and 2010-2011 fiscal year (775 volunteers dentists and dental hygienists and 1,837other volunteers).Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
    Individual LevelThe number of children receiving oral health services from Preventive Services Programs increase from (8,259 in 2006 to 65,000 in 2010-2011 fiscal year.Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
    Individual LevelThe number of children who received the first and second applications of fluoride varnish increase from 10,000 in 2005-2006 to 70,000 in 2010-2011.Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
    Organizational LevelThe untreated decay decreased from 52 to 13%, indicating a decrease in caries activity among fifth graders measured year 1, and fifth graders measured year 5. Similar decreases in untreated decay were found in third graders (44.9 to 39.7%), second graders (42.5 to 26%) and Head Start children (38 to 20%).Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.
    Organizational LevelThird graders (28.7 to 39%) and Head Start children (0.08 to 19%) demonstrated a much greater percentage of treated decay after 5 years in the program. Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.

    Adaptability

    Implementation History

    • Multiple implementations - Similar settings/populations/providers - The intervention has been implemented more than twice in the same setting with the same population by similar providers, and is theoretically applicable to other settings and/or populations. This can include multiple implementations during the same time period. *Each implementation of the intervention must have been substantially the same and must have demonstrated positive results for the primary objectives of the intervention.

    Expertise Required for Implementation within the Context of the Intervention

    • Specialized skills training provided as part of the Intervention - The intervention does not require individuals or groups with highly specialized training, but requires that individuals or groups be trained as part of the implementation of the intervention.

    Are there supports available for implementation

    Yes. Missouri offers PSP as a package of materials, forms, training and instructions that can be used by each local community. This allows the community to proceed with PSP without a great deal of up-front development.

    Are there resources and/or products associated with the interventions

    Yes. Toothbrushes, toothpaste, floss, and educational materials; Preventive Services Program brochure; http://health.mo.gov/blogs/wp-content/uploads/2013/12/PreventiveServicesProgramBrochure.pdf Missouri Preventive Services Program A report from the 2013-2014 school year; Missouri Department of Health and Senior Services Office of Primary Care and Rural Health Oral Health Program; http://health.mo.gov/blogs/wp-content/uploads/2013/05/PSPReport2013-2014.pdf .