The ability to adapt to maximize program effectiveness and health outcomes is key to successfully integrating sustainable comprehensive oral health services into primary care in SBHCs. Community needs evolve, and addressing these needs can be challenging. Further complicating the challenge are the often fragile financial and political landscapes in which SBHCs operate. Continually assessing the effectiveness of program services becomes a delicate balancing act between adapting to changing needs and remaining loyal to proven approaches. By being aware of and responsive to environmental changes, SBHCs can withstand challenges while striving to continuously improve their program services.
SBHCs should think beyond their present circumstances, be creative, and remain open to new opportunities and options for implementing and delivering services. Keeping abreast of current and emerging trends, research, and other issues can help them succeed.