Collaborative Care Dental Hygiene: Characterizing The Need In Arkansas

Transcription

Collaborative Care Dental Hygiene:Characterizing the Need In ArkansasAct 89, passed by the Arkansas General Assembly in 2011, gave the ArkansasBoard of Health the authority to promulgate rules and regulations pertaining todental hygienists working under collaborative care permits with licensed dentistsfor the purpose of expanding dental services to underserved areas of the state.Those rules were established in June 2014, including the following key provisions:1) Collaborative agreements are written agreements between licensed dentistsand licensed dental hygienists. Under this agreement, the dental hygienist canprovide prophylaxis, fluoride treatments, sealants, dental hygiene instruction,and assessment of a patient’s need for further dental treatment. Such servicesmust be provided in a public setting but can be provided without thesupervision or presence of the dentist or the prior examination of the patient bythe dentist.2) Public settings are defined as: adult long-term care facilities; charitablehealth clinics; community health centers, county jails, facilities servingdevelopmentally disabled persons; Head Start programs; local health units;school in rural counties; and state correctional institutions. Services may also beprovided in the homes of homebound patients who qualify for in-home medicalassistance.3) Consulting dentists and collaborative care dental hygienists must consult withthe Office of Oral Health in the Arkansas Department of Health for permission topractice collaborative care. That permission must be confirmed annually.4) The Office of Oral Health is required to develop and maintain a list ofcommunities and/or rural areas prioritized as to need for dental services, so thatcollaborative services can be directed to those areas in greatest need.Prioritization is based on access to care and limited to public settings (i.e., thosesettings itemized above). Schools are to be prioritized according to two factors:a low full-time dentist to population ratio and the percentage of studentsparticipating in the federal school lunch program (i.e., free and reduced meal

program) of the school or school district. Six tiers are specified, ranging from 50%of students receiving free and reduced lunches to 90% of students receiving freeor reduced lunches. No school in a tier can be deemed eligible for services untilall schools in higher tiers have received or declined services.This report classifies schools into the six tiers as specified by the Rules and by theratio of full-time dentists to population in the county served by the school. Dataare presented in both tabular and graphic form.Methods and Data SourcesData were derived from two sources. First, data regarding the dentist-topopulation ratio in each county were obtained from the Arkansas Departmentof Health’s 2012 Workforce Report. Second, data regarding the percentage ofstudents receiving free or reduced lunches in each school for the 2013-2014school year were obtained from the Arkansas Department of Education’swebsite. The physical address of each school was also obtained from thatwebsite, so that schools could be mapped accurately.Because the rules and regulations speak specifically to the provision of dentalsealants and fluoride treatments, and with the approval of the Office of OralHealth, schools were limited to those serving students in the 2nd through 6thgrades.A database was created including the school’s name, city, county, dentist-topopulation ratio, percentage of students receiving free/reduced price lunches,tier designation [levels 1 (highest) through 6 (lowest)], and ratio level [levels 1(highest) through 5 (lowest)]. The database can be sorted to facilitate futureprioritization, should rules or guidance change.Tables have been produced to characterize schools by tier designation andratio level. In addition, maps have been produced for each tier to depict thelocation of schools within counties, which are color-coded according to ratiolevel.

