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Moreover, specific considerations must be made for special needs groups such as the elderly, those with impaired mental health or the ones that do not have access to computers easily.
Some special needs groups and World War II veterans were included in the 1990s.
Since 1997 the NHS has focused on improved primary health care services for these special needs groups [ 27].
In the past, children, young adults and special needs groups were entitled to care and treatment from the public dental services (PDS).
This reflects targeting of services to special needs groups, as well as perhaps facilitation of access to services in rural areas through closer community networks [ 22] and variations in assessment practices [ 23].
In 2004, the public sector saw 842 947 children and 964 214 adults (inclusive of the special needs groups) at a lower cost than the private sector which saw just over one million adults.
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Furthermore, they provide orthodontists with enough reason to not hesitate in treating members of this special needs group.
Aside from the regular group homes there are special needs group homes: One for offenders with long-term prison sentences, one for high risk offenders, one for offenders with substance use problems and one group home for older prisoners.
Services were to be offered based on medical or dental indications for treatment need and no longer on age or membership of a named special needs group, as had been the case previously.
According to the published literature, a focus has been laid on the challenge of treating patients with SHCNs, however, there is little reference to the orthodontic treatment outcomes in this special needs group [ 3, 4, 11- 13, 19- 22].
The inmates of the special needs group homes benefit from several privileges: Their cells are locked later in the evening, they don't have to go to work, they can cook their own meals etc. 270 prison officers and master-workmen take care of 436 inmates.
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