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The Embedded Counseling Model: An Application to Dental Students.

David Francis Adams1

  • 1Dr. Adams was Staff Psychologist, University Counseling Service, University of Iowa College of Dentistry & Dental Clinics at the time of this study; he is currently a private practitioner and Lecturer in Psychology, Social Sciences and Business Division, Eureka College. dadams@eureka.edu.

Journal of Dental Education
|January 5, 2017
PubMed
Summary

Dental students face significant stress and anxiety. An embedded counseling office at the University of Iowa College of Dentistry positively impacted student well-being, showing improved functioning with increased counseling use.

Keywords:
behavioral sciencescounselingdental educationdental studentspsychosocial aspectsstresswellness

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Area of Science:

  • Medical Education
  • Psychology
  • Student Health

Background:

  • Dental students report high levels of stress, anxiety, and mood disorders.
  • These issues are linked to adverse academic and health outcomes, including substance abuse.

Purpose of the Study:

  • To assess the impact of an embedded counseling office at the University of Iowa College of Dentistry & Dental Clinics.
  • To evaluate psychological outcomes for dental students utilizing counseling services.

Main Methods:

  • Utilized the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34) and Outcome Rating Scale (ORS) for data collection.
  • Tracked 55 students who attended 251 counseling appointments over three academic semesters.
  • Assessed presenting concerns including academic stress, anxiety, depression, and interpersonal issues.

Main Results:

  • Initial assessments indicated moderate to high levels of depression, anxiety, and psychological distress among students.
  • 82% of students exhibited clinically significant symptoms on at least one CCAPS-34 subscale.
  • A positive correlation was observed between the number of counseling appointments and improved overall functioning.

Conclusions:

  • An embedded counseling office can effectively address the mental health needs of dental students.
  • Counseling services are associated with enhanced psychological well-being and functioning in this population.
  • Integrating mental health support is crucial for dental school student support systems.