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Fortney JC, Curran GM, Hunt JB, Lu L, Eisenberg D, Valenstein M. Mental Health Treatment Seeking Among Veteran and Civilian Community College Students. Psychiatric services (Washington, D.C.). 2017 Aug 1; 68(8):851-855.
OBJECTIVE: A Web-based survey examined treatment seeking among community college students to inform the design of engagement interventions. METHODS: Veteran and civilian community college students (N = 765) were screened for mental disorders and reported perceptions of treatment need, effectiveness, and stigma, as well as service use. Regression analysis identified predictors of pharmacotherapy and psychotherapy use. RESULTS: Of the 511 students who screened positive for a current mental disorder or reported a perceived need for treatment (149 veterans and 362 civilians), 30% reported past-year use of psychotropic medications. Predictors were perceived treatment need (odds ratio [OR] = 7.81, p < .001) and the perception that psychotropic medications are effective (OR = 3.38, p = .012). Eleven percent of participants reported past-year psychotherapy use, and predictors were a positive screen for posttraumatic stress disorder (OR = 2.78, p = .04) and poorer financial status. CONCLUSIONS: Modifiable barriers, including perceived need for and effectiveness of treatment, were correlated with pharmacotherapy use and should be targeted by engagement interventions.