Oral health is an important part of whole health that, when left untreated, can cause numerous physical health problems including: pain, complications to other chronic conditions, loss of teeth, nutritional problems, and occasionally, even death. From an economic perspective, preventable oral health conditions are far too often being treated in Emergency Rooms with expensive surgeries rather than with preventive dental care. Providing adequate dental care is a growing concern as efforts continue to integrate healthcare, as current policy does not support the provision of dental services to the population.
- Referral Resources
- Dental Care for Persons with Mental Illness
- Patient Education
Oral health in Veterans Affairs patients diagnosed with serious mental illness is a study that evaluates patient and medication treatment factors associated with self-reported oral health status in patients diagnosed with serious mental illness (SMI) in a large, national sample of patients in the Veterans Affairs (VA) health system.
The National Association of Dental Plans report shows that access to dental care is improved with dental benefits and that dental care improves oral health.
Trauma Survivors in Medical and Dental Settings is a brochure from the Western Massachusetts Training Consortium, a SAMHSA PBHCI grantee, which outlines provider considerations for trauma survivors in dental settings.
HealthyPeople.gov highlights the goals and objectives of oral health by the year 2020. This resource offers interventions and resources to prevent and control oral and craniofacial diseases, conditions, and injuries, and improve access to preventive services and dental care.
Health Resources and Services Administration’s Integration of Oral Health and Primary Care Practice report offers resources and suggestions to bring dental care into your organization. Dental services, such as mobile vans, partnering with local community health centers that offer dental services, and connecting with local dental providers as a part of your coordinated care efforts are ideas discussed to integrate dental care services into your organization.
Increasing Access to Dental Care through Public Private Partnerships: Contracting Between Private Dentists and Federally Qualified Health Centers is a handbook that provides background on how contracting works, includes a model contract, and offers step-by-step options for implementation. This resource also defines state insurance coverage laws, including whether Medicaid offers any dental benefits.
Tips for Good Oral Health During Pregnancy (pgs.8-9) is a resource from the National Maternal and Child Oral Health Resource Center that offers oral health tips for practicing healthy behaviors for pregnant women to keep the mother and the baby healthy. This tip sheet also offers suggestions for taking care of your baby’s oral health after the baby is born.
Medicaid Oral Health Access and Integration: Resource Round-Up is a newsletter from the Center for Health Care Strategies, Inc. that offers a host of resources designed to help state policymakers, health and oral health plans, providers, advocacy organizations, and other stakeholders advance oral health access and quality for low-income communities. Resources include, fact sheets, briefs, blogs, webinars and a technical assistance tool.
Brushing and Flossing Tip sheet offers information for caregivers of older adults. This fact sheet offers practical suggestions about how to provide guidance or direct care, as well as tips.
Advancing Behavioral Health Integration within NCQA Recognized Patient-Centered Medical Homes reviews the National Committee for Quality Assurance's (NCQA) patient-centered medical home (PCMH) standards and how they relate to the integration of behavioral health into primary care. HRSA-supported safety-net providers that have integrated behavioral health services can use this resource as a guide when preparing to apply to be recognized as a PCMH with NCQA.
January eSolutions: Oral Care is Rooted in Whole Health, explores the role of oral care in whole health and ways providers can incorporate dental care into integrated settings. Articles profile the work of the Dental Lifeline Network and Central Oklahoma Community Mental Health Center.
Medicaid Adult Dental Benefits, a new fact sheet from the Center for Health Care Strategies outlines states’ current coverage of dental benefits for adults in Medicaid. It also suggests opportunities for states to increase oral health care coverage and access for this population.
Improving Access to Oral Health Care for Vulnerable and Underserved Populations, a report from the Institute of Medicine and National Research Council for HRSA, assesses the oral health care delivery system in the United States, examining its strengths, limitations, and future challenges; and provides a roadmap for public and private partnerships to create an integrated delivery system of oral care for vulnerable and underserved populations.
The Henry J. Kaiser Family Foundation released four new and updated resources that present data and analyze issues related to oral health care, coverage and access in the U.S. in connection with an Kaiser Commission on Medicaid and the Uninsured event entitled Filling the Gaps: Dental Care, Coverage, and Access.
