A mixed methods study of students’ experiences of mental health service access in the transition out of university

This is the authors' abstract. We don't add key points for this paper.

Objective: Research is lacking that explores the transitions in mental health care of graduating postsecondary students. This mixed methods study aims to understand emerging adults’ experiences in accessing mental health support over the period from pre – to post-undergraduate graduation.Methods: Survey data were collected from 586 undergraduate students in Canada to assess post-graduation expectations. Eighteen of these participants were interviewed post-graduation to reflect on their transition experiences. Data were weaved through integration and meta-inferences were generated using joint displays.Results: Graduates indicated finding online mental health services/information post-graduation unhelpful. Informal supports (e.g. friends, family) remain key sources and acted as facilitators to accessing formal services. Financial concerns and limited accessibility of free services were leading barriers. Students who anticipated being unlikely to access community services after graduation, if needed, were more likely to report not knowing where or how to access services.Discussion: These findings highlight that while informal supports remain critical, graduates face persistent financial and structural barriers that hinder access to formal services. Addressing affordability and improving awareness of available resources are necessary strategies to support emerging adults in accessing the support they need.