Underutilization of mental health services among college students: an examination of system-related barriers
Abstract
Despite the documented benefits of counseling and mental health services on academic performance and degree attainment, only about 10% of psychologically distressed college students ever seek professional help. This investigation examined mental health care system-related barriers that might distinguish help seekers from nonhelp seekers among students demonstrating similar levels of distress. Data analysis was conducted using a binary logistic regression model and yielded significant findings for the model of barriers hypothesized for the study. These findings may offer insight for campus-based practitioners seeking to understand underutilization of mental health care in their settings.
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Access to psychological treatments for common mental disorders is limited due to system-related and scheduling issues.
“access to psychological treatments for common mental disorders is limited due to several barriers such as system-related and scheduling issues (Leviness et al., 2019; Marsh and Wilcoxon, 2015; Stallman and Shochet, 2009; Watkins et al., 2011).”
From Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis (2022) · cites this paper as Marsh and Wilcoxon, 2015
Students can be reluctant to seek professional mental health treatment because of unwillingness to define themselves as having a mental disorder and fear of stigma.
“In addition, students can be reluctant to seek professional mental health treatment because of unwillingness to define themselves as having a mental disorder and fear of stigma (Ebert et al., 2019; Marsh and Wilcoxon, 2015).”
From Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis (2022) · cites this paper as Marsh and Wilcoxon, 2015
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References 35 · Cited by 93
- Authors
- Marsh, C. N., & Wilcoxon, S. A.
- Affiliations
- University of Alabama (US)
- Corresponding author
- Marsh, Carey N.
- Venue
- Journal of College Student Psychotherapy
- Publisher
- Informa UK Limited
- Published
- 2015-07-03
- Volume
- 29
- Issue
- 3
- Pages
- 227-243
- ISSN
- 1540-4730 (ISSN-L)
- 8756-8225
- OpenAlex
- W2106411430
- Cited by
- 93
- References
- 35
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 16 · 2023: 10 · 2022: 10 · 2021: 15 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 5 · 2016: 1
- FWCI
- 6.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of College Student Psychotherapy (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental health service utilization, help-seeking, university students, psychological distress, barriers to care, university counseling services, mental health system
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