The L.A. Trust for Children s Health: Creating Healthy Environments that Support Learning Families in Schools (FIS) Alliance 2016 Summit Maryjane Puffer BSN, MPA Executive Director
Who is The L.A. Trust? L.A. TRUST FOR CHILDREN S HEALTH Bringing vital health resources & solutions to the students, families, & communities of Los Angeles since 1991 STUDENT HEALTH = STUDENT SUCCESS Mission: To increase student health & readiness to learn through access, advocacy and programs.
Who is LAUSD? LAUSD STUDENT POPULATION Over 640,000 students 1081 schools 2 nd Largest School District in U.S.A. Uninsured Medi-Cal Free/Reduced lunch Minority 27 49% 76% 90%
MAP OF LAUSD WELLNESS NEED INDEX
WHY WELLNESS? The trend to moving upstream
WHO ARE WE SERVING? Community School staff Families LAUSD Students
Enter the Wellness Networks WHERE ARE THE WELLNESS CENTERS? ESC-N Monroe High School (1) ESC-W Hollywood High School (2) ESC-W Crenshaw High School (3) ESC-E Belmont High School (4) ESC-E Garfield High School (5) ESC-E Jefferson High School (6) ESC-S Gage Middle School (7) ESC-S Fremont High School (8) ESC-S Jordan High School (9) ESC-S Locke Early Ed Center (10) ESC-W Manual Art High School (11) ESC-W Washington Prep (12) ESC-S Elizabeth Learning Center (13) ESC-S Carson High School (14) 1 2 3 4 11 6 8 7 12 9 10 14 13 5
WHAT DO WELLNESS CENTERS LOOK LIKE?
HOW L.A. TRUST SUPPORTS WELLNESS CENTERS Testing new technologies Supporting Wellness Coordinating Council Strengthening policy advocacy Expanding oral health initiative Promoting Early Childhood Linkage to Wellness
THE L.A. TRUST -- 3 STRATEGIC GOALS 1) Integrated Wellness 2) Policy/Advocacy 3) Backbone Support
Integrated Wellness INTEGRATED WELLNESS Facilitate delivery of physical, dental, and behavior wellness services 14 sites have primary care and mental health and 6 have dental services New sites coming Every child has access to coverage in California
WHAT PARENTS NEED TO KNOW ABOUT WELLNESS 1. Every child has access to coverage in California 2. Health is linked to success in school 3. Children can be served at Wellness Centers but parents must consent and sign up at the site 4. Our kids need care 70% of LAUSD students fail the fitnessgram 1/10 have asthma ¼ will have an STD 70% have trauma and could use counseling and support
ORAL HEALTH INITIATIVE The L.A. Trust is committed to develop & expand a comprehensive oral health care program for LAUSD students K - 8. The L.A. Trust Strategic Plan, Section II
BY 3 RD GRADE, TOOTH DECAY AFFECTS 71% OF STUDENTS Tooth decay is the single most common chronic childhood disease 5x asthma 4x early-childhood obesity 20x diabetes Children cannot eat, speak, and sleep normally when they are in pain from untreated dental disease. As a result, a child's ability to concentrate and do well in school suffers. 1 in 3 school absences is dental related For LAUSD students that averages to 2.2 missed days of school each year 650,000 students x 2.2 days 1,430,000 missed days due to dental illness each year OVER $63 million lost to the district
Linking! Schools!to! Restorative!Care Universal Screening!&! Preventive!Care!on!School! Campuses!Including!Fluoride Varnish!&!Sealants Community?wide!Oral!Health!Education! Including!Brushing/Flossing Methods,! Tooth!Healthy!Foods,!Fluoridated!Water!for! Cooking!and!Drinking,!Anti?Tobacco!Campaign!
