I think it's multi-dimensional. I think that access to resources is one part of it. I think that evidence of good interventions or things that can be helpful is.... We have a good body of evidence but we need more. I would echo Dr. Fitzgerald's idea about the ability to increase research to find out what really works in that population.
The other thing is just really the stigma that is attached to mental health problems. I think things are a lot better than they were 20 years ago, but I might be much more likely to tell you about my diabetes than I would be about my anxiety disorder or my depression. I think that some of the celebrities talking about their mental health problems have been helpful in some ways—although, in some ways, there's misinformation out there. However, that has helped a bit. I think access to the Internet and finding information instantaneously has probably helped as well.
I think sometimes there is some reluctance to come forward if youth are concerned or parents are concerned about their kids. They don't really know what's normal and what isn't. They think they might grow out of it. They'd rather not address it.
I think, again, that more systematic stigma, while better than it was 20 or 25 years ago, is probably still a contributor to some extent.