Citation

Pilar MR, Cunningham-Williams RM, Williams Woodson SL. J. Am. Coll. Health 2019; ePub(ePub): 1-13.

Affiliation

School of Social Work , University of Missouri-St. Louis , St. Louis , MO , USA.

Copyright

(Copyright © 2019, Informa - Taylor and Francis Group)

DOI

10.1080/07448481.2019.1583665

PMID

30958760

Abstract

OBJECTIVE: 10-50% of college students meet the diagnostic criteria for one or more mental illnesses; unfortunately, less than half seek treatment. This study assessed the predictive power of specific variables on students' use of on-campus mental health resources using the American College Health Association's National College Health Assessment (ACHA-NCHA) II. PARTICIPANTS: Respondents included undergraduate and graduate students ages 18-35 years (n = 96,121).

METHODS: We analyzed data from the ACHA-NCHA II Fall 2014 and Spring 2015. Andersen's Behavioral Model of Health Services Use enabled selection of predisposing, enabling, and need predictor variables; these were analyzed individually and collectively.

RESULTS: Predisposing, enabling, and need variables accounted for 9%, 2.3%, and 17% of the overall variance. Significant variables associated with a student's decision to access on-campus mental health services accounted for 23% of variance total.

CONCLUSIONS: This insight could allow universities to better recognize students at-risk for needing but not accessing mental health services.

Language: en

Keywords

Andersen Behavioral Model of Health Services Use; college students; mental health services; service use