1. EFFECTIVE PARTNERSHIPS GUIDE: FQHCs and MSHS Programs Working Together to Improve the Oral Health of Migrant and Seasonal Head Start Children and their Families Jay Anderson, DMD October 26, 2011

2. I. INTRODUCTION
Migrant and Season Head Start Programs, Children and Families
History
The Health Center Program
How to Use This Guide

3. Overview 1 Overview of Migrant & Seasonal Head Start 2
Oral Health for Migrant Children 2
Strategies that are specifically designed
to address the oral health needs
and challenges of MSHS children 3
Contact Information 4

4. II. ABOUT HEAD START The Head Start Model of Comprehensive Services
What are Head Start Performance Standards?
HS Performance Standard:
§ Early Childhood Development & Health Services
Early Periodic Screening, Diagnosis and Treatment (EPSDT)
Dental Periodicity Schedules
The Dental Home
Program Information Report (PIR)

5. MSHS
The Migrant Seasonal Head Start (MSHS) program is one of the largest community based service providers in the nation, providing a wide range of services to more than 35,657 migrant and seasonal children, ages birth to compulsory school age, and their families each year. The MSHS program provides education and support services to low-income children of migrant and seasonal farm workers and their families.
Income below federal poverty guidelines
Birth to compulsory school Age
The entire family must have moved within the last 24 months in search of agricultural work
51% of income from agriculture within the last 12 months-families must meet this requirement each year

6. There were three distinct streams that migrant farm workers follow each year.
Eastern Stream: Begin in Florida and travel up to Ohio, New York and Maine.
Midwestern Stream: Begin in southern Texas and branch off through every Midwestern state. This stream is the most divergent, with some workers ending up in Washington state or Florida.
Western Stream: Begin in southern California and hug the coast to Washington state, or head northeast from central California to North Dakota.
Programs designed to be flexible based on crops and growing season.
Programs run 8-10 hrs. a day, 5 days a week and when needed open on Saturdays during the pick of the harvesting season
Open during extended summer months or year round if agricultural work is available in a given area
Family PROFIE:
Families move from one community to another in search of agricultural work
More than half of the families income comes from agricultural work
Primarily Spanish speaking, also families speaking indigenous dialects from Mexico such as Mixteco, Triqui and Zapoteco
75% of the families are a two parent family
Migratory Patterns

7. MOU between HRSA & OHS
to coordinate resources and align policies at the national level
to express the commitment of the HRSA’s Migrant Health Center Program and OHS’s Migrant and Seasonal Head Start Program
to foster strong working relationships at the national and local level for assuring access to quality, culturally competent comprehensive primary health care services in each State where programs exist.
to support the development and strengthening of linkages between their programs at the local level.

8. MSHS & HRSA GeoMap
Dr. Jay R. Anderson

9. III. ORAL HEALTH Importance of Oral Health Dental Caries “Tooth Decay”
What You Should Know About Dental Disease

10. IV. EDUCATION PROGRAMS What Program Staff Should Know
Anticipatory Guidance for Parents and Caregivers
Classroom Activities for MSHS Children
Examples:
Cavity Free Kids
Bright Smiles
Other Oral Health Education Programs

11. V. DENTAL CARE The Dental Home Comprehensive Care
Dental Caries Risk Assessment
Oral Assessment
The Dental Screening
The Dental Examination
Treatment Planning
Preventing and Managing Dental Disease
Completing Treatment Plans
Evaluation and Quality Measurement

12. VI. FINANCING DENTAL CARE SERVICES
Optimizing Medicaid and Children’s Health Insurance Program Funding
Contracting with Federally Qualified Health Centers
Partnering with Community Dental Practices

13. VII. PLANNING AHEAD Initial Contact Meeting
Why an initial contact meeting?
What are the goals?
When should an initial meeting take place?
Who should attend?
What information should be shared and discussed?

14. VII. PLANNING AHEAD First Planning Meeting Purpose of the Meeting
Who should attend?
Creating a Mutual Plan
Scheduling Future Meetings and Activities

15. VII. PLANNING AHEAD
Subsequent Planning Meetings [Pre-Service Delivery]
Ongoing Planning
Agenda Items for Consideration

16. VII. PLANNING AHEAD Post-Service Delivery Meeting
Assessing Processes and Outcomes
Opportunities to Improve
Celebration and Planning Next Cycle
Resources and Tools

17. VIII. OTHER CONSIDERATIONS
Barriers to Implementation
Misunderstanding Regarding Roles, Responsibilities, and Resources
Service Demands that Exceed Capacity
Lack of Coordination

18. VIII. OTHER CONSIDERATIONS
Keys to Success
Early Planning
Accountability
Responsiveness to Needs of MSHS Children
Programmatic and Financial Resources
Best Practices

19. GLOSSARY
X INDEX

20. Contact Information
FRANK MAZZEO
Region XII Regional Oral Health Consultant, and
President/Chief Dental Officer
Family Health Centers of S.W. Florida
JAY R. ANDERSON, DMD, MHSA
Director Practice Improvement, DentaQuest Institute
FRANCISCO J. RAMOS-GOMEZ, DDS, MS, MPH
UCLA School of Dentistry