Table 3. Barriers to Mental Health Service Utilization by Baseline Depression Status and Baseline Student Status Among Young Adults.
| Which of these statements explain why you did not get the mental health treatment or counseling you needed. Please check all that apply. | Whole Sample (n=160) | Baseline Depression Status | Baseline Student Status | ||||
|---|---|---|---|---|---|---|---|
|
| |||||||
| No Depression (n=86) | Depression (n=74) | Chi-square results | Not a Student (n=47) | Student (n=111) | Chi-square results | ||
| Health Insurance | |||||||
| Could not afford the cost. | 63 (39.4%) | 31 (36.0%) | 32 (43.2%) | p=353 | 25 (53.2 %) | 37 (33.3%) | χ2(1, N=158)= 5.461, p=019 |
| Do not have health insurance | 17 (10.6%) | 6 (7.0%) | 11 (14.9%) | p=.106 | 7 (14.9%) | 9 (8.1%) | p=.196 |
| Health insurance does not cover any mental health treatment or counseling. | 10 (6.3%) | 5(5.8%) | 5 (6.8%) | p=.529 | 3 (6.4%) | 7 (6.3%) | p=.986 |
| Health insurance does not pay enough for mental health treatment or counseling. | 36 (22.5%) | 17(19.8%) | 19 (25.7%) | p=.241 | 15 (31.9%) | 20 (18.0%) | χ2(1, N=158) = 3.698, p=054 |
| Stigma/Job Concerns | |||||||
| Concern that getting mental health treatment or counseling might cause your friends or family to have a negative opinion of you. | 21 (13.1%) | 12 (14.0%) | 9 (12.2%) | p=.462 | 6 (12.8%) | 15 (13.5%) | p=.899 |
| Concern that getting mental health treatment or counseling might have a negative effect on your job. | 13 (8.1%) | 3 (3.5%) | 10 (13.5%) | χ2(1, N=160)= 5355, p = 039 | 5 (10.6%) | 8 (7.2%) | p=.473 |
| Concern that you might be committed to a psychiatric hospital or might have to take medicine. | 23 (14.4%) | 8 (9.3%) | 15 (20.3%) | χ2(1, N=160)= 3.887, p=.049 | 10 (21.3%) | 12 (10.8%) | p=.082 |
| Privacy Concerns | |||||||
| Privacy concerns (e.g., your information might not be kept confidential). | 23 (14.4%) | 12 (14.0%) | 11 (14.9%) | p=.870 | 8 (17.0%) | 15 (13.5%) | p=.568 |
| Did not want others to find out that you needed treatment. | 25 (15.6%) | 13 (15.1%) | 12 (16.2%) | p=.848 | 6 (12.8%) | 17 (15.3%) | p=.678 |
| Logistical Issues | |||||||
| Did not know where to go to get services. | 53 (33.1%) | 22 (25.6%) | 31 (41.9%) | χ2(1, N=160)= 4.777, p=.043 | 13 (27.7%) | 40 (36.0%) | p=.308 |
| Did not have time because of job, childcare, or other commitments | 82 (51.3%) | 42 (48.8%) | 40 (54.1%) | p=.530 | 25 (53.2%) | 56 (50.5%) | p=. 753 |
| Did not have transportation, or treatment was too far away, or the hours were not convenient. | 30 (18.8%) | 11 (12.8%) | 19 (25.7%) | χ2(1, N=160)= 4.335, p=037 | 11 (23.4%) | 19 (17.1%) | p=.357 |
| Didn't Think Need Help | |||||||
| Did not think you needed treatment at the time. | 42 (26.3%) | 23 (26.7%) | 19 (25.7%) | p=.878 | 6 (12.8%) | 35 (31.5%) | χ2(1, N=158)= 6.051, p=.014 |
| Thought you could handle the problem without treatment. | 97 (60.6%) | 51 (59.3%) | 46 (62.2%) | p=.418 | 26 (55.3%) | 70 (63.1%) | p=.362 |
| Did not think treatment would help. | 58 (36.3%) | 33 (38.4%) | 25 (33.8%) | p=.331 | 12 (25.5%) | 44 (39.6%) | p=.090 |
Note. N=160. Baseline Depression Status=Individuals with a PHQ-9 total score of <10 were coded as “no depression”; those with a PHQ-9 total score ≥10 were coded as “depression”. Baseline Student = high school students, working toward a General Education Development (GED), trade or vocational school students, community college students, 4 year college or university students, and graduate or professional school students.