MapsTier 1: Schools with 90% or more of students receiving free/reduced price lunchesTier 2: Schools with 75% or more of students receiving free/reduced price lunchesTier 3: Schools with 70% or more of students receiving free/reduced price lunchesTier 4: Schools with 60% or more of students receiving free/reduced price lunchesTier 5: Schools with 50% or more of students receiving free/reduced price lunchesTier 6: Schools with less than 50% of students receiving free/reduced price lunchesInterpreting the tables: Within each table, schools are listed by ratio level, with schoolsin the highest risk counties (i.e., those with the lowest ratios of dentists to population)listed first. Within each ratio level, schools are listed by the percentage of studentsreceiving free/reduced price lunches (in ascending order). Thus, the reader canidentify those schools that are located in areas with the fewest dentists and thenidentify those schools with the greatest students in need (with regard to family income).Interpreting the maps: In each map, lighter colors indicate fewer dentists perpopulation (lower dentist-to-population ratio) and, thus, greater need according to theRules and Regulations. Schools meeting the tier criterion (specified in the title of themap) are indicated with dots.It should be noted that there is substantial overlap among the maps and among thetables. Schools in Tier 1 (those with 90% or more of students receiving free/reducedprice lunches) are also included in Tiers 2, 3, 4, and 5, as their percentage of studentsreceiving free/reduced price lunches exceeds the minimum criteria for those tiers.Similarly, schools in Tier 2 are also included in Tiers 3, 4, and 5; schools in Tier 3 are alsoincludes in Tiers 4 and 5; and schools in Tier 4 are also included in Tier 5. Thus, the mapand table for Tier 5 includes the greatest number of eligible schools.

Tier 1: Schools with 90% or more of students receiving free/reduced price lunches

Tier 2: Schools with 75% or more of students receiving free/reduced price lunches

Tier 3: Schools with 70% or more of students receiving free/reduced price lunches

Tier 4: Schools with 60% or more of students receiving free/reduced price lunches

Tier 5: Schools with 50% or more of students receiving free/reduced price lunches

Tier 6: Schools with less than 50% of students receiving free/reduced price lunches

TablesTable 1. Tier 1 SchoolsTable 2: Tier 2 SchoolsTable 3: Tier 3 SchoolsTable 4: Tier 4 SchoolsTable 5: Tier 5 SchoolsTable 6: Tier 6 SchoolsTable 7: All Arkansas Public Schools Serving Grades 2 through 6, arrangedalphabeticallyTable 8: All Arkansas Public Schools Serving Grades 2 through 6, arranged by countyTable 9: All Arkansas Public Schools Serving Grades 2 through 6, arranged by city

Table 1. Tier 1 Schools (90% or more students receiving free or reduced price lunch)Sorted by ratio level and, within each level, by percentage free/reduced lunchSchool NameST. JOE ELEMENTARY SCHOOLMABELVALE MIDDLE SCHOOLHARRY C. MORRISON ELEM. SCHOOLSUNNYMEDE ELEMENTARY SCHOOLSUTTON ELEMENTARY SCHOOLTRUSTY ELEMENTARY SCHOOLSPRADLING ELEMENTARY SCHOOLTILLES ELEMENTARY SCHOOLALBERT PIKE ELEMENTARY SCHOOLHOWARD ELEMENTARY SCHOOLAUGUSTA ELEMENTARY SCHOOLCOTTON PLANT ELEMENTARY SCHOOLHARRISBURG JUVENILE TREATMENTCENTER (JTC) (DIVISION OF YOUTH SERVICESSCHOOL SYSTEM)LEWISVILLE JUVENILE TREATMENT CENTERSCHOOL (JTC) (DIVISION OF YOUTH SERVICESSCHOOL SYSTEM)MANSFIELD JUVENILE TREATMENT CENTER(JTC) (DIVISION OF YOUTH SERVICES SCHOOLSYSTEM)ANNA STRONG INTERMEDIATE SCHOOLWHITTEN ELEMENTARY SCHOOLKIPP DELTA ELEM LITERACY ACADKIPP:DELTA COLLEGE PREP SCHOOLMARVELL-ELAINE HIGH SCHOOLCARROLL SMITH ELEMENTARY SCHOOELIZA MILLER ELEMENTARY SCHOOLELIZA MILLER PRIMARY SCHOOLMARVELL-ELAINE ELEMENTARY SCHCEDARVILLE ELEMENTARY SCHOOLCEDARVILLE MIDDLE SCHOOLSO MISS COUNTY ELEM AT LUXORABERYL HENRY UPPER ELEM. SCHOOLMINERAL SPRINGS ELEM. SCHOOLCityCountyRuralSchoolTotalEnrollment% tsperpopulation(1 lowest;5 highest)St JoeMabelvaleFort SmithFort SmithFort SmithFort SmithFort SmithFort SmithFort SmithFort SmithAugustaCotton elenaHelenaMarvellOsceolaWest HelenaWest HelenaMarvellCedarvilleCedarvilleLuxoraHopeMineral 222222222233

