Making Equity a Reality Oral Health Promotion in a Psychiatric Setting

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Making Equity a Reality: Oral Health Promotion in a Psychiatric Setting Lynch, Una (u.lynch@qub.ac.uk) Lazenbatt, Anne (a.lazenbatt@qub.ac.uk) Freeman, Ruth Lynch, Gerry O’Neill, Eileen

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Aim To address the inequity in oral health status of long stay psychiatric patients, by promoting an inter-disciplinary team approach to oral health promotion.

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Cross Sectional Survey Oral Health Assessment Guide (OHAG) 65 Patients resident in four long stay wards of a regional psychiatric hospital.

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Background Oral health Equity Oral Health Assessment Guide (OHAG)

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Oral Health Health and Well Being Hospitalised Psychiatric Patients Oral health and Nursing

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Equity and Health Governance WHO National Northern Ireland

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Sen, A 1995, p.28 “The extent of real inequality of opportunities that people face cannot be readily deduced from the magnitude of inequality of incomes, since what we can or cannot do, can or cannot achieve, do not depend just on our incomes but also on the variety of physical and social characteristics that affect our lives and make us what we are.”

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In Practice Needs assessment Evidence based practice Team work

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Oral Health Assessment Guide (OHAG) Part One Demographic and lifestyle data Part Two 14 categories revised version of OHAG (Eilers et. Al, 1988) (Sjorgen & Nordstrom, 2000)

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Study Population

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The Study Population 41 patients (82% response rate) Mean length of stay 25.6 years Mean age 59.7 years (+ 19.7 years) 83 % of patients were diagnosed as having schizophrenia or paranoid schizophrenia

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Endentate population

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Prevalence of dental decay

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Health Promoting Behaviour Tooth- brushes Smoking Sugar ?

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Case Study: John 40 year old man Schizophrenia In hospital 15 years Chlorpromazine 200mg BD 20+ cigarettes per day Six cups of coffee Endentulous No toothbrush Seen by dentist > 5 years

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The roads to unfreedom are many. Signposts on one of them bear the inscription Health for All Skrabanek, 1994 Food Alcohol Exercise Sex Cigarettes

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