Exploring Perceptions about and Behaviors Related to Mental Illness and Mental Health Service Utilization among College Students Using the Health Belief Model (HBM)

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  • Author(s): Nobiling, Brandye D. (ORCID Nobiling, Brandye D. (ORCID 0000-0002-3091-2540); Maykrantz, Sherry Azadi
  • Language:
    English
  • Source:
    American Journal of Health Education. 2017 48(5):306-319.
  • Publication Date:
    2017
  • Document Type:
    Journal Articles
    Reports - Research
  • Additional Information
    • Availability:
      Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
    • Peer Reviewed:
      Y
    • Source:
      14
    • Education Level:
      Higher Education
    • Subject Terms:
      Student Attitudes; Student Behavior; Mental Disorders; Mental Health Programs; Models; Student Surveys; Health Behavior; Undergraduate Students; Focus Groups; Health Personnel; Barriers; Drug Use; Mixed Methods Research
    • Accession Number:
      10.1080/19325037.2017.1335628
    • ISSN:
      1932-5037
    • Abstract:
      Background: Mental health service is underutilized in the United States. Adolescent and young adults, including college students, are especially unlikely to seek professional help for mental illness. This issue presents a concern, because signs and symptoms commonly appear during this part of growth and development. Purpose: The Health Belief Model (HBM) was used to explore perceptions about mental illness and mental health service utilization and self-medication among college students who may or may not have a history of mental illness. Methods: A survey exploring HBM constructs and self-medicating behaviors was distributed to a population of university undergraduate students ages 18-24. A concurrent focus group of mental health care providers investigated practitioner perceptions of mental health care utilization. Results of both were analyzed for common themes. Results: Sociocultural concerns and challenges navigating through the system were the primary perceived barriers to accessing mental health services. Primary care providers were reported as a vital cue to action. Alcohol, marijuana, and prescription medications were the most frequent and preferred substances used for self-medication. Translation to Health Education Practice: The most apparent theme is the need for education and continuing school partnerships. Doing so can offer diagnosis and treatment and foster personal and social skill development.
    • Abstract:
      As Provided
    • Number of References:
      30
    • Publication Date:
      2017
    • Accession Number:
      EJ1152146