School NameSTEPHENS ELEMENTARY SCHOOLCLARENDON ELEMENTARY SCHOOLC.B. PARTEE ELEMENTARY SCHOOLTHIRTY-FOURTH AVE. ELEM. SCH.SOUTHWOOD ELEMENTARY SCHOOLWILMOT ELEMENTARY SCHOOLEVENING SHADE ELEM. SCHOOL (EveningShade Math & Science Academy)UNION ELEMENTARY SCHOOLBROADMOOR ELEMENTARY SCHOOLOAK PARK ELEMENTARY SCHOOLDERMOTT ELEMENTARY SCHOOLDERMOTT JUVENILE TREATMENT CENTER(JTC) (DIVISION OF YOUTH SERVICES SCHOOLSYSTEM)EUDORA ELEMENTARY SCHOOLWESTSIDE ELEMENTARY SCHOOLLAKESIDE ELEMENTARY SCHOOLLAKESIDE MIDDLE SCHOOLMAYNARD ELEMENTARY SCHOOLROBERT F MOREHEAD MIDDLE SCHOOLTOWNSEND PARK ELEMENTARY SCHOOLCOVENANT KEEPERS CHARTERGARDNER-STRONG ELEM. SCHOOLRIDGEROAD MIDDLE SCHOOLROCKEFELLER INCENTIVE ELEM.HARRIS ELEMENTARY SCHOOLBAYYARI ELEMENTARY SCHOOLDAVID O'DODD ELEMENTARY SCHOOLPIKE VIEW ELEMENTARY SCHOOLAMBOY ELEMENTARY SCHOOLNORTH LITTLE ROCK ACADEMYELMDALE ELEMENTARY SCHOOLCLOVERDALE AEROSPACE TECH CHAR(Cloverdale Middle)CityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)StephensClarendonBrinkleyPine BluffPine KKK6665553.22.62.63.33.33.3333444Evening ShadeTexarkanaPine BluffPine 33.33.544444DermottEudoraHartmanLake VillageLake VillageMaynardPine BluffPine BluffLittle RockStrongNorth LittleRockLittle RockNorth LittleRockSpringdaleLittle RockNorth LittleRockNorth LittleRockNorth ttle RockPulaskiN65494%6875

School NamePARSON HILLS ELEM. SCHOOLMATH & SCIENCE MAGNET SCHOOLRETTA BROWN ELEMENTARY SCHOOLLANGSTON MAGNET SCHOOLMICROSOCIETY MAGNET SCHOOLNO. HEIGHTS ELEMENTARY SCHOOLJONES ELEMENTARY SCHOOLSEVENTH STREET ELEM. SCHOOLBOONE PARK ELEMENTARY SCHOOLLYNCH DRIVE ELEMENTARY SCHOOLGLENVIEW ELEMENTARY SCHOOLMEADOW PARK ELEMENTARY SCHOOLARKANSAS JUVENILE ASSESSMENT ANDTREATMENT CENTER (JTC) (DIVISION OFYOUTH SERVICES SCHOOL SYSTEM)PALESTINE-WHEATLEY MIDDLE SCH.COLT JUVENILE TREATMENT CENTER (JTC)(DIVISION OF YOUTH SERVICES SCHOOLSYSTEM)EARLE ELEMENTARY SCHOOLCENTRAL ELEMENTARY SCHOOLLINCOLN ACADEMY OF EXCELLENCESTEWART ELEMENTARY SCHOOLMILDRED JACKSON ELEM. SCHOOLPALESTINE-WHEATLEY ELEM. SCH.BRAGG ELEMENTARY SCHOOLFAULK ELEMENTARY SCHOOLJACKSON ELEMENTARY SCHOOLMADDUX ELEMENTARY SCHOOLRICHLAND ELEMENTARY SCHOOLWEAVER ELEMENTARY SCHOOLWONDER ELEMENTARY SCHOOLCityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)SpringdaleJonesboroEl DoradoHot SpringsJonesboroNorth LittleRockSpringdaleNorth LittleRockNorth LittleRockNorth LittleRockNorth LittleRockNorth le RockWheatleyPulaskiSt FrancisNY9215799%99%55128710.155ColtEarleForrest CityForrest CityForrest CityHughesPalestineWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisSt FrancisCrittendenSt FrancisSt FrancisSt FrancisSt FrancisSt 5.25.25.25.25.255555555555555

