title: Young adults face major barriers to seeking help from mental health services.
abstract: OBJECTIVE
  Mental health problems often emerge in young adulthood. Although effective treatments are available, young adults are unlikely to seek professional help. This study examined barriers-to-care in young adults with serious internalizing or externalizing problems.
  
  
  METHODS
  Population-based study among 2258 19-32-year olds in the south-west region of the Netherlands. Barriers-to-care were examined in participants with serious internalizing or externalizing problems who did not seek professional help. A potential barrier was that participants denied that they had mental health problems. In those admitting problems, barriers were assessed with the Barriers-to-Care checklist and analyzed with Latent Class Analysis.
  
  
  RESULTS
  Of 362 participants with serious internalizing or externalizing problems 237 (65.5%) did not seek professional help. Of non-help-seeking young adults 36% denied having problems; additionally Latent Class Analysis revealed that 37% Perceived Problems as Self-Limiting (e.g., they believed that problems were not serious) and 24% Perceived Help-Seeking Negatively (e.g., they believed that treatment would not help).
  
  
  CONCLUSIONS
  Young adults' barriers-to-care reflect limitations in their knowledge of mental health problems and available treatments, but possibly also a failure of existing mental health services to engage young people. More knowledge is urgently needed about the effectiveness of mental health treatments for young adults specifically.
  
  
  CONCLUSIONS
  Treatment accessibility for young adults may be augmented by improving their mental health literacy.
authors.affiliation: Erasmus Medical Center, Sophia Children's Hospital, Department of Child and Adolescent Psychiatry, Molewaterplein 60, Rotterdam, The Netherlands.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Vanheusden
authors.forename: Cornelis L
authors.initials: CL
authors.lastname: Mulder
authors.forename: Jan
authors.initials: J
authors.lastname: van der Ende
authors.forename: Frank J
authors.initials: FJ
authors.lastname: van Lenthe
authors.forename: Johan P
authors.initials: JP
authors.lastname: Mackenbach
authors.forename: Frank C
authors.initials: FC
authors.lastname: Verhulst
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D009426:Netherlands; D010342:Patient Acceptance of Health Care