Sonja Kuipers

47 Oral health experiences and needs among young adults after a first episode psychosis included) should be monitored and managed. To methodically coordinate, assess, plan, implement, and evaluate patients’ oral health, the OAG-PC can be appropriate and is available. Nurses and other mental health professionals should play their role. Our study shows the lack of awareness among patients and nurses. Oral health integrated in psychoeducation after FEP can be appropriate, but conditionally, nurses have to be properly trained. In this regard, it is important to start with students in nursing schools. Oral health has many consequences for patients after FEP, and therefore, prevention is needed, as patients encounter many risk factors after FEP that decrease oral health, e.g., oral health education to create awareness. There is a need to develop evidence concerning oral health care after FEP with regard to practical interventions. After FEP, patients might not be able to adequately attend to their oral health, and patients need help planning and remembering daily activities with regard to dental care. It is important to develop evidence to prove that remembering to address oral health care can help increase oral health (e.g., oral health adherence), and it is worth focusing on this topic in future research. An integrated approach between mental health professionals and dentists and dental hygienists to improve oral health for patients after FEP is indicated; this approach includes psychoeducation and promotion. Policy and decision makers should consider providing free dental care for people with mental illness, given the importance of oral health for overall health. The government and municipalities together with health insurance agencies should work on adjusted services with regard to insurance plans and financial problems for this vulnerable group of young patients. 2

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