Table 2. Tier 2 Schools (75% or more students receiving free or reduced price lunch)Sorted by ratio level and, within each level, by percentage free/reduced lunchSchool NameNEVADA ELEMENTARY SCHOOLDEQUEEN MIDDLE SCHOOLTYRONZA ELEMENTARYBONNEVILLE ELEMENTARY SCHOOLHORATIO ELEMENTARY SCHOOLMARSHALL ELEMENTARY SCHOOLPRESCOTT ELEMENTARY SCHOOLKINGSLAND ELEMENTARY SCHOOLMARKED TREE ELEMENTARY SCHOOLWALDRON ELEMENTARY SCHOOLDEQUEEN ELEMENTARY SCHOOLHARRISBURG ELEMENTARY SCHOOLLEPANTO ELEMENTARYFAIRVIEW ELEMENTARY SCHOOLMARKED TREE MIDDLE SCHOOLWESTERN GROVE ELEM. SCHOOLCEDAR PARK ELEMENTARY SCHOOLDEQUEEN PRIMARYTRUMANN INTERMEDIATE SCH 5-6LAFAYETTE COUNTY ELEMENTARYCARNALL ELEMENTARY SCHOOLHARTFORD ELEMENTARY SCHOOLMOUNT JUDEA ELEMENTARY SCHOOLST. JOE ELEMENTARY SCHOOLMABELVALE MIDDLE SCHOOLHARRY C. MORRISON ELEM. SCHOOLSUNNYMEDE ELEMENTARY SCHOOLSUTTON ELEMENTARY SCHOOLTRUSTY ELEMENTARY SCHOOLSPRADLING ELEMENTARY SCHOOLTILLES ELEMENTARY SCHOOLALBERT PIKE ELEMENTARY SCHOOLHOWARD ELEMENTARY SCHOOLAUGUSTA ELEMENTARY SCHOOLCityRosstonDequeenTyronzaFort SmithHoratioMarshallPrescottRisonMarked TreeWaldronDequeenHarrisburgLepantoFort SmithMarked TreeWestern GroveTrumannDequeenHarrisburgLewisvilleFort SmithHartfordMt JudeaSt JoeMabelvaleFort SmithFort SmithFort SmithFort SmithFort SmithFort SmithFort SmithFort lment% olevelHighGradeDentistsperpopulation(1 lowest;5 11111111111111111111

