{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:52:28Z","timestamp":1793346748954,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100011606","name":"Mach Gaensslen Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011606","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Rossy Family Foundation"},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT 152976"],"award-info":[{"award-number":["PJT 152976"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["TG1 165597"],"award-info":[{"award-number":["TG1 165597"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe student access to university mental health services and barriers and gaps in support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multiple cohort study used self-report data from 4,138 undergraduate students who completed the U-Flourish Well-Being Survey at the start and completion of first year from 2018 to 2023. The survey incorporated validated measures of mental health symptoms, barriers to care, and open-text questions about the mental health care experience and perceived gaps. Quantitative analyses summarized utilization patterns and barriers. An interpretive qualitative analysis identified common themes about support services and opportunities for improvement from the student perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At university entry, 43% of students screened positive for anxiety and\/or depression, 30% reported a lifetime mental disorder and 23% a lifetime history of self-harm. Over first year, 15% of students surveyed accessed university mental health services. Access was more likely in students identifying as older, gender diverse, female, having a prior mental disorder and those who screened positive for anxiety or depression. Common attitudinal and practical barriers reported included\n                      <jats:italic toggle=\"yes\">thinking problems would resolve<\/jats:italic>\n                      (74%),\n                      <jats:italic toggle=\"yes\">being uncomfortable sharing<\/jats:italic>\n                      (73%), and\n                      <jats:italic toggle=\"yes\">not knowing how to get help<\/jats:italic>\n                      (50%). Common stigma barriers included\n                      <jats:italic toggle=\"yes\">concerns about what family or friends might think<\/jats:italic>\n                      . Students expressed that both campus-based well-being and mental health care offered during flexible hours and accessible through online booking were important.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Student-tailored mental health literacy may be a sustainable approach to address the attitudinal and practical barriers identified. If such barriers are reduced, an increased service demand would be expected and improved efficiencies needed. A clear Statement of Services, an online singular point of access with embedded triage to signpost students to indicated levels of care, and clearly worked-out care pathways including to community-based services would better align with a stepped care model, improve efficiency and access, and foster realistic expectations around university mental health support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437241295640","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T01:36:07Z","timestamp":1730770567000},"page":"841-851","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Access to University Mental Health Services: Understanding the Student Experience: L\u2019acc\u00e8s aux services universitaires de sant\u00e9 mentale : comprendre l\u2019exp\u00e9rience des \u00e9tudiants"],"prefix":"10.1177","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4664-5456","authenticated-orcid":false,"given":"Nathan","family":"King","sequence":"first","affiliation":[{"name":"Queen's University"},{"name":"Queen's University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pickett","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Brock University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurtis","family":"Pankow","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Swansea University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Dimitropoulos","sequence":"additional","affiliation":[{"name":"University of Calgary"},{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Cullen","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"McNevin","sequence":"additional","affiliation":[{"name":"Queen's University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9871-4041","authenticated-orcid":false,"given":"Scott B.","family":"Patten","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5895-075X","authenticated-orcid":false,"given":"Anne","family":"Duffy","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Queen's University"},{"name":"University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Stephenson E. 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