This study explored eighteen National Collegiate Athletic Association (NCAA) Division II female student athletes’ experiences and opinions of help seeking for mental health concerns. A mixed methodological design was used. Qualitative and quantitative data was collected to gain an understanding of help seeking barriers for the participant and their beliefs about help seeking barriers for their peers. Results from the qualitative data identified several themes that assisted in understanding help seeking behaviors. Data suggest that there was a lack of motivation when it came to seek mental health services as a whole by the female student athlete population. Time, lack of understanding as to where to get counseling, as well as lack of information as a whole showed to be the most prominent barriers within the female athlete population. There was also a significant finding involving lack of information and the amount of time the participant has been at the university, showing that the longer they were at the university the less information they had about mental health services. Many themes were also collected such as fear of being misunderstood, as well as feeling there is a lack of qualified counselors and a lack of counselors of the respondents’ own gender and race.

The negative effects of disclosing a history of mental illness and the need for mental health services are well documented in the professional literature (Corrigan, 2005). Being labeled as "mentally ill" can lead to negative stereotypes placed on the individual that lead to prejudice and discrimination (Corrigan, 2004). These negative effects of disclosing psychological disturbances have led to some individuals being hesitant to seek help, even if the individuals or those close to them feel it is needed (Thornicroft, 2006). College students are a vulnerable population due to the likelihood that they will experience their first psychological disturbance during their college years (Eisenberg, Golberstein, & Gollust, 2007), making access to mental health care crucial. College student-athletes may be even more at-risk for certain psychological disturbances, based on their unique demands and environmental stressors they face (Pinkerton, Hintz, & Barrow, 1989). College student-athletes appear to be underutilizing the mental health services available to them on college campuses (Watson & Kissinger, 2007). Prior studies have shown that college student-athletes are less likely to seek out mental health treatment than other college students (Watson, 2005). The purpose of this study was to see whether or not college student-athletes would exhibit more negative attitudes than student-nonathletes towards mental illness. This study also compared the attitudes toward seeking psychological help between athletes and non-athletes (using a measure developed for use with student-athletes and student-nonathletes by Watson, 2005). Scales that measure social distance, perceived devaluation and discrimination towards mental illness were used to operationalize stigma towards mental illness. The scales this study used to measure social distance (Martin et al., 2000) and perceived discrimination towards mental illness (Link, 1987) had never been used before in a student-athlete population. The potential roles that athletic identity, race, and gender play in treatment-seeking comfort were also examined.

The purpose of this study was to develop a better understanding of college coaches' experiences with student-athlete mental health concerns, knowledge to address these concerns, and dispositions and attitudes toward student-athlete mental health. Although student-athlete mental health has been the subject of previous research, this is the first study to ask college coaches their perspectives on the topic. Data for the study were collected using a Web-based survey with a sample of college athletic coaches who coach male and female student athletes at Division I athletic programs in the Northeastern United States. The study's findings confirm coaches' concern and care for their student-athletes who experience mental health issues, and that coaches agree that their coaching role should include helping student-athletes who experience challenges. Coaches frequently and increasingly encounter student-athlete mental health issues and are actively engaged in helping to mitigate these issues. Coaches for women's athletic teams encountered student athletes with mental health disorders more frequently and experienced higher rates of stress related to student-athlete mental health than coaches for men's teams. Coaches reported high levels of stress and want more institutional support and an embedded mental health counselor within their athletic department. Overall, coaches embrace their roles as first responders to student-athletes struggling with complex mental health issues.

Purpose. The purpose of this study was to assess collegiate student-athlete perception of mental health. A secondary purpose was to develop a list of attitudes and behaviors toward athletes seeking help, and university perception. Methods. Alcorn State University student-athletes were given a survey about mental health in collegiate athletics. One-hundred and ninety student athletes submitted a complete response. Results. There was no significant relationship between the number of barriers and seeking help. There was an overwhelming number of student-athletes that do not believe that Alcorn is prepared to help with a mental health crisis. There was no significant difference between male and female participants for willingness to seek help. Discussion. The number of barriers data was skewed due to the high number of responses for zero and one barrier, but questions could be used for future studies. Many of the student-athletes feel that Alcorn is not prepared and provided several qualitative responses that could benefit the athletic department. Lastly, even though there was no significance between the sexes, it shows that the gap between them is starting to decrease. Conclusion. There are a lot of improvements that could be made to the mental health crisis response. Student-athlete opinions are important and should be used to develop protocols and policies.

Introduction: Adolescents and young adults experience a high level of mental health conditions.These disorders appear to be increasing in number and severity. The prevalence rate for 18-25-years-olds is 8.7% in 12 months. Mental health conditions are treatable, yet many people do not seek professional help. Seeking help from a professional source is particularly important for preventing, early detection, treatment, and recovery from mental health conditions. Purpose: The purpose of this mixed-methods study is to demonstrate the prevalence of depression, explore student-athletes attitudes towards seeking mental health help, understand what factors may influence help-seeking behaviors, and explore the athlete's perceptions of the role that athletic trainers play in the assessment and referral process. Methods: An exploratory, concurrent mixed methods design was used. Survey data from the ATSPPH-SF and PHQ-9 were collected from collegiate student-athletes. A phenomenological approach will guide the qualitative research process. Semi-structured interviews will be audiotaped, transcribed, and analyzed using an interpretive thematic analytical approach. Study Participants: National Collegiate Athletic Association (NCAA) student-athletes participating at the Divsion III (DIII) level. Results: The prevalence of depression was almost 42% in the study population. There was no relationship between PHQ-9 scores and sex. Attitudes towards seeking help were generally positive. Females tend to have more favorable attitudes than males, but this finding was not statistically significant. There was no relationhship between PHQ-9 scores and ATSPPH-SF scores. Barriers to help-seeking included perceived seriousness, stigma, lack of time, accessibility, prefer to handle issues on own, and cost. Facilitators to help-seeking included perceived and nee-problems that were serious enough to warrant help and a supportive network. Clinical Importance: As we continue to address the mental health crisis, it is imperative to understand what prevents student-athletes from seeking professional psychological help and develop supportive programs to help them overcome these barriers. Certified athletic trainers, coaches, and other athletic personel need to understand the seriousness of untreated mental health conditions and be educated to recognize when an athlete may be struggling with issues beyond their control. Knowing when to refer a student-athlete to a professional is essential in preventing potential unnecessary and irreversible consequences.

This book provides numerous practical and effective ways to assist individuals of this growing on-campus population meet the issues and personal challenges they face today. Chapters address a wide range of topics: general consultation; ethics; life skills; approaches to counselling specific groups; women student-athletes; male student-athletes; African-descendent student-athletes; GLBTQ student-athletes; approaches to counselling on special concerns college student-athlete experience and academics transitions; disordered eating; clinical depression; the athlete student-to-be and the new student-athlete; learning disabilities; injury and disability; alcohol and drug use. This comprehensive, insightful view of the increasingly demanding intercollegiate athletics environment will be particularly useful for university-based and private practice counsellors and psychologists, student service professionals, CHAMPS/Life Skills co-ordinators, intercollegiate athletics academic advisors, graduate students in counselling and psychology, coaches, and athletic trainers.