Preliminary Results of an Interdisciplinary Behavioral Program to Improve Access to Preventative Dental Care for Adults With Intellectual and Developmental Disabilities

Author:

Berens John C.1,Tsami Loukia2,Lerman Dorothea C.2,Matteucci Marissa2,Fray David F.3,Warner Ben F.3,Keehan Laura A.4,Staggers Kristen A.4,Peacock Cynthia4

Affiliation:

1. John C. Berens, Baylor College of Medicine

2. Loukia Tsami, Dorothea C. Lerman, and Marissa Matteucci, University of Houston—Clear Lake

3. David F. Fray and Ben F. Warner, The University of Texas Health Science Center at Houston School of Dentistry

4. Laura A. Keehan, Kristen A. Staggers, and Cynthia Peacock, Baylor College of Medicine

Abstract

Abstract Adults with intellectual and developmental disabilities (AIDD) experience significant oral health disparities, partially due to perceived behavioral issues. This article describes the preliminary outcomes of a developing interdisciplinary (dental, medical, behavioral) program involving a behavioral intervention for AIDD previously receiving preventative dental care with sedation, general anesthesia, or protective stabilization (SAS). After a baseline assessment, a board-certified behavior analyst implemented increasingly complex behavioral interventions during simulated dental visits. Prior to COVID-19 pandemic-related restrictions, there were 32 active participants; 15 (46.9%) successfully completed a focused, real dental exam with simple behavioral interventions and 17 (53.1%) remain in treatment. These preliminary results suggest that many AIDD previously receiving SAS may participate in a preventative dental exam with minimal behavioral supports, if given the opportunity.

Publisher

American Association on Intellectual and Developmental Disabilities (AAIDD)

Subject

Psychiatry and Mental health,Community and Home Care,Developmental and Educational Psychology,Education,Pediatrics, Perinatology and Child Health

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