https://www.tchpp.org/news daily 0.75 2022-08-24 https://www.tchpp.org/news/rbwya4k9dsmnwf1cwvzn6jda8c6ztm monthly 0.5 2022-08-24 https://www.tchpp.org/news/0xr536tbnxoi5m39azugup9iddbx38 monthly 0.5 2022-08-24 https://www.tchpp.org/news/3advko1a37zbbkaswvs55rha86azqz monthly 0.5 2022-02-01 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/4a883c78-0da4-47f8-9a17-7d9bb518b019/IHS+CHAP.jpeg In the News | - Changing How Tribes Deliver Health Care, Using $7.7 million from IHS - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.tchpp.org/news/oral-health-suffers-during-covid-19-and-beyond-lets-learn-from-washington-tribes monthly 0.5 2021-03-18 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1611080679834-R6229G4UDD3FJ7T8LXW0/IMG_1448_edited.jpg In the News | - Oral health suffers during COVID-19, and beyond. Let’s learn from Washington tribes https://www.tchpp.org/news/dt-spotlight-jason-mecum monthly 0.5 2021-03-06 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614188149685-OASEJ115Z3YDPP2K8EMI/JM.jpg In the News | - DT Spotlight: Jason Mecum https://everychildthrives.com/dental-therapist-spotlight-jason-mecum/ https://www.tchpp.org/news/dt-spotlight-avena-finkbonner monthly 0.5 2021-03-06 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614188424203-47TI3NRDQSV0SW33VY0R/AF.jpg In the News | - DT Spotlight: Avena Finkbonner https://everychildthrives.com/dental-therapist-spotlight-avena-finkbonner/?fbclid=IwAR1KVRVP9kjB2EYNVJk3dogcy2B3gpbtYJt1SbMaMdTX1sazjwef12yuz3s https://www.tchpp.org/news/dt-provide-essential-care-during-covid-19 monthly 0.5 2021-03-06 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614188776817-GRYV3A4IFFUMPU92XN2U/DT.jpg In the News | - DT Provide Essential Care During COVID-19 https://dimensionsofdentalhygiene.com/dental-therapists-provide-essential-care-during-covid-19/ What can primary oral healthcare providers do to keep their communities healthy during a global pandemic? Dental therapists in Washington State tribal clinics are using several effective strategies and proving to be essential caregivers. While the effects of COVID-19 will be severe and long-lasting, the work of these dental therapists will help to mitigate the oral health consequences in their communities. Urgent Care Even during periods when dental offices and clinics were required to close, urgent care needs had to be addressed. In fact, continuing to care for urgent oral health needs has been critical to supporting the community’s health and keeping the treatment of toothaches out of hospital emergency departments. Fortunately for communities with dental therapists, these providers are trained to treat many dental emergencies—from restorations to pulpotomies to simple extractions. If prescriptions are needed, they can be provided remotely by a supervising dentist. At the Port Gamble S’Klallam Clinic in Kingston, Washington, the dental therapist was the only provider available to care for urgent dental needs. The clinic’s dentist, Eldon Bloch, DDS, stayed home as he is at increased risk for severe illness due to COVID-19, but remained available for general supervision, while Rochelle (Roz) Ferry, licensed dental therapist (LDT), provided urgent care. “Toothaches don’t stop for a pandemic,” Ferry says matter-of-factly. For procedures beyond her scope, Ferry was able to refer to an oral surgeon until her supervising dentist returned to work in the clinic. Bloch shares his gratitude, “Ferry has been a huge asset to this organization since day one, and I rely on her for many things. She always does excellent work and steps up to see patients even when conditions are not the best. I was thankful to be able to rely on her when COVID-19 struck and it was recommended that I stay home.” Figure 1. The staff of the Swinomish dental clinic in La Conner, Washington, which moved its provision of oral healthcare services outside during the global pandemic. Outdoor Services When looking at a variety of options to safely serve the community, some clinics have added outdoor operatories (tent plus a portable dental chair) to create a safer environment for patients and providers (Figure 1). The Swinomish clinic had been dividing its staff into two separate teams in case one team became sick. By adding the outdoor clinic space, both teams would be able to work every day while remaining separated, increasing both productivity and safety. Leah Thibert, RDH, who played a key role in initiating outdoor services for Swinomish, explains, “The tents ensure patient privacy while preventing prolonged contact within an enclosed area. And outside tents provide natural airflow proven effective in dissipating airborne viruses.” This clinic has strategically decided that it makes sense to have the simpler outdoor services provided by the clinic’s two dental therapists, freeing up the dentists to provide more complex procedures within the clinic’s walls. Outdoor dental services provided by dental therapists in Washington include many nonaerosolizing and minimally invasive procedures, such as dental exams (complete with X-rays taken using a handheld radiography device); application of silver diamine fluoride, fluoride varnish, and glass ionomer