MCHbest. NPM 13.2: Preventive Dental Visit: Childhood
Strategy. School/Preschool Interventions: School-Based Dental Services/Head Start Participation
Approach. Increase oral health referrals among children and youth through School Based Health Centers (SBHCs).
Overview. Participants in Head Start had significantly higher average number of preventive dental visits than non-Head Start participants. There is also evidence showing effectiveness for school-based dental services such as screening and referral improving receipt of past year preventive dental visit for children.1
Evidence. Moderate Evidence. School/preschool interventions appear to be effective. Access the peer-reviewed evidence about school or preschool interventions from the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. School.
Outcome. Percent of infants and children ages 1 to 17 with a past-year preventive dental visit. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 11 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Increase oral health referrals among children and youth through School Based Health Centers (SBHCs),” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Martin AB, Hardin JW, Veschusio C, Kirby HA. Differences in dental service utilization by rural children with and without participation in Head Start. Pediatr Dent. 2012;34(5):107-111.