{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:14:01Z","timestamp":1787019241919,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005217","name":"National Center for Injury Prevention and Control","doi-asserted-by":"publisher","award":["R01CE003144-01"],"award-info":[{"award-number":["R01CE003144-01"]}],"id":[{"id":"10.13039\/100005217","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University at Buffalo Civic Engagement Research Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>People in the criminal justice system, especially those enrolled in drug treatment courts, have complex health profiles, limited access to medical and dental care, and a high prevalence of substance use disorders (SUD). SUD is associated with poor oral health, including severe dental caries and periodontal disease. Both poor oral health and SUD can contribute to low self-esteem and stigma that pose barriers to seeking care. The aim of this study is to examine dental care and oral health disparities among community-dwelling justice-involved people with SUD enrolled in the drug treatment courts. We surveyed clients (N = 59) and leadership team members (n = 23) in four drug treatment courts. Clients responded to questions about dental care needs and self-reported oral health; leadership team members provided their perspectives on clients\u2019 oral health needs and barriers to care. Most clients (61%) rated their oral health as fair to very poor, and 27% had not seen a dentist in at least 3 years. Most (70%) leadership team members indicated that clients had occasionally or frequently discussed an oral health problem and 26% noted that clients occasionally or frequently missed court due to dental pain. Both clients and team members identified cost, transportation, fear, and stigma as key barriers to addressing clients\u2019 dental health needs. Improving oral health for justice-involved people with SUD may entail a multifaceted approach to address these barriers, and might consider novel approaches, such as co-locating dental and SUD providers.<\/jats:p>","DOI":"10.1177\/15248399251345438","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:09:52Z","timestamp":1750309792000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Drug Court Smiles: Addressing Dental Care Equity for Justice-Involved People"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2050-5893","authenticated-orcid":false,"given":"Linda S.","family":"Kahn","sequence":"first","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian J.","family":"Brimmer","sequence":"additional","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Thomas","sequence":"additional","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Watson","sequence":"additional","affiliation":[{"name":"Lockport City Court, New York Unified Court System, 8th Judicial District, Niagara County, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharlynn","family":"Daun-Barnett","sequence":"additional","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Berdine","sequence":"additional","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1343-1435","authenticated-orcid":false,"given":"Jessica S.","family":"Kruger","sequence":"additional","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"issue":"6","key":"e_1_3_2_2_1","article-title":"Shining a spotlight on stigma: Exploring its impact on oral health-seeking behaviours through the lenses of patients and caregivers","volume":"16","author":"Abideen M. Z. U.","year":"2024","unstructured":"Abideen M. Z. U., Bushara N. A. A., Baig M. N., Siddiqui Y. D., Ejaz I., Tareen J., Siddiqui A. A., Bushara N. A. A., Dilshar Y. D., Siddiqui A. A.III. (2024). Shining a spotlight on stigma: Exploring its impact on oral health-seeking behaviours through the lenses of patients and caregivers. Cureus, 16(6), Article e63025.","journal-title":"Cureus"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Beaton L. Freeman R. Humphris G. (2013). Why are people afraid of the dentist? Observations and explanations. Medical Principles and Practice 23(4) 295\u2013301. https:\/\/doi.org\/10.1159\/000357223","DOI":"10.1159\/000357223"},{"key":"e_1_3_2_4_1","doi-asserted-by":"crossref","unstructured":"Bourgois P. Holmes S. M. Sue K. Quesada J. (2017). Structural vulnerability: Operationalizing the concept to address health disparities in clinical care. 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Perceptions of access to oral care at a community dental hygiene clinic for women involved with the criminal justice system. Canadian Journal of Dental Hygiene, 54(3), 133.","journal-title":"Canadian Journal of Dental Hygiene"},{"key":"e_1_3_2_12_1","doi-asserted-by":"crossref","unstructured":"Lapidos A. Henderson J. Cullen J. Pasiak S. Hershberger M. Rulli D. (2024). Oral health recovery: Randomized evaluation of an oral-behavioral health integration approach. JDR Clinical & Translational Research 9(Suppl. 1) 59S\u201369S. https:\/\/doi.org\/10.1177\/23800844241273829","DOI":"10.1177\/23800844241273829"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-36391-8_101"},{"key":"e_1_3_2_14_1","volume-title":"Painting the current picture: A national report on drug courts and other problem-solving courts in the United States","author":"Marlowe D. B.","year":"2016","unstructured":"Marlowe D. B., Hardin C. D., Fox C. L. (2016). Painting the current picture: A national report on drug courts and other problem-solving courts in the United States. National Drug Court Institute."},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/19424396.2024.2353738"},{"key":"e_1_3_2_16_1","doi-asserted-by":"crossref","unstructured":"McKernan S. C. Reynolds J. C. Ingleshwar A. Pooley M. Kuthy R. A. Damiano P. C. (2018). Transportation barriers and use of dental services among Medicaid-insured adults. JDR Clinical & Translational Research 3(1) 101\u2013108. https:\/\/doi.org\/10.1177\/2380084417714795","DOI":"10.1177\/2380084417714795"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrimjus.2011.11.009"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2020.102819"},{"key":"e_1_3_2_19_1","doi-asserted-by":"crossref","unstructured":"Northridge M. E. Kumar A. Kaur R. (2020). Disparities in access to oral health care. 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