Report: Young adults, students face mental health challenges

UnitedHealthcare's 4th annual report reveals rising behavioral health concerns among young adults — and 5 strategies for employers.

The 4th annual UnitedHealthcare Young Adult & College Student Behavioral Health Report suggests a consistent theme: The workforce of today and tomorrow is navigating a behavioral health landscape marked by sustained strain.

The report, commissioned by UnitedHealthcare and conducted by YouGov, surveyed more than 2,000 college students, young adults between the ages of 18 and 28 who are not enrolled in college, and the parents of those cohorts to explore how mental and behavioral health concerns manifest today, how students and young adults seek support and where gaps in understanding persist among parents. For employers who rely on early-career talent and who carry a meaningful stake in the well-being of their workforce, the findings demand attention and, more importantly, action.

Behavioral health concerns are the norm, not the exception

More than 60% of young adults and students reported experiencing a mental or behavioral health concern in the past year, with anxiety/stress and depression cited most frequently. Among college students specifically, self-reported rates of anxiety/stress, depression and ADD/ADHD reached their highest levels in 4 years. College students also reported a 15-point higher overall incidence of mental or behavioral health issues than their non-enrolled peers. These trends are worth taking notice, since these figures likely represent the lived experience of the young adults entering and populating the workforce.

Help-seeking is increasing, but barriers remain significant

55% of young people

with a mental or behavioral health concern actually sought help in the past year

Among young people who encountered a mental or behavioral health concern, more than half (55%) self-reported that they sought help in the past year. Peer influence was a notable driver of that behavior, with both young adults and students reporting that talking to friends significantly influenced their willingness to seek mental or behavioral health care. Yet the barriers separating awareness from access remain substantial. Cost is a persistent obstacle: A meaningful proportion of young people (31% of students and 19% of young adults not enrolled in college) cited expense as a reason for not seeking help. Appointment availability compounds the problem, with a notable share (14%) of college students finding that it takes too long to secure an appointment.

Insurance coverage and literacy gaps are leaving young adults underserved

Across the full survey population, 74% reported current enrollment in an insurance plan. However, the picture diverges sharply by enrollment status: 81% of college students reported being insured, compared to just 65% of young adults not enrolled in college. That gap is significant, and it reflects a population of young people who may be entering the labor market potentially without adequate coverage or clarity about the coverage they do have — a challenge that seems to extend beyond