sealants; protective and atraumatic restorations; and silver modified atraumatic restorative treatment restorations. “We are able to provide the same quality of care at the same pace as we would inside,” says Sarah Chagnon, LDT. “Each provider has a patient scheduled every 30 minutes, and dental assistants are staffing the tents as well.” Chagnon adds, “We’ve had great feedback from the community, and the kiddos love it.” Asiah Gonzalez, LDT, agrees, “The patients love getting their care outdoors. Kids who might be apprehensive about coming into the clinic are excited to have dental appointments outside, and the environment just feels more fun. They’re not scared at all.” When asked how long they might continue the program, the consensus is that outdoor care is here to stay. “While we initially began offering this service as a response to COVID-19, it’s working out so well that I think we’ll be doing this every year.” ‘I went to school to help reduce the oral health disparities that have drastically impacted my community, and I’m humbled to have this opportunity to help my people. My ultimate goal is to stop the trend of only treating disease when someone is in pain, and, instead, provide a dental home to prevent the disease.’ Minimally Invasive Dentistry Chagnon and Gonzalez are not alone in their emphasis on minimally invasive dentistry. COVID-19 has highlighted the benefits of nonaerosolizing procedures, nearly all of which can be provided using minimally invasive techniques, which are within the scope of dental therapists. “We are emphasizing the use of minimally invasive and nonaerosolizing techniques in this era when aerosols are believed to carry higher risks,” says Sean Kelly, DDS, MSc, clinical consultant for the Northwest Tribal Dental Support Center at the Northwest Portland Area Indian Health Board. “It has been helpful that our area’s dental therapists are well-trained to perform these procedures. This allows patients to receive services that we know to be highly effective and are among the safest for our clinicians to provide.” Teledentistry COVID-19 provided a perfect opportunity for clinics to expand teledentistry, and services provided in this manner fall directly within the scope of dental therapists. In March when the Lummi dental clinic realized that in-person care posed new risks, its dentists quickly developed a robust teledentistry program that has since gained national attention.1 The program uses intraoral cameras and iPads with internet hotspots delivered to patients’ doorsteps at designated appointment times. The staff also brings along specialized care packages that can be delivered depending on the patient’s needs. The teledentistry was initially used to help only with urgent needs, but soon evolved to also provide preventive care and oral hygiene instruction. Jessica Dubek, DDS, director at the Lummi dental clinic, explains, “The entire team played a big role in teledentistry and the dental therapists have been a crucial part—everyone stepped up and worked together in order to continue providing care to the community. It was pretty incredible to witness!” With the clinic’s two dental therapists providing prevention and limited exams using teledentistry, in-person visits to the clinic are reduced and the dentists’ time is more efficiently utilized. Expanding Services While most dental clinics have reduced operations in response to the pandemic, one very rural Washington clinic has defied this norm, increasing its services from 1 day per week to 4 days per week. Arielle Cawston, LDT, a dental therapist for the Colville Tribe, explained that their satellite clinic previously could only be served by a provider 1 day per week when the dentist could visit from the main clinic located an hour away. Cawston had been working toward opening the satellite clinic more days when COVID-19 began spreading. “The virus definitely complicated our plans and we had to take extra time to revise our protocols, but we have a dedicated team and we are finding ways to safely make it work.” The growing backlog of needed care will require us to be innovative and continually evolve, finding the most effective means to improve health. Dental therapists in Washington State are working to do just that. Cawston further discusses why this expansion matters, ”I grew up with a health care system that failed rural reservations. This is my home. The patients are my family. I went to school to help reduce the oral health disparities that have drastically impacted my community, and I’m humbled to have this opportunity to help my people. My ultimate goal is to stop this trend of only treating disease when someone is in pain, and, instead, provide a dental home to prevent the disease.” Community Outreach To ensure community needs continue to be addressed, dental therapists have been bringing supplies and information to people where they are. These efforts include delivering oral care packages to homes, providing services at vaccine clinics and within elders’ facilities when safe, and creating oral health-focused content for social media. As established members of the communities, dental therapists are able to find the best ways to