School NameCOTTON PLANT ELEMENTARY SCHOOLHARRISBURG JUVENILE TREATMENTCENTER (JTC) (DIVISION OF YOUTHSERVICES SCHOOL SYSTEM)LEWISVILLE JUVENILE TREATMENT CENTERSCHOOL (JTC) (DIVISION OF YOUTHSERVICES SCHOOL SYSTEM)MANSFIELD JUVENILE TREATMENT CENTER(JTC) (DIVISION OF YOUTH SERVICESSCHOOL SYSTEM)ANNA STRONG INTERMEDIATE SCHOOLWHITTEN ELEMENTARY SCHOOLFLIPPIN ELEMENTARY SCHOOLST. PAUL ELEMENTARY SCHOOLDANVILLE MIDDLE SCHOOLHOXIE ELEMENTARY SCHOOLTWO RIVERS HIGH SCHOOLBUTTERFIELD TRAIL MIDDLE SCHOODARDANELLE ELEMENTARY SCHOOLDARDANELLE PRIMARY SCHOOLMOUNTAINBURG MIDDLE SCHOOLMARVIN PRIMARY SCHOOLMALVERN ELEMENTARY SCHOOLKIRBY ELEMENTARY SCHOOLBARTON ELEMENTARY SCHOOLKING ELEMENTARY SCHOOLFLIPPIN MIDDLE SCHOOLKIPP: BLYTHEVILLE COLLEGE PREPBLYTHEVILLE CENTRAL ELEMENTARYSCHOOLMOUNTAINBURG ELEMENTARY SCHOOLBLYTHEVILLE PRIMARY SCHOOLJAMES R. TATE ELEM. SCHOOLCADDO HILLS ELEMENTARY SCHOOLSOUTH MISS CTY ELEM @ WILSONODEN MADDOX ELEMENTARY SCHOOLBLACK ROCK ELEMENTARY SCHOOLBLYTHEVILLE MIDDLE SCHOOLS.C. TUCKER ELEMENTARY SCHOOLCityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)Cotton riannaMariannaFlippinSt PaulDanvilleHoxieOlaVan rnKirbyBartonVan lLawrenceYellCrawfordYellYellCrawfordCrawfordHot ountainburgBlythevilleVan BurenNormanWilsonOdenBlack 668522.122.12.122.11.821.82222222222

School NameCENTRAL ELEMENTARY SCHOOLTWO RIVERS ELEMENTARY SCHOOLGREEN FOREST ELEMENTARY SCHOOLGREEN FOREST INTERMED SCHOOLOSCEOLA STEM CHARTERKIPP DELTA ELEM LITERACY ACADKIPP:DELTA COLLEGE PREP SCHOOLMARVELL-ELAINE HIGH SCHOOLCARROLL SMITH ELEMENTARY SCHOOELIZA MILLER ELEMENTARY SCHOOLELIZA MILLER PRIMARY SCHOOLMARVELL-ELAINE ELEMENTARY SCHCEDARVILLE ELEMENTARY SCHOOLCEDARVILLE MIDDLE SCHOOLSO MISS COUNTY ELEM AT LUXORAPARK AVENUE ELEMENTARY SCHOOLPARIS ELEMENTARY SCHOOLENGLAND ELEMENTARY SCHOOLCAMDEN FAIRVIEW INTERMEDIATEWOODROW WILSON ELEM. SCHOOLVAN COVE ELEMENTARY SCHOOLBOONEVILLE ELEMENTARY SCHOOLBEARDEN ELEMENTARY SCHOOLFORDYCE ELEMENTARY SCHOOLSBRADFORD ELEMENTARY SCHOOLMAGAZINE ELEMENTARY SCHOOLIVORY PRIMARY SCHOOLWICKES ELEMENTARY SCHOOLMCGEHEE ELEMENTARY SCHOOLNEWPORT ELEMENTARY SCHOOLKENSETT ELEMENTARY SCHOOLCENTRAL ELEMENTARY SCHOOLBLEVINS ELEMENTARY SCHOOLREED ELEMENTARY SCHOOLWM. JEFFERSON CLINTON PRIMARYTIMBO ELEMENTARY SCHOOLBERYL HENRY UPPER ELEM. SCHOOLMINERAL SPRINGS ELEM. SCHOOLCityVan BurenOlaGreen ForestGreen ForestOsceolaHelenaHelenaMarvellOsceolaWest HelenaWest rtKensettDumasBlevinsDumasHopeTimboHopeMineral lment% ationRatiolevel(1 lowest;5 3.12.43.12.922222222222222233333333333333333333333

