Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices.

Domestic violence and abuse (DVA) is a significant public health problem both globally and in the UK. Dental professionals are aptly place to detect the signs of DVA and support patients to disclose DVA. However, dental professionals may lack confidence to identify and refer patients experiencing DVA; training needs in these areas were identified in Staffordshire. Glow DVA charity and the local Dental Public Health teams worked collaboratively to develop DVA training and resources specific to the needs to the dental team; these were provided to participating dental practices in the North-Staffordshire region. Feedback from the training was positive and the training was refined to better meet the needs of the dental team.mKey challenges included obtaining dental team buy in, securing funding for the continuation of the initiative and minimising the disruption to the dental team when attending training sessions or when managing a DVA disclosure. The implementation of the training highlighted the importance of DVA champions within the third sector organisations to develop and evolve the project, within dental practices to support implementation, and within the local Dental Public Health team to facilitate dental team buy-in and sustained engagement. Future plans include developing the patient-facing resources, finding ways to formally accredit dental teams for taking part in the DVA programme, and evaluating the impact of the training programme on DVA screening, identification and referral.

West Midlands Care Home Dental Survey 2011: part 1. Results of questionnaire to care home managers.

AIM: To provide baseline data on dental issues affecting residents from the perspective of care home managers to inform oral health local needs assessments and commissioning decisions. METHODS: A pre-piloted postal questionnaire was sent to all identified managers of adult care homes (1,832) in the West Midlands between February and April 2011. Quantitative analysis was complemented by seeking the views of care home managers regarding training and experience of, and access to, dental services. RESULTS: The response rate to the study was 63.9% (1,170/1,832). There were 194 responding care homes who reported that residents had problems accessing dental services. Nearly double the proportion of nursing care homes and care homes with residents with elderly mental impairment (EMI) reported problems accessing dental services compared with care homes without nursing care and non-EMI care homes. Issues raised included patient safety concerns, reservations regarding expertise of dental staff, difficulties with transporting residents and waiting times for treatment. CONCLUSION: The survey provided a snapshot of dental issues as reported by care home managers, these results should help inform both the dental profession and those who commission services about issues affecting the oral health of patients living in care homes.

West Midlands Care Home Dental Survey 2011: part 2. Results of clinical survey of care home residents.

AIM: To determine the oral health status of a sample of care home residents and provide data to inform local needs assessments and commissioning decisions. METHODS: A stratified sampling methodology was used to sample care homes; residents were then selected at random and invited to participate. The survey consisted of a short questionnaire and a clinical examination; it attempted to capture data relating to current oral health status, treatment need and suitability for treatment. RESULTS: Of 1761 residents sampled, 848 residents (mean age: 80 years) were competent to and consented to participate in the survey. Of those who consented to a clinical examination, 56% were dentate and 43.6% edentate. Among dentate residents, there was a caries prevalence of 55.8%. Just over half of examined residents (52.7%) were thought to be in need of dental treatment, and potentially suitable to receive treatment. CONCLUSION: These findings document the current state of oral health of a sample of care home residents in the West Midlands and provide valuable data to help inform strategic commissioning decisions. The particular oral health needs of this population group must be considered.