OVERALL SCREENING RESULTS Emergent Disease 5% Gingivitis and Periodontal Disease 40% visible gingivitis (83% among adolescents) 34% adolescents report gum bleeding with tooth brushing or flossing Visible Decay 31% No Active Disease 33% Early Reversible Disease 31% Emergent Findings 99 Abscesses (36%) 82 Severe decay (30%) 25 Other infections (15%) 17 Pain (6%) 14 Broken teeth (5%) 41 Other (15%) 16
ORAL HEALTH REPORT CARD NEVIN ELEMENTARY Nevin E.S. Oral health Report Card PRINCIPAL: DR. DENISE PRATT Total number of children screened 336 New participants/repeat participants 202 / 134 Had not been to a dentist in last 6 months 35% Drank fluoridated water in last 7 days 27% Drank soda in last 7 days 51% Drank sugar-sweetened beverage in last 7 days 89% Abnormal exam 81% Caries experience 79% Reversible dental disease 21% Visible decay 30% Needed emergent dental care 5% (17) Potential school days saved 706 17
ANNUAL DISTRICT-WIDE! WHAT ARE CAVITIES?: Carbohydrates from sugar and starch plus the bacteria in your mouth creates acid in your teeth. Over time this acid eats away at your teeth, forming holes known as cavities.! EAT WELL: Eating healthy foods like fruits, vegetables, lean proteins and fluoridated tap water keeps your teeth and body strong and healthy. Sugary and starchy foods promote bacteria that cause cavities, plaque and gum disease. ORAL HEALTH POSTER CONTEST THE L.A. TRUST 2016 Oral Health Poster Contest FACTS/TIPS Build your poster around ONE of these EIGHT ideas. Once you pick one, use at least some of these words and ideas to get your point across:! NO MORE DENTAL DISEASE: Tooth decay is the most common chronic disease among American children. You can prevent tooth decay by following a daily oral health routine. Always brush your teeth two times a day for two minutes, floss between your teeth daily and see a dentist two times per year.! STAY FLOSSING!: Flossing is an essential part of taking care of your teeth and gums. Brushing your teeth without flossing is like only washing 70% of your body. To remove plaque and prevent gum disease, floss every day.! DRINK THE FROM THE SINK: Our community water contains optimally adjusted levels of fluoride, a mineral which occurs naturally in all water supplies. Fluoride is effective in reducing tooth decay so make sure to drink and cook with tap water from the sink or from water fountains.! DEVELOP A PARTNERSHIP: See your dentist twice a year. Regular dental visits will help you keep your teeth healthy and strong.! YOUR MOUTH IS THE GATEWAY TO YOUR BODY: The state of your oral health can be a window into your overall health. There are many ways your overall health is related to the health of your mouth, teeth and gums including heart disease, endocarditis, diabetes and others.! DON T USE TOBACCO Smoking significantly impacts oral health. Smoking cigarettes or using smokeless tobacco products increases the risk of oral and throat cancer; gum disease; bad breath; tooth discoloration; and so many more health problems. Smokers are three times more likely than non-smokers to lose all their teeth!
TheL.A. Trust ORAL HEALTH INITIATIVE
Early Childhood Linkages to Wellness Ezequiel De La Torre Supervisor Early Childhood Linkages to Wellness
*ECLW Program Outcomes
*ECLW Program Outcomes
*Developmental Screenings
STUDENT ENGAGEMENT To Improve student health and increase the ability to learn Excerpt of The L.A. Trust mission statement
YOUTH 2 YOUTH CONFERENCE Fall and Spring, held in Northern and Southern California 100 + Total Youth Attend from 14 Wellness Center Sites Adolescent health topics & leadership skills Learn about health related careers from professionals in various fields: family medicine, social work, psychology, etc
THE L.A. TRUST ADVISORY BOARD (YAB) 2-3 L.A. Trust YAB recruited from each Wellness Center Site Attend conferences, leadership development, network with health professionals, health advocacy/legislative visits, input on grants, Serve as ambassadors for their Wellness Center & overall voice for students
YOUR HEALTH MATTERS Drink more water...use a Brita filter or drink tap water Eat more fresh fruits and veggies Move 30 minutes/day Enroll in health care through your school or through the CHAMP office Call: Encourage your teens to use health and counseling available to them at school
THANK YOU
QUESTIONS? Thank You. Maryjane Puffer Executive Director The L.A. Trust for Children s Health maryjane@thelatrust.org