School NameSTEPHENS ELEMENTARY SCHOOLCLARENDON ELEMENTARY SCHOOLC.B. PARTEE ELEMENTARY SCHOOLDES ARC ELEMENTARY SCHOOLNEWARK ELEMENTARY SCHOOLHECTOR ELEMENTARY SCHOOLWARREN MIDDLE SCHOOLEASTSIDE NEW VISION CHARTER SCTHEODORE JONES ELEM. SCHOOLIZARD CO. CONS. ELEM. SCHOOLCOLEMAN ELEMENTARY SCHOOLSHIRLEY ELEMENTARY SCHOOLDREW CENTRAL ELEM. SCHOOLOAKLAND HEIGHTS ELEM. SCHOOLL. L. OWEN ELEMENTARY SCHOOLW. T. CHENEY ELEMENTARY SCHOOLHERMITAGE ELEMENTARY SCHOOLCRAWFORD ELEMENTARY SCHOOLFAIRVIEW ELEMENTARY SCHOOLSOUTHEAST MIDDLE SCHOOLOARK ELEMENTARY SCHOOLVERA KILPATRICK ELEM. SCHOOLQUEST MIDDLE SCH. OF PINE BLUFFBELAIR MIDDLE SCHOOLTHIRTY-FOURTH AVE. ELEM. SCH.SOUTHWOOD ELEMENTARY SCHOOLWILMOT ELEMENTARY SCHOOLEVENING SHADE ELEM. SCHOOL (EveningShade Math & Science Academy)UNION ELEMENTARY SCHOOLBROADMOOR ELEMENTARY SCHOOLOAK PARK ELEMENTARY SCHOOLDERMOTT ELEMENTARY SCHOOLDERMOTT JUVENILE TREATMENT CENTER(JTC) (DIVISION OF YOUTH SERVICESSCHOOL SYSTEM)EUDORA ELEMENTARY SCHOOLWESTSIDE ELEMENTARY SCHOOLCountyRuralSchoolTotalEnrollment% ation(1 lowest;5 highest)StephensClarendonBrinkleyDes ArcNewarkHectorWarrenWarrenConwayBrockwellPine BluffShirleyMonticelloRussellvillePine BluffPine BluffHermitageRussellvilleTexarkanaPine BluffOarkTexarkanaPine BluffPine BluffPine BluffPine PopeBradleyBradleyFaulknerIzardJeffersonVan 44444444444Evening ShadeTexarkanaPine BluffPine iolevel

School NameLAKESIDE ELEMENTARY SCHOOLLAKESIDE MIDDLE SCHOOLMAYNARD ELEMENTARY SCHOOLROBERT F MOREHEAD MIDDLE SCHOOLTOWNSEND PARK ELEMENTARY SCHOOLWOODLAND HEIGHTS ELEM. SCHOOLBUFFALO IS. CENTRAL EAST ELEM.UNIVERSITY HGTS. ELEM. SCHOOLBONNIE GRIMES ELEM. SCHOOLCUTTER-MORNING STAR ELEM. SCH.COLLEGE STATION ELEM. SCHOOLOTTER CREEK ELEMENTARY SCHOOLSONORA ELEMENTARY SCHOOLCENTRAL ELEMENTARY SCHOOLJESSIEVILLE ELEMENTARY SCHOOLPARK ELEMENTARY SCHOOLGURDON PRIMARY SCHOOLJACKSONVILLE MIDDLE SCHOOLCROSS COUNTY ELE TECH ACADEMYMOUNTAIN PINE ELEM. SCHOOLFRANK TILLERY ELEM. SCHOOLTURNBOW ELEMENTARY SCHOOLSONORA MIDDLE SCHOOLCARVER MAGNET ELEM. SCHOOLYOCUM ELEMENTARY SCHOOLOAKLAWN MAGNET SCHOOLBRUNO-PYATT ELEMENTARY SCHOOLCABE MIDDLE SCHOOLBOOKER ARTS MAGNET ELEM. SCH.MONITOR ELEMENTARYASBELL ELEMENTARY SCHOOLHOT SPRINGS INTERMEDIATE SCHOOJOE MATHIAS ELEMENTARY SCHOOLTERRY ELEMENTARY SCHOOLWESTWOOD ELEMENTARY SCHOOLLITTLE PREP ACADEMY ELEMENTARY(LITTLE ROCK PREPARATORY ACADEMY)OMAHA ELEMENTARY SCHOOLCityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)Lake VillageLake VillageMaynardPine BluffPine BluffHarrisonLeachvilleJonesboroRogersHot SpringsCollege StationLittle lleCherry ValleyMountain PineRogersSpringdaleSpringdaleLittle RockEl DoradoHot SpringsEvertonGurdonLittle RockSpringdaleFayettevilleHot SpringsRogersLittle 55555555555Little RockOmahaPulaskiBooneNY28423182%83%KK4675.455

