During term 1, I had the opportunity to experience what it was like for a dental hygienist to work in a community setting. More specifically, our group was allocated to the mental illness population. For the special needs population, there appears to be more complications with their systemic health, mental health, psychosocial health, and drug interactions. Thus, it important as a dental hygienist to record a detailed and in depth assessment. One of my client had schizophrenia, artificial heart valves, systemic lupus erythematosus (SLE) and had penicillin allergy. Moreover, he was on a whole list of medications. As a primary care giver, it was my responsibility to ensure the side-effects of the drugs, possible contraindications, and also see if pre-medication is necessary prior to treatment. Through the use research, critical thinking, and communication and collaboration with the on site nurse, some adjustments were made to his medications prior to treatment. My client’s warfarin had to be taken off 48 hours prior to treatment and 600mg of Clindamycin had to be ingested one hour prior. Ultimately, clinical therapy was demonstrated by identifying clients at risk for medical emergencies and I used appropriate strategies to minimize such risks.