- Background Brief on Oral Health
- Key Facts Around Oral Health in the US
- Children and Oral Health: Assessing Needs, Coverage and Access
- Oral Health and Medicare Beneficiaries: Coverage, Out-of-Pocket Spending and Unmet Need
- Oral Health and Low-Income Nonelderly Adults: A Review of Coverage and Access
A User’s Guide for Implementation of Interprofessional Oral Health Core Clinical Competenciesis a report from the National Network for Oral health Access that describes a set interprofessional oral health core clinical competencies that HRSA developed to increase integration of oral health care into primary health care and their five domains: risk assessment, oral evaluation, preventive interventions, communication and education, and interprofessional collaborative practice.
Guidance for Oral Health Professionals (pgs. 4-5) is a resources from the National Maternal and Child Oral Health Resource Center lists the activities performed by oral health professionals to pregnant women as allowed by state practice acts.
The American Academy of Pediatrics provides education and training for medical staff on Children's Oral Care.
The Integration of Oral Health and Primary Care Practice report and its recommendations serve as guiding principles and provide a framework for the design of a competency-based, interprofessional practice model to integrate oral health and primary care.
The Cultural Competency Program for Oral Health Professionals (CCPOHP) through the Office of Minority Health offers information and knowledge about cultural and linguistic competency specifically for oral health professionals.
Poor teeth is a magazine article that outlines the benefits of a healthy smile and the implications and misperceptions of an unhealthy one, which extend well beyond health. This article explains how oral health affects self-esteem, employment, and personal relationships.
The National Institute of Dental and Craniofacial Research offers a host of educational materials on the importance of regular oral care in your center’s common areas and exam rooms. Additionally, this resource provides the opportunity to order free publications on a number of oral health related topic areas.
The Health Resources and Service’s Administration’s Maternal and Child Oral Health Resource Center provides brochures, resource bulletins, and fact sheets on a number of oral health topics. This resource offers oral health educational materials in English and Spanish appropriate for all audiences.
The American Diabetes Association discusses the Connection Between Diabetese and Oral Health Problems.
- Free medical/dental clinics by state
- Free Dental Clinics, Free Dental Treatment & Other Resources
- Integrated care providers should know where to refer people for care. Many states have low-cost dental clinics and many federally-qualified health centers (FQHCs) provide dental services to individuals without dental coverage.
- Donated Dental Services (DDS), is a program of Dental Lifeline Network and a resource which provides free, comprehensive dental treatment to the most vulnerable people with disabilities or who are elderly or medically fragile.
How Oral Health & Mental Health are Connected is an issue brief that discusses the factors affecting the oral health of individuals living with mental illness. It also address potential strategies to implement activities that can impact health behavior and promote interventions.
Three Shires Dental Checklist is a resource for behavioral health providers to assess client’s oral health. The topic areas addressed in the checklist include, the client’s mental health status, dental history, and the current state of their oral health. It also suggests solutions for problems that an oral health difficulty may cause.
An oral health intervention for people with serious mental illness (Three Shires Early Intervention Dental Trial): study protocol for a randomised controlled trial reports the link between mental illness and poor oral health. This study examines whether dental awareness training plus a dental checklist leads to a clinically significant difference in oral health behavior of people with serious mental illness. This study highlights the significance of mental health professionals recognizing oral health problems and patients who experience barriers to treatment.
Southern Assoc of Institutional Dentists: Module 9: Clinical Concerns in Dental Care for Persons with Mental Illness.
JADA Journal of the American Dental Association: Dental Care and Associated Factors Among Older Adults with Schizophrenia:
Schizophrenia Bulletin 2011: Oral Health Advice for People With Serious Mental Illness.
Journal of Dental Research: Effects of an Oral Health Promotion Program in People with Mental Illness.
PBHCI Grantee Webinar on the "State of Dental Care"
Before You Say Ahhh.... Integrating Oral Health in Behavioral Health in Primary Care Settings
September 7, 2016
Presenters: Renee W. Joskow, DDS, MPH, FAGD, FACD, Senior Dental Advisor, Health Resources and Services Administration and Anita D. Glicken, MSW, Program Consultant and Project Leader, National Interprofessional Inititative on Oral Health; Associate Dean and Professor Emerita, University of Colorado School of Medicine