Why is providing dental care to people with mental retardation and other developmental disabilities such a low priority?

Hb, Waldman; Perlman, Steven P.

doi:10.1016/s0033-3549(04)50183-8

Cited by 33 publications

(28 citation statements)

References 5 publications

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“…The Commission on Dental Accreditation set standards that prepare the next generations of dental professionals to care for people with limitations that extend beyond the known description of a medically compromised patient [14]. The Commission states that "Graduates must be competent in assessing the treatment needs of patients with special needs" [15].…”

Section: Discussionmentioning

confidence: 99%

Dentists' Perception of the Care of Patients with Special Health CareNeeds in Jeddah, Saudi Arabia

Alamoudi¹,

Almushayt²,

Derwi³

et al. 2017

J Oral Hyg Health

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Section: Discussionmentioning

confidence: 99%

Dentists' Perception of the Care of Patients with Special Health CareNeeds in Jeddah, Saudi Arabia

Alamoudi¹,

Almushayt²,

Derwi³

et al. 2017

J Oral Hyg Health

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“…Unfortunately, when priorities for overcoming these obstacles are identified, dental care is often overlooked because of more pressing needs (Waldman & Perlman, 2002). Given that ID is one of the most common DDs, affecting approximately 1%-2% of school-aged children, attention is needed to better understand the frequency and correlates of dental care within this population as they develop into young adults.…”

Section: Discussionmentioning

confidence: 99%

“…Although recent advances in medical care have contributed to a substantial increase in the life expectancy of individuals with ID (Bittles et al, 2002;Janicki, Dalton, Henderson, & Davidson, 1999), dental care remains an unmet need (Waldman & Perlman, 2002). A recently published systematic review of studies confirmed the existence of gaps in dental care among people with ID within different age groups (Anders & Davis, 2010).…”

Section: Introductionmentioning

confidence: 99%

Dental care among young adults with intellectual disability

Kancherla

Braun

Yeargin‐Allsopp

2013

Research in Developmental Disabilities

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Dental care among young adults with intellectual disability (ID) is poorly documented and largely unmet. By using population-based data from the Metropolitan Atlanta Developmental Disabilities Follow-Up Study, we assessed factors associated with at least one or two dental visits per year among young adults with and without ID. Significantly fewer young adults with ID (45%) visited a dentist at least once per year, compared with those without ID (58%). ID severity and the presence of co-occurring developmental disabilities predicted dental care use. Sociodemographics, daily functioning, societal participation, dental services, and dental health factors were examined as predictors of dental care frequency. Our findings can help focus efforts toward improving the frequency of dental care visits among young adults with ID.

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“…Another study reported that cost of care in the United Kingdom is greater in community residences than in institutional care and demonstrated that the amount of attention given to residents in Welsh group homes was associated with the operational arrangements of the homes as well as on staffing ratios [Felce et al, 2003]. Economic data were used to argue for increased reimbursements to dentists for dental care of persons with ID [Waldman and Perlman, 2002]. Heyman et al [2004] used complexity science to examine the phenomenon of providing complex health care for persons with ID in the United Kingdom.…”

Section: Economic Studiesmentioning

confidence: 99%

A cascade of disparities: Health and health care access for people with intellectual disabilities

Krahn

Hammond

Turner

2006

Ment. Retard. Dev. Disabil. Res. Rev.

626

539

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People with ID represent approximately 2% of the population and, as a group, experience poorer health than the general population. This article presents recent conceptualizations that begin to disentangle health from disability, summarizes the literature from 1999 to 2005 in terms of the cascade of disparities, reviews intervention issues and promising practices, and provides recommendations for future action and research. The reconceptualization of health and disability examines health disparity in terms of the determinants of health (genetic, social circumstances, environment, individual behaviors, health care access) and types of health conditions (associated, comorbid, secondary). The literature is summarized in terms of a cascade of disparities experienced by people with ID, including a higher prevalence of adverse conditions, inadequate attention to care needs, inadequate focus on health promotion, and inadequate access to quality health care services. Promising practices are reviewed from the perspective of persons with ID, providers of care and services, and policies that influence systems of care. Recommendations across multiple countries and organizations are synthesized as guidelines to direct future action. They call for promoting principles of early identification, inclusion, and self-determination of people with ID; reducing the occurrence and impact of associated, comorbid, and secondary conditions; empowering caregivers and family members; promoting healthy behaviors in people with ID; and ensuring equitable access to quality health care by people with ID. Their broadscale implementations would begin to reduce the health disparity experienced by people with ID.

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Why is providing dental care to people with mental retardation and other developmental disabilities such a low priority?

Abstract: I]n 1957 . . . a course of study in dental care for handicapped children was relatively new to the dental school curriculum . . . . [I]t was not considered an essential part of the dental school curriculum even as recently as the early 1970s . . . .

Cited by 33 publications

References 5 publications

Dentists' Perception of the Care of Patients with Special Health CareNeeds in Jeddah, Saudi Arabia

Dentists' Perception of the Care of Patients with Special Health CareNeeds in Jeddah, Saudi Arabia

Dental care among young adults with intellectual disability

A cascade of disparities: Health and health care access for people with intellectual disabilities

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