Conclusion

This framework demonstrates that several elements influence how successful SBHCs may be in their efforts to integrate sustainable comprehensive oral health services into primary care. The elements discussed are supported by existing research on the sustainability of public health programs as well as by the experiences of SBCOHS and by federal sustainability frameworks, including those from the Assistant Secretary for Planning and Evaluation, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the Substance Abuse and Mental Health Services Administration. This framework is meant to be a foundation upon which SBHCs can build their integration and sustainability activities, with the ultimate goal being long-lasting improvements in the oral health and overall health and well-being of school-age children and adolescents.

References

  1. U.S. Department of Health and Human Services, Office of Adolescent Health. 2017. The OHA Framework for Program Sustainability. Washington, DC: Office of Adolescent Health, Department of Health and Human Services.
  2. Dye BA, Thorton-Evans G, Li X, Iafolla TJ. 2015. Dental Caries and Sealant Prevalence in Children and Adolescents in the United States, 2011–2012. Hyattsville, MD: National Center for Health Statistics.
  3. Holt K, Barzel R. 2013. Oral Health and Learning: When Children's Oral Health Suffers, So Does Their Ability to Learn (3rd ed.). Washington, DC: National Maternal and Child Oral Health Resource Center.
  4. Guarnizo-Herreno CC, Wehby GL, 2012. Children's dental health, school performance, and psychological well-being. Journal of Pediatrics 161(6):1153–1159.
  5. Seirawan H, Faust S, Muligan R. 2012. The impact of oral health on the academic performance of disadvantaged children. Journal of Public Health 102(9):1279–1734.
  6. Jackson SL, Vann WF Jr, Kitch JB, Pahel BT, Lee JY. 2011. Impact of poor oral health on children's school attendance and performance. American Journal of Public Health 101(10):1900–1906.
  7. Centers for Disease Control and Prevention. 2002. Improving Oral Health: Preventing Unnecessary Disease Among All Americans, 2001. Atlanta, GA: Centers for Disease Control and Prevention.
  8. Heath B, Wise Romero P, Reynolds K. 2013. A Standard Framework for Levels of Integrated Healthcare. Washington, DC: SAMHSA-HRSA Center for Integrated Solutions.