School NameLEAD HILL ELEMENTARY SCHOOLNORFORK ELEMENTARY SCHOOLBATES ELEMENTARY SCHOOLMURRELL TAYLOR ELEM. SCHOOLPARK HILL ELEMENTARY SCHOOLWESTERN HILLS ELEM. SCHOOLOLD WIRE ELEMENTARY SCHOOLDUNBAR MAGNET MIDDLE SCHOOLWARREN DUPREE ELEM. SCHOOLGEORGE ELEMENTARY SCHOOLFOREST HEIGHTS MIDDLE SCHOOLM.L. KING MAGNET ELEM. SCHOOLJONES ELEMENTARY SCHOOLHEALTH/WELLNESS ENVI MAGNET(Wellness & Environmental Studies)LITTLE ROCK PREP ACADEMYDECATUR NORTHSIDE ELEMENTARYSCOTT ELEMENTARY SCHOOLJ. O. KELLY MIDDLE SCHOOLMCDERMOTT ELEMENTARY SCHOOLGARDNER STEM MAGNET SCHOOLGRACE HILL ELEMENTARY SCHOOLHENDERSON MIDDLE SCHOOLROBERT E. LEE ELEM. SCHOOLW.D. HAMILTON LEARNING ACADEMYCOVENANT KEEPERS CHARTERGARDNER-STRONG ELEM. SCHOOLRIDGEROAD MIDDLE SCHOOLROCKEFELLER INCENTIVE ELEM.HARRIS ELEMENTARY SCHOOLBAYYARI ELEMENTARY SCHOOLDAVID O'DODD ELEMENTARY SCHOOLPIKE VIEW ELEMENTARY SCHOOLAMBOY ELEMENTARY SCHOOLNORTH LITTLE ROCK ACADEMYELMDALE ELEMENTARY SCHOOLCLOVERDALE AEROSPACE TECH CHAR(Cloverdale Middle)CityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)Lead HillNorforkLittle RockJacksonvilleNorth Little RockLittle RockRogersLittle RockJacksonvilleSpringdaleLittle RockLittle 55JonesboroLittle RockDecaturScottSpringdaleLittle RockHot SpringsRogersLittle RockSpringdaleLittle RockLittle RockStrongNorth Little RockLittle RockNorth Little RockSpringdaleLittle RockNorth Little RockNorth Little RockNorth Little 774.67775.277775.25555555555555555555555Little RockPulaskiN65494%6875

School NamePARSON HILLS ELEM. SCHOOLMATH & SCIENCE MAGNET SCHOOLRETTA BROWN ELEMENTARY SCHOOLLANGSTON MAGNET SCHOOLMICROSOCIETY MAGNET SCHOOLNO. HEIGHTS ELEMENTARY SCHOOLJONES ELEMENTARY SCHOOLSEVENTH STREET ELEM. SCHOOLBOONE PARK ELEMENTARY SCHOOLLYNCH DRIVE ELEMENTARY SCHOOLGLENVIEW ELEMENTARY SCHOOLMEADOW PARK ELEMENTARY SCHOOLARKANSAS JUVENILE ASSESSMENT ANDTREATMENT CENTER (JTC) (DIVISION OFYOUTH SERVICES SCHOOL SYSTEM)PALESTINE-WHEATLEY MIDDLE SCH.COLT JUVENILE TREATMENT CENTER (JTC)(DIVISION OF YOUTH SERVICES SCHOOLSYSTEM)EARLE ELEMENTARY SCHOOLCENTRAL ELEMENTARY SCHOOLLINCOLN ACADEMY OF EXCELLENCESTEWART ELEMENTARY SCHOOLMILDRED JACKSON ELEM. SCHOOLPALESTINE-WHEATLEY ELEM. SCH.BRAGG ELEMENTARY SCHOOLFAULK ELEMENTARY SCHOOLJACKSON ELEMENTARY SCHOOLMADDUX ELEMENTARY SCHOOLRICHLAND ELEMENTARY SCHOOLWEAVER ELEMENTARY SCHOOLWONDER ELEMENTARY SCHOOLCityCountyRuralSchoolTotalEnrollment% ationRatiolevel(1 lowest;5 highest)SpringdaleJonesboroEl DoradoHot SpringsJonesboroNorth Little RockSpringdaleNorth Little RockNorth Little RockNorth Little RockNorth Little RockNorth Little 55555.26.54.66.96.575.277777555555555555Little RockWheatleyPulaskiSt FrancisNY9215799%99%55128710.155ColtEarleForrest CityForrest CityForrest CityHughesPalestineWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisWest MemphisSt FrancisCrittendenSt FrancisSt FrancisSt FrancisSt FrancisSt 5.25.25.25.25.255555555555555

