Individuals transitioning through emerging adulthood endure various challenges that impact their mental health and well-being. Mental illness stigma interferes with the willingness to seek professional mental health services during this transition period. We must fully understand the influence of mental illness stigma and ways to increase the utilization of mental health services for emerging adults. Using content analysis, the researchers examined responses to open-ended survey questions and identified themes that captured beliefs about mental illness stigma and help seeking, desired characteristics of mental health providers, and support preferences for mental health concerns in a diverse group of emerging adults. The three core themes of (1) public stigma, (2) mental health provider traits, and (3) supports for mental health concerns provide insight into the understudied area of emerging adulthood. Study findings have important implications to combat stigma, increase mental health service utilization, and improve mental health service delivery for emerging adults.
AdamsS. H.KnopfD. K.ParkM. J. (2014). Prevalence and treatment of mental health and substance use problems in the early emerging adult years in the United States: Findings from the 2010 National Survey on Drug Use and Health. Emerging Adulthood, 2, 163–172. doi:10.1177/2167696813513563
2.
American Counseling Association. (2014). ACA code of ethics. Alexandria, VA: Author.
3.
ArnettJ. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469–480. doi:10.1037/0003-066X.55.5.469
4.
ArnettJ. J. (2002). Developmental sources of crash risk in young drivers. Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention, 8, ii–17. doi:10.1136/ip.8.suppl_2.ii17
5.
ArnettJ. J. (2014). Presidential address: The emergence of emerging adulthood—A personal history. Emerging Adulthood, 2, 155–162. doi:10.1177/2167696814541096
6.
ArnettJ. J. (2016). Does emerging adulthood theory apply across social classes? National data on a persistent question. Emerging Adulthood, 4, 227–235. doi:10.1177/2167696815613000
7.
ArnettJ. J.ŽukauskienėR.SugimuraK. (2014). The new life stage of emerging adulthood at ages 18–29 years: Implications for mental health. The Lancet Psychiatry, 1, 569–576. doi:10.1016/S2215-0366(14)00080-7
8.
Avent HarrisJ. RCrumbL.CroweA.Garland McKinneyJ. (2019). African Americans’ perceptions of mental illness and preferences for treatment. Manuscript submitted for publication.
9.
Avent HarrisJ. R.WongC. D. (2018). African American college students, the black church, and counseling. Journal of College Counseling, 21, 15–28. doi:10.1002/jocc.12084
10.
BaggioS.StuderJ.IglesiasK.DaeppenJ.GmelG. (2017). Emerging adulthood: A time of changes in psychosocial well-being. Evaluation & the Health Professions, 40, 383–400. doi:10.1177/0163278716663602
11.
BinghamC. R.ShopeJ. T.TangX. (2005). Drinking behavior from high school to young adulthood: Differences by college education. Alcoholism: Clinical and Experimental Research, 29, 2170–2180. doi:10.1097/01.alc.0000191763.56873.c4
12.
BrownC.ConnerK. O.CopelandV. C.GroteN.BeachS.BattistaD.ReynoldsC. F. (2010). Depression stigma, race, and treatment seeking behavior and attitudes. Journal of Community Psychology, 38, 350–368. doi:10.1002/jcop.20368
13.
CadiganJ. M.LeeC. M.LarimerM. E. (2018). Young adult mental health: A prospective examination of service utilization, perceived unmet service needs, attitudes, and barriers to service use. Prevention Science, 1–11. doi:10.1007/s11121-018-0875-8
14.
CarlinerH.KeyesK. M.McLaughlinK. A.MeyersJ. L.DunnE. C.MartinsS. S. (2016). Childhood trauma and illicit drug use in adolescence: Apopulation-based national comorbidity survey replication–adolescent supplement study. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 701–708. doi:10.1016/j.jaac.2016.05.010
15.
ChambersT.ChiangC. (2012). Understanding undergraduate students’ experience: A content analysis using NSSE open-ended comments as an example. Quality & Quantity, 46, 1113–1123. doi:10.1007/s11135-011-9549-3
16.
CohenS.KamarckT.MermelsteinR. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. doi:10.2307/2136404
17.
CooperA. E.CorriganP. W.WatsonA. C. (2003). Mental illness stigma and care seeking. Journal of Nervous and Mental Disease, 191, 339–341. doi:10.1097/01.NMD .0000066157.47101.22
18.
CorriganP. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625. doi:10.1037/0003-066X.59.7.614
19.
CorriganP. W.BinkA. B.SchmidtA.JonesN.RüschN. (2016). What is the impact of self-stigma? Loss of self-respect and the “why try” effect. Journal of Mental Health, 25, 10–15. doi:10.3109/09638237.2015.1021902
20.
CorriganP. W.RüschN. (2002). Mental illness stereotypes and clinical care: Do people avoid treatment because of stigma?Psychiatric Rehabilitation Skills, 6, 312–334. doi:10.1080/10973430208408441
21.
CorriganP. W.WatsonA. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1, 16–20.
22.
CreswellJ. W.CreswellJ. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Thousand Oaks, CA: Sage.
23.
CroweA.AverettP.Avent HarrisJ.CrumbL.LittlewoodK. (2019). In my own words: Exploring definitions of mental health in the rural southeast. Manuscript submitted for publication.
24.
CroweA.MullenP.Avent HarrisJ. (2017). Help for the helper: Mental health concerns, support, and stigma in school counselors. Journal of Professional Counseling: Practice, Theory & Research, 44, 33–54.
25.
CrumbL.HaskinsN.BrownS. (2019). Integrating social justice advocacy into mental health counseling in rural, impoverished American communities. The Professional Counselor, 9, 20–34. doi:10.15241/lc.9.1.20
26.
DavisJ. P.SmithD. C.BrileyD. A. (2017). Substance use prevention and treatment outcomes for emerging adults in non-college settings: A meta-analysis.Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 31, 242–254. doi:10.1037/adb0000267
27.
DienerE.EmmonsR.LarsenR.GriffinS. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75. doi:10.1207/s15327752jpa4901_13
28.
EloS.KyngasH. (2007). The qualitative content analysis process. Journal of Advanced Nursing, 62, 107–115. doi:10.1111/j.1365-2648.2007.04569.x
29.
Finfgeld-ConnettD. (2014). Use of content analysis to conduct knowledge-building and theory-generating qualitative systematic reviews. Qualitative Research, 14, 341–352.
30.
GagnonM. M.GelinasB. L.FriesenL. N. (2017). Mental health literacy in emerging adults in a university setting: Distinctions between symptom awareness and appraisal. Journal of Adolescent Research, 32, 642–664. doi:10.1177/0743558415605383
31.
GardnerM.SteinbergL. (2012). “Peer influence on risk taking, risk preference, and risk decision making in adolescence and adulthood: An experimental study”: Correction to Gardner and Steinberg (2005). Developmental Psychology, 48, 589. doi:10.1037/a0026993
32.
GulliverA.GriffithsK. M.ChristensenH. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, 113–113. doi:10.1186/1471-244X-10-113
33.
HammondC. J. (2016). Early childhood traumatic events and adolescent-onset illicit drug use: Implications for prevention and treatment. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 643–644. doi:10.1016/j.jaac.2016.05.013
34.
HarrisB.BirnbaumR. (2015). Ethical and legal implications on the use of technology in counselling. Clinical Social Work Journal, 43, 133–141. doi:10.1007/s10615-014-0515-0
35.
HendryL. B.KloepM. (2007). Conceptualizing emerging adulthood: Inspecting the emperor’s new clothes?Child Development Perspectives, 1, 74–79. doi:10.1111/j.1750-8606.2007.00017.x
36.
HeninA.BermanN. (2016). The promise and peril of emerging adulthood: Introduction to the special issue. Cognitive and Behavioral Practice, 23, 263–269. doi:10.1016/j.cbpra.2016.05.005
37.
Herman-StahlM. A.KrebsC. P.KroutilL. A.HellerD. C. (2007). Risk and protective factors for methamphetamine use and nonmedical use of prescription stimulants among young adults aged 18 to 25. Addictive Behaviors, 32, 1003–1015. doi:10.1016/j.addbeh.2006.07.010
38.
HsiehH.ShannonS. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288.
39.
InschG. S.MooreJ. E.MurphyL. D. (1997). Content analysis in leadership research: Examples, procedures, and suggestions for future use. The Leadership Quarterly, 8, 1–25.
40.
Institute of Medicine and National Research Council. (2013). Improving the health, safety, and well-being of young adults: Workshop summary. Washington, DC: The National Academies Press. doi:10.17226/18340
41.
JordanJ. V. (2000). The role of mutual empathy in relational/cultural therapy. Journal of Clinical Psychology, 56, 1005–1016.
42.
JormA. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67, 231–243. doi:10.1037/a0025957
43.
KesslerR. C.BerglundP.DemlerO.JinR.MerikangasK. R.WaltersE. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593
44.
KimJ. E.SawA.ZaneN. (2015). The influence of psychological symptoms on mental health literacy of college students. American Journal of Orthopsychiatry, 85, 620–630. doi:10.1037/ort0000074
45.
LinkB. G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejection. American Sociological Review, 52, 96–112. doi:10.2307/2095395
46.
LyndonA. E.CroweA.WuenschK. L.McCammonS. L.DavisK. B. (2016). College students’ stigmatization of people with mental illness: Familiarity, implicit person theory, and attribution. Journal of Mental Health, 25, 1–5. doi:10.1080/09638237.2016.1244722
47.
McCollE.JacobyA.ThomasL.SoutterJ.BamfordC.SteenN.…BondJ. (2001). Design and use of questionnaires: Areview of best practice applicable to surveys of health service staff and patients. Health Technology Assessment, 5, 1–266. doi:10 .3310/hta5310
48.
MichikyanM.SubrahmanyamK.DennisJ. (2014). Can you tell who I am? Neuroticism, extraversion, and online self-presentation among young adults. Computers in Human Behavior33, 179–183doi:10.1016/j.chb.2014.01.010
49.
MoserC., & KaltonG. (1971).Survey methods in social investigation (2nd ed.).London, England: Dartmouth.
50.
NelsonE.CainS.SharpS. (2017). Considerations for conducting telemental health with children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 26, 77–91. doi:10.1016/j.chc.2016.07.008
51.
O’CathainA.ThomasK. J. (2004). “Any other comments?” Open questions on questionnaires—A bane or a bonus to research?BMC Medical Research Methodology, 25, 1–7. doi:10.1186/1471-2288-4-25
52.
PattonM. (1990). Qualitative evaluation and research methods. (2nd ed.). Thousand Oaks, CA: Sage.
53.
PeerJ. W.McAuslanP. (2016). Self-doubt during emerging adulthood: The conditional mediating influence of mindfulness. Emerging Adulthood, 4, 176–185. doi:10.1177/2167696815579828
54.
SchwartzS. J. (2016). Turning point for a turning point: Advancing emerging adulthood theory and research. Emerging Adulthood, 4, 307–317. doi:10.1177/2167696815624640
55.
SharkinB. S. (2012). Being a college counselor on today’s campus: Roles, contributions, and special challenges. New York, NY: Routledge.
56.
StewartH.JamesonJ. P.CurtinL. (2015). The relationship between stigma and self-reported willingness to use mental health services among rural and urban older adults. Psychological Services, 12, 141–148. doi:10.1037/a0038651
57.
Substance Abuse and Mental Health Services Administration. (2014).Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings. Rockville, MD: National Survey on Drug Use and Health: Mental Health Findings.
58.
TuckerJ.HammerJ. H.VogelD. L.Bitman-HeinrichsR.WadeN. G.MaierE. J. (2013). Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different?Journal of Counseling Psychology, 60, 520–531. doi:10.1037/a0033555
59.
WatsonD.ClarkL. A.TellegenA. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. doi:10.1037/0022-3514.54.6.1063
60.
ZhangY.WildemuthB. M. (2009). Qualitative analysis of content. In WildemuthB. (Ed.), Applications of social research methods to questions in information and library science (pp. 308–319). Westport, CT: Libraries Unlimited.
