Head Start Dental Hygienist (DH) Liaison

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Feb 23, 2014 (7 years and 10 months ago)


Presented by:


OHP Consultant


: 210


Michelle Landrum, R.D.H., M.Ed. Candidate, NCH
OHP Consultant

Email: michellelandrum@yahoo.com

Phone: 210

Head Start Dental Hygienist (DH) Liaison

Webinar #1

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Dr. Harry Goodman, DMD, MPH, ASTDD President


Susan Savage, RDH, BSDH, ADHA President

Head Start

A Review of its Mission, History, Services,
Performance Standards, and PIR

What is Head Start?

Head Start (HS) is a federal program that promotes the
school readiness of children ages birth to five from low
income families (living at 100% or below the federal
poverty level) .

HS programs provide a learning environment that
supports children's growth in the following domains:

language and literacy

cognition and general knowledge

physical development and health

social and emotional development

approaches to learning

Source: Copied from ECLKC website:

History of Head Start

HS began as a summer demonstration project in 1965 as part
of Lyndon Johnson’s War on Poverty.

Since 1965, HS has served nearly 30 million children.
Currently, HS is administered by the Admin. for Children and
Families (ACF) within the Dept. of Health and Human Services
(HHS) and serves over 1 million children annually in all 50
states, US territories, and AI/AN and Migrant communities.

HS was reauthorized in 2007 with several provisions to
strengthen HS quality. The HS training and technical assistance
system was redesigned to support programs through
National Centers
and a state
based system to ensure success.

Source: Copied from ECLKC website:

Head Start Services

HS programs provide
comprehensive services
to enrolled
children and their families, which include:

education and cognitive development services

health, nutrition, social, and other services

HS emphasizes the role of parents as teachers, and
programs build relationships with families that support:

family well
being and positive parent
child relationships

families as learners and lifelong educators

family engagement in transitions

family connections to peers and community

families as advocates and leaders

Source: Copied from ECLKC website:

Head Start Service Models

HS serves preschool
age children (3

5 years) and
their families.
Early Head Start
(EHS) serves infants,
toddlers (up to 36 months), pregnant women, and
their families.

HS programs offer a variety of service models.
Programs may be based in:

centers or schools that children attend for part
day or
day services

family child care homes

children's own homes (home
based model), where a HS
staff person visits once a week and provides services

Source: Copied from ECLKC website:

HS Program Performance Standards

The HS Program Performance Standards provide a
standard definition of quality services that all EHS and HS
grantees are required to follow.

HS performance standards related to oral health include

Within the first 90 days of enrollment, HS must
determine whether each child has an ongoing source of
continuous, accessible care (“dental home”)

HS staff should ask the parents the following in order to
determine if children have a “dental home”

Name of dental provider?

Date of last dental visit?

How often does the child visit the dentist?

HS Performance Standards (cont’d)

Within the first 90 days of enrollment, a health care
professional must determine if a child is up to date on
preventive and primary oral health care according to
state Early and Periodic Screening, Diagnostic, and
Treatment (EPSDT or Medicaid) schedule

Health care professionals and HS staff access their
state's EPSDT schedule to ensure children's health and
dental needs are met


HS Performance Standards (cont’d)

If a child is not up to date on age
preventive and primary care (EPSDT), HS must help
parents bring the child up to date within the first 90
days of enrollment

e.g., assists with Medicaid/CHIP application,
transportation, finding a dental provider, etc

Head Start must obtain or arrange further diagnostic
testing, examination, and treatment for each child
with health/dental problem

Dental follow
up remains one of the biggest challenges
for Head Start parents and staff

HS Performance Standards (cont’d)

Dental follow
up and treatment must include topical
fluoride treatments as recommended by a dental

Head Start must establish ongoing communication
with parents of children with identified dental needs
to facilitate the implementation of the plan

Education of HS staff, case management systems,
and documentation are vital to this process

HS Program Information Reports (PIR)

PIR provides
comprehensive data on the services,
staff, children, and families served
by HS programs.
All grantees
required to submit
PIR reports to the
HHS OHS annually (self
reported data)

PIR data is compiled for use at the federal,
regional, state, and local levels

HS PIR (cont’d)

Oral Health PIR data requirements:

Number of children age 3 and older who
received preventive oral health care

Number of children age 3 and older who need
dental treatment

Of those, how many children received or are
receiving dental treatment

Reason children did not receive dental treatment

HS PIR (cont’d)

Oral Health PIR data requirements:

children age 3 and older up
on preventive and primary oral health care based
on state EPSDT schedule (
age varies by state

of pregnant women who received
oral exam
treatment (EHS)

Overview of the Head Start

National Center on Health

Head Start National Center on Health

Awarded to the American Academy of Pediatrics

Partners include:

Georgetown University

Education Development Center

National Training Institute for Child
Care Consultants at UNC

Health Care Institute at UCLA


Improve the health outcomes of HS/EHS children

Head Start National Centers

Head Start National Center on Health


Provide evidence

and practice
based information
and materials to the Head Start community

Work collaboratively with leaders in the health, early
childhood and child care fields to improve the health
of HS/EHS children and their families

Work with national, state, and local organizations
and agencies to enhance the health care
infrastructure that impacts and serves HS/EHS
children and families

NCH Priority Health Issues

Healthy weight, nutrition, and physical activity

Developmental and behavioral health

Safety and Injury prevention

Health literacy

Oral health and dental homes

Asthma prevention with special emphasis on
tobacco exposure prevention

NCH Resource Materials Examples


Newsletter articles

Practice guides



Referenced fact sheets

Resource guides

Best practice approach
reports and promising
practice descriptions

Tools to assist in the
provision of T/TA

NCH Oral Health Project (NCH

Project leads:

Georgetown University’s National Maternal and Child Oral
Health Resource Center (OHRC)

The Association of State and Territorial Dental Directors


Disease Prevention and Management

Access to Care

Systems Integration

The American Dental Hygienists’
Association (ADHA)

is recognized
as an important National Center
on Health

Oral Health Project

OHP) partner.

What is the Role of the HS
DH Liaison?

Dental hygienists in every state are serving in a volunteer
role to:

Provide a
communication link
between NCH and
statewide oral health activities and programs


with the state partners including State
Dental Directors, HS State Collaboration Directors and
former DHI State Leads to address access to care issues

Assist in
increasing preventive and educational services

to Head Start statewide

Share resources
with HS and other partners to deliver
consistent messages on oral health

Responsibilities of the HS
DH Liaison

1. Self
Introduction to partner groups as a
point of contact

2. Make connections to support a HS and
oral health statewide network

3. Submit a quarterly report of activity and
collaboration to NCH


4. Stay informed through emails, webinars


Oral Health and Head Start

Head Start

directors, staff, and
parents report oral health issues as
one of their biggest challenges

Finding dentists

Following up on needed

Thank you

States A
M contact

Kathy Geurink RDH, MA, NCH
OHP Consultant


States N
Z contact

Michelle Landrum, R.D.H., M.Ed. Candidate, NCH
Consultant Email:

ADHA Project Contact

Daniel Zurawski,
Governmental Affairs Assistant