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.

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