Variations in Student Mental Health and Treatment Utilization Across US Colleges and Universities.
OBJECTIVE
On US college campuses, mental health problems are highly prevalent, appear to be increasing, and are often untreated. Concerns about student mental health are well documented, but little is known about potential variations across the diversity of institutions of higher education.


METHODS
Participants were 43,210 undergraduates at 72 campuses that participated in the Healthy Minds Study from 2007 to 2013.


METHODS
Multivariable logistic regressions focus on associations between institutional characteristics and student mental health and treatment utilization.


RESULTS
The following institutional characteristics are associated with worse mental health: doctoral-granting, public, large enrollment, nonresidential, less competitive, and lower graduation rates. Among students with apparent mental health problems, treatment utilization is higher at doctorate-granting institutions, baccalaureate colleges, institutions with small enrollments, and schools with strong residential systems.


CONCLUSIONS
Although high rates of mental health problems and low treatment utilization are major concerns at all types of institutions of higher education, substantial variation occurs across campuses.
Sarah
S
Ketchen Lipson
S Michael
SM
Gaddis
Justin
J
Heinze
Kathryn
K
Beck
Daniel
D
Eisenberg
D000293:Adolescent; D001007:Anxiety / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D005260:Female; D000066505:Help-Seeking Behavior; D006801:Humans; D020407:Internet; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D015995:Prevalence; D013333:Student Health Services / Q000706:statistics & numerical data*; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014495:Universities / Q000145:classification* / Q000458:organization & administration / Q000706:statistics & numerical data; D055815:Young Adult
help-seeking; institutional characteristics; mental health