Who is willing to come back? College students' willingness to seek help after using campus mental health services

Oswalt, Sara B.; Lederer, Alyssa M.; Chestnut-Steich, Kimberly

doi:10.1080/07448481.2018.1462818

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…When considering access healthcare in this sense, it is important to note that patients must actually be seeking care. For example, individuals have access to mental healthcare if there is available care in their area (Alakeson et al, 2010) and they have knowledge about where to seek access (e.g., ability of college students to find mental healthcare services on campus; Oswalt et al, 2019). In other instances, individuals may lack the strength or capacity to access mental health services (e.g., seeking mental health services following psychological distress/trauma such as the death of a loved one; Lichtenthal et al, 2015).…”

Section: Concept Analysismentioning

confidence: 99%

“…Access to mental healthcare involves three central attributes that emerged from the literature: connectedness, clinical management, and healthcare delivery (Table 1). Connectedness refers to connectivity (e.g., through technology), geographical location (travel time/distance for specific mental health services; White Hughto et al, 2016), feeling of belonging to a particular group, or just the state of being linked to services (Chavez et al, 2018; Oswalt et al, 2019; Purtle et al, 2016; Ramsay et al, 2012; Rintell et al, 2012). For example, lack of support (from family, caregivers, friends; Ramsay et al, 2012), social services (case managers, supportive housing, early intervention programs), and resources (lack of mental health clinicians, lack of available beds) can all encompass an individual’s lack of connectedness when describing access to mental healthcare.…”

Section: Introductionmentioning

confidence: 99%

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Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis

Smith-East

Conner

Neff

2021

J Am Psychiatr Nurses Assoc

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Background: One of the most important aspects of receiving medical care is access to that care. For people with mental illness who have greater healthcare needs and are at risk for poor health outcomes, reduced access to care constitutes a crisis. While the COVID-19 (coronavirus disease 2019) pandemic continues to affect the United States, specifying what it means to have access to mental healthcare is more critical than ever. Objective: The aim of this concept analysis is to review definitions and descriptions of access to mental healthcare in the literature and to synthesize the relevance of these findings to inform future research, theory development, policy, and practice. Study Design: The concept of access to mental healthcare was analyzed using Rodgers’s evolutionary concept analysis method. CINAHL, PsycINFO, and MEDLINE were queried for peer-reviewed articles about access to mental healthcare published from January 2010 to April 2020 ( n = 72). Data were reviewed for concept antecedents, attributes, consequences, surrogate, and related terms. Results: Five models of access to mental healthcare were identified, with several antecedents and consequences: utilization, economic loss/gain, incarceration, and patient/provider satisfaction. Cross-sectional and predictive studies highlighted three interrelated attributes: clinical management, healthcare delivery, and connectedness. Conclusions: The concept of access to mental healthcare is often used stagnantly across disciplines to create health policies, yet the concept is transformative. Future research requires up-to-date operational definitions of access to mental healthcare to target interdisciplinary approaches.

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Section: Concept Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis

Smith-East

Conner

Neff

2021

J Am Psychiatr Nurses Assoc

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“…When considering the evidence, however, all classes thought they would be more likely to remain in services that students who had experienced mental health problems found to be helpful. Indeed, in a study of 12,501 undergraduate students, 90% reported they would use mental health services again (Oswalt et al, 2019). Research evidence and the recommendations of mental health professionals, in contrast, exerted relatively little influence on the decision to remain in treatment.…”

Section: Implications For the Design Of Campus Mental Health Servicesmentioning

confidence: 99%

Modeling the Reduction of Attrition in Campus Mental Health Services: A Discrete Choice Conjoint Experiment

et al. 2020

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A significant percentage of college students discontinue mental health treatment prematurely. Using a discrete choice experiment, 909 students chose between experimentally manipulated descriptions of mental health services, selecting the option that would encourage them to stay in treatment. Latent class analysis identified three groups. The community class (36.7%) would remain in treatment at community walk-in clinics. The campus class (27.3%) would be more likely to remain in an on-campus student health service. The residence class, 36.0% of participants, would be most likely to remain in treatments at their residence. All classes would be more likely to remain in services including the option of medication, psychotherapy, or alternative treatments such as diet and exercise. Simulations predicted that most students would trade individual treatment for more cost-effective groups if students who had experienced mental health problems recommended these services and access to text messages and telephone help was included.

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Expanding bipolar outreach during college

Singh

Miller

Hooshmand

et al. 2021

Journal of Affective Disorders

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Who is willing to come back? College students' willingness to seek help after using campus mental health services

Cited by 10 publications

References 27 publications

Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis

Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis

Modeling the Reduction of Attrition in Campus Mental Health Services: A Discrete Choice Conjoint Experiment

Expanding bipolar outreach during college

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