get supplies and message where they are needed most. COVID-19 Response As with all healthcare professionals, dental therapists and other dental staff have been tapped to join efforts specific to COVID-19. Dental therapists at various clinics are conducting COVID-19 testing, contact tracing, and patient communication surrounding these efforts. Different times call for different measures. Without a doubt, COVID-19 is reducing access to oral healthcare and widening health disparities nationwide. The growing backlog of needed care, especially in underserved communities, will require us to be innovative and continually evolve, finding the most effective means to improve health. Dental therapists in Washington State are working to do just that. Reference Dental Access Group. Lummi Tribal Health Clinic: Innovative Teledentistry and Access to Dental Care During COVID-19. Available at: communitycatalyst.org/ resources/ 2020-tools/ Lummi-teledentistry-model-QA.pdf. Accessed November 10, 2020. From Perspectives on the Midlevel Practitioner, a supplement to Dimensions of Dental Hygiene. 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Dental Therapists, or Dental Health Aide Therapists (DHATs), are primary oral health care providers that deliver routine and preventive care under the supervision of a dentist. . Dental therapists were first introduced to the United States over 15 years ago by a consortium of Alaska Native tribal health organizations. Thanks to their leadership and courage, over 40,000 Native Alaskans now have access to regular dental care for the first time. Dental therapists are community-based health providers that are recruited from their communities and go back to serve their communities. Dental therapists have a much smaller scope of practice than a dentist, including: Educating patients about oral health and prevention Performing dental evaluations Giving fluoride treatments Placing sealants Cleaning teeth Placing fillings Performing simple extractions Tribal communities have benefited from the reliable, culturally competent care dental therapists offer. Where dental therapists are practicing tribal communities see: Expanded access to consistent, routine, high-quality oral health care More AI/AN oral health care providers in professional wage jobs A more efficient and effective oral health team that brings care where it is needed most, inside and outside of the clinic Cost-effective solutions to clinics striving to maximize care on limited budgets Check out our compilation of recent dental therapy and oral health workforce literature here! Or take a look here if you also want Washington state-specific information! https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1635267515511-X6BKKG2V9P2K1X3V88E5/20211021_New+E-Learning+Course+Monitor+Graphic.png About Dental Therapy - Please find an online course with more information through the Arcora Foundation! Optimizing Dental Teams with Dental Therapists is for clinicians, administrators, and those who want a deeper dive into Dental Therapy! 3 CDE Credits Available https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1618420549600-24KAIIZ5OB8KZCGGE9GH/Untitled+design+%282%29.png https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/fb67c3b9-8ab9-4d3a-94a2-152421d5830f/DT.jpg https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/d3a6da9b-9c79-4cea-b88e-b2fbd11dd505/ADTANew.png https://www.tchpp.org/our-team daily 0.75 2025-03-05 https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614977963296-KR3IIOF6MYBC93YK9QJ3/CP Our Team | - Christina Friedt Peters // MJ Tribal Community Health Provider Program Director Email: cpeters@npaihb.org Graduated from the University of Washington with a B.A. in Economics and received a Masters in Jurisprudence from the University of Washington School of Law. As the project director, Christina and her team assist tribes in Oregon, Washington, and Idaho as they explore opportunities to tackle important social determinants of health such as educational attainment, financial security, and access to health while improving the system of health care through the implementation of the Community Health Aide Program. The TCHP Project focuses on breaking down barriers to education and care and dismantling the institutionalized and structural racism that denies health equity and educational attainment to tribal communities. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1611080679834-R6229G4UDD3FJ7T8LXW0/IMG_1448_edited.jpg Our Team | - Miranda Davis // DDS, MPH Dental Health Aide Program Director Email: mdavis@npaihb.org University of the Pacific Arthur A. Dugoni School of Dentistry; University of Washington School of Public Health; University of California, Los Angeles. Dr. Davis has provided clinical care with Tribes in the northwest for fifteen years, in addition to several years of private practice and international volunteer work. Dr. Davis is passionate about public health, disease prevention, and expanding access to high quality oral health care. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614978415848-KUQEASIBJ9J7QW5A1KWM/CSS Our Team | - Carrie Sampson Samuels Community Health Aide Program (CHAP) Project Director Email: csampsonsamuels@npaihb.org Confederated Tribes of the Umatilla Indian Reservation (CTUIR) Licensed Nursing Certificate 2004, Bachelor of Science in Health Sciences and Community Health Education from Portland State University in 2011, Healthcare Management Graduate Certificate from Oregon Health and Sciences and University (OHSU) in 2019. Carrie’s lifelong goal is to improve the quality of life and health outcomes for all Native people. She realizes that addressing the root of the problems is key and recognizes that the return of our traditional foods and ways of life are key to becoming healthier nations. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1614978236427-QDOJUWOWLO57FGMGSB07/TF Our Team | - Tanya Firemoon Tribal Community Health Provider Program Contractor Email: tfiremoon-contractor@npaihb.org (Nakoda) a member of the Fort Peck Indian Reservation in Montana. Tanya has been involved in the American Indian and Alaska Native (AI/AN) non-profit health arena focused on child welfare, children’s mental health, research, and public health for 20 years and supports capacity building and workforce development for local communities. Tanya continues to work with students throughout Indian Country obtaining post-secondary education relevant to their tribal communities, supports various advisory committees, student’s training opportunities, elder and culture keeper mentorship, and service provider certification board efforts. Her strengths are in advocacy work, streamlining culturally appropriate community-based events and relationship building. Pilamaya (Thank You). https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/996814ad-bb23-4e90-bb5c-52a2855256e4/Lisa+Griggs.jpg Our Team | - Lisa Griggs Tribal Community Health Provider Program Project Manager lgriggs@npaihb.org Lisa is a descendent of the Blackfeet Nation. She is the Tribal Community Health Provider Project (TCHP) Specialist at the Northwest Portland Area Indian Health Board. She has a Bachelor’s degree in Business Administration from Marylhurst University. She has been at the Board for 17 years. Starting with Project Red Talon (PRT) where they helped build capacity around STI/HIV testing. Also as the Program Ops Assistant working with legislative and policy staff for many years. For the past six years she was the Executive Coordinator at the Board. She is excited to continue her work here at the Board and expand my knowledge and skills to serve in a different capacity to our NW Tribes. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/94dfd248-9b21-45b8-92a6-8af98d5a1f5b/Jimerson+Profile+Speaker+copy.jpg Our Team | - Dolores Jimerson // LCSW, ADS Behavioral Health Education Director Email: djimerson@npaihb.org Seneca // Bear Clan Dolores is a licensed in both WY and OR as a clinical social worker (LCSW) and certified by the National Acupuncture Detoxification Association (NADA) as an acudetox specialist (ADS.) She is registered to train others in using the NADA protocol. She is an advocate of ‘nothing about us without us’ and the importance of growing our own to bring healing to tribal communities. Her passion for behavioral health comes from witnessing the impact of boarding schools and trauma on her own family. She has over three decades of experience in behavioral health, twenty with tribes. Her career includes inpatient psych, community mental health, state level behavioral health administration, university instructor, tribal children’s mental health, CEO of a FQHC in frontier Wyoming, Quileute Tribal Health Director, and serving nationally when with NICWA as Director of Community Development. Dolores served on national level boards and Governors’ advisory councils in both WY & OR. Some of her more rewarding experiences included indigenizing therapy with those she served, becoming an acudetox provider, creating integrated care programs and witnessing children grow into thriving adults thanks in part to culturally resonant prevention. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/fc3a7b13-c8a2-4c7b-b5b3-61c1dc0f3191/Katie-4.jpg Our Team | - Katie Hunsberger // MPP BHA Program Manager Email: khunsberger@npaihb.org Fort McDowell Yavapai Nation Bachelor of Science in Communications with a minor in Political Science at Elmhurst University; Master’s degree in Public Policy at Loyola University Chicago; Certificate in Native American studies at Washington State University. Katie (she/her) is an advocate, empath, and the Student Support Coordinator for the BHA Education Program. She works closely with Native adults and youth interested in pursuing behavioral health in Tribal communities to provide holistic, culturally-specific, and trauma-informed care. She is also currently working on receiving her Doctoral degree in Educational Leadership with a specialization in Postsecondary Education at Portland State University. Katie aims to help Native students find educational pathways that are accessible, supported, eye-opening, and life-changing. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/a850d25c-802d-423e-b464-6f6e298da570/Sjones.jpg Our Team | - Sasha Jones CHAP Program Manager Email: sjones@npaihb.org Newe-Numu People // Shoshone-Paiute am honored to serve the tribes of the Northwest and be a part of the NPAIHB organization. I’ve worked in tribal health care for the past 10 years. I worked as a grant coordinator for the past 6 years, while obtaining a bachelor's degree in Social Work from the University of Nevada Reno. While working in the public health field, I was inspired to continue my education. I am currently pursuing a Master’s degree in Public Health from the University of Nevada Reno. I am passionate about being of service to indigenous communities and improving the health and wellness of indigenous people. I am also a certified lifestyle coach and hold a paraprofessional level I and level II with the American Association of Diabetes Educators. I have three children, and a spouse of 17 years. I love to garden, sew, read, hike, travel, and practice traditional crafts in my spare time. I look forward to serving the NPAIHB organization and those that benefit from all the great work being done. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/a19d8e47-e920-4608-90fb-7462ceefe1e3/Pamela+Ready.jpeg Our Team | - Pamela Ready // RDH, BSDH, MSDH © DHA Education Manager Email: pready@npaihb.org Puyallup Tribe of Indians Pamela has been a clinical dental hygienist for 18 years as well as a dental hygiene professor, and will graduated from EWU with her Masters in Science in Dental Hygiene in May 2022. Pamela’s focus and passion are recognizing the origin of oral health disparities for Indigenous people and providing pathways to overcome and heal. Pamela’s work involves developing educational programs for Indigenous people to become dental healthcare providers in tribal communities- delivering culturally-specific, trauma-informed & holistic oral health care in the community, and to represent the Tribal community in the Dental field . https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/0b1733b3-84c5-426e-ad47-4ee9182a1442/Headshot+1.jpg Our Team | - Kari Ann Kuntzelman Dental Health Aide Education Specialist Email: kkuntzelman@npaihb.org Chickasaw Nation Kari Ann graduated from the Alaska Dental Therapy Education Program earning an Associates of Applied Science focusing on Dental Health Aide Therapy in 2019. Kari is a Dental Health Aide Therapist and now the Dental Health Aide Education Specialist with the Tribal Community Health Provider Project. Kari hopes to inspire others to become interested in Dental Therapy and to represent the tribal community in the Dental field. She is very passionate about Minimally Invasive Dentistry as it uses evidence based research to practice good dentistry. https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/f979fee5-6257-44f0-ab24-be5b2d5a3fb5/MRT+%281%29.jpg Our Team | - MorningRose Louie TCHP Education Data Coordinator Email: mlouie@npaihb.org Assiniboine-Sioux/Washoe-Paiute Han Mitakuyepi! My name is MorningRose Louie and I am an enrolled member of the Assiniboine/Dakota Sioux Tribes of Fort Peck, Montana, and a descendant of the Washoe/Paiute tribes of Nevada. I’m 26 years old and currently reside in Pocatello, Idaho with my fiancé and 2 dogs. I earned my BA in Community Health Sciences Public Health while playing Division 1 Women's Basketball at the University of Nevada-Reno. I’m passionate about giving back to Indigenous communities and my previous work includes leading disease prevention and health and wellness workshops, basketball camps, and motivational speeches for tribal youth. In my free time, I love to fancy dance at powwows, play rez ball, watch my fiancé relay race, and travel around the world with my family and fur babies. I’m grateful to work with the TCHPP team and work with so many great leaders and continue helping our tribal communities. Pidamaya! https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/c242952c-1f5c-468e-98db-79827a8146b4/Screenshot+2024-08-06+at+10.30.42%E2%80%AFAM+copy.png Our Team | - Stephannie Christian TCHP Education Program Director Email: schristian@npaihb.org Stephannie Christian graduated from Stanford University as a Physician Associate in 2006. She has 15 years of experience working with the Community Health Aide Program in Fairbanks Alaska as the Regional Instructor and sight Supervisor. She moved to Oregon in 2020 and started working for the NPAIHB in 2023. 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https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847804541-MEVZ4A9R9Z2MI20SI2ST/image-asset.jpeg https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1589847889805-4CSH3WF032AT36JZO1XE/image-asset.jpeg https://www.tchpp.org/aboutpaccb daily 0.75 2024-12-05 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618511387030-5LI1E5QMVTQ2RY9S00A4/20140228_Trade+151_0046+1.jpg About PACCB https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618511440608-5BVMHVN4WR2I9YQV1WWR/Aro+Ha_0010+1.jpg About PACCB https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618511467879-K5J9BYNACHJVDV3BNSFU/Aro+Ha_0387+1.jpg About PACCB https://images.squarespace-cdn.com/content/v1/5f91ea0fe9c9a7197e8114bc/1639502575199-MT2OKPU3HFJ30N67TWAQ/unsplash-image-6cjDbyYCOgI.jpg About PACCB 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