Oral Health Initiative takes big leap forward in LAUSD schools
The L.A. Trust Oral Health Program Manager Nancy Ripoly at Willow Elementary School with kindergartners.
At the onset of the 2023/24 school year, The Los Angeles Trust for Children's Health (The L.A. Trust) witnessed a remarkable surge in the number of kindergarten students receiving oral health screenings with one school alone accommodating 94 screenings in a single day. This is in stark contrast to the previous average of only 35 across select schools within L.A. Unified (LAUSD).
The increase in screenings is being attributed to the change from opt-in consent forms to opt-out forms. With the implementation of opt-out screenings, all students are included by default unless parents specifically decline participation. The new forms eliminated the need for individual parental signatures and streamlined the process. Opt-out consent represents a significant departure from traditional consent-based systems.
The change underscores the efficacy of opt-out screenings in reaching a larger portion of the student population and ensuring more children receive essential dental care. The new approach resulted in a significant increase in the number of students receiving dental screenings, with only a fraction of parents opting out compared to the previous consent-based model.
The idea of providing dental screening at school is part of a groundbreaking Oral Health Initiative led by The L.A. Trust with the Oral Health Advisory Board, a group of public healthcare leaders and private providers. The initiative aims to enhance children's oral health throughout Los Angeles County.
Dental screening of a kindergartner student
“We’ve been advocating for this change for years and we are excited about what this means moving forward,” said Maryjane Puffer, Executive Director of The L.A. Trust. “The success of opt-out screenings extends beyond mere numbers; it represents a significant milestone in the broader effort to enhance children's oral health across Los Angeles County.”
LAUSD provided essential data to support the transition to opt-out screenings, further solidifying the collaborative effort behind this initiative. With improved data collection facilitated by onsite screenings, officials can now better measure the effectiveness of oral health prevention and intervention programs, paving the way for more targeted initiatives in the future.
The implementation of opt-out screenings aligns with the broader legislative efforts to address oral health disparities in California. Assembly Bill 1433, enacted in 2005, laid the groundwork for the Kindergarten Oral Health Assessment, which aims to mitigate tooth decay among young children. The subsequent amendment through Senate Bill 379 in 2018, allowed for onsite screenings with an opt-out consent option. This marked a significant stride towards achieving this goal. Since then, The L.A. Trust and its partners have been working with state, county and local health officials on creating and implementing a system of excellent oral care for students that is transparent, accountable, and able to track results.
The urgency of addressing oral health disparities in Los Angeles County cannot be overstated. Surveys have revealed alarming rates of tooth decay among kindergarten students, highlighting the critical need for early intervention and preventive measures. By providing accessible dental screenings in schools, particularly to children at greatest risk, Los Angeles County is taking proactive steps towards ensuring every child receives the necessary dental care for a healthy smile and a brighter future.
This endeavor was made possible with a grant from the Los Angeles County Department of Public Health Oral Health Program (LACDPH), which aims to provide oral health screenings, preventive care, and treatment to 77 schools across the county. This ambitious initiative has the potential to impact thousands by ensuring access to essential dental services for children in need.
The transition to opt-out dental screenings represents a paradigm shift in children's oral health initiatives in Los Angeles County. Through collaborative efforts and innovative approaches, The L.A. Trust and its partners are paving the way for a healthier, happier future for the county's youngest residents. With continued commitment and investment in preventive measures, we can strive towards a community where every child can smile with confidence.
A special Thank You to the LAUSD team for their advocacy and persistence:
Smita Malhotra, MD
Chief Medical Director
Dr. Ron Tanimura
Director of Student Health Services
Dr. Kevon Tucker-Seeley
Director, Data Privacy, Analysis, & Reporting Branch