Sarah Ketchen Lipson|Nicole K. Speer|Steven M. Brunwasser|Elisabeth Hahn|Daniel Eisenberg
Gatekeeper Training and Access to Mental Health Care at Universities and Colleges
University of Michigan–Ann Arbor|University of Colorado Boulder|Intermountain Healthcare|John F. Kennedy Center for the Performing Arts|Vanderbilt University|University of Michigan–Ann Arbor
gatekeeper training gkt programs increasingly popular approach addressing access mental health care adolescent young adult populations study evaluates effectiveness widely used gkt program mental health first aid college student populationsa randomized control trial conducted 32 colleges universities 2009 2011 campus residence halls assigned intervention mental health first aid plus preexisting trainings control condition preexisting trainings using matched pair randomization trainings delivered resident advisors ras outcome measures include service utilization knowledge attitudes services selfefficacy intervention behaviors mental health symptoms data come two sources 1 surveys completed students resident advisors residents n 2543 23 months pre postintervention 2 utilization records campus mental health centers aggregated residencethe training increases trainees selfperceived knowledge regressionadjusted effect size es 38 p 001 selfperceived ability identify students distress es 19 p 01 confidence help es 17 p 04 apparent effects however utilization mental health care student communities trainees livealthough gkt programs widely used increase access mental health care programs may require modifications achieve objectives