Table 3. Tier 3 Schools (70% or more students receiving free or reduced price lunch)Sorted by ratio level and, within each level, by percentage free/reduced lunchSchool NameDEER ELEMENTARY SCHOOLBARLING ELEMENTARY SCHOOLMCRAE MIDDLE SCHOOLWALDRON MIDDLE SCHOOLBRADLEY ELEMENTARY SCHOOLHARRISBURG MIDDLE SCHOOLJASPER ELEMENTARY SCHOOLNEVADA ELEMENTARY SCHOOLDEQUEEN MIDDLE SCHOOLTYRONZA ELEMENTARYBONNEVILLE ELEMENTARY SCHOOLHORATIO ELEMENTARY SCHOOLMARSHALL ELEMENTARY SCHOOLPRESCOTT ELEMENTARY SCHOOLKINGSLAND ELEMENTARY SCHOOLMARKED TREE ELEMENTARY SCHOOLWALDRON ELEMENTARY SCHOOLDEQUEEN ELEMENTARY SCHOOLHARRISBURG ELEMENTARY SCHOOLLEPANTO ELEMENTARYFAIRVIEW ELEMENTARY SCHOOLMARKED TREE MIDDLE SCHOOLWESTERN GROVE ELEM. SCHOOLCEDAR PARK ELEMENTARY SCHOOLDEQUEEN PRIMARYTRUMANN INTERMEDIATE SCH 5-6LAFAYETTE COUNTY ELEMENTARYCARNALL ELEMENTARY SCHOOLHARTFORD ELEMENTARY SCHOOLMOUNT JUDEA ELEMENTARY SCHOOLST. JOE ELEMENTARY SCHOOLMABELVALE MIDDLE SCHOOLHARRY C. MORRISON ELEM. SCHOOLSUNNYMEDE ELEMENTARY urgJasperRosstonDequeenTyronzaFort SmithHoratioMarshallPrescottRisonMarked TreeWaldronDequeenHarrisburgLepantoFort SmithMarked TreeWestern GroveTrumannDequeenHarrisburgLewisvilleFort SmithHartfordMt JudeaSt JoeMabelvaleFort SmithFort SebastianRuralSchoolTotalEnrollment% evelHighGradeDentistsperpopulation(1 lowest;5 11111111111111

School NameSUTTON ELEMENTARY SCHOOLTRUSTY ELEMENTARY SCHOOLSPRADLING ELEMENTARY SCHOOLTILLES ELEMENTARY SCHOOLALBERT PIKE ELEMENTAR

Collaborative Care Dental Hygiene: Characterizing the Need In Arkansas . Act 89, passed by the Arkansas General Assembly in 2011, gave the Arkansas . Schools are to be prioritized according to two factors: . SO MISS COUNTY ELEM AT LUXORA Luxora Mississippi Y 85 100% K 4 2 2 BERYL HENRY UPPER ELEM. SCHOOL Hope Hempstead Y 350 91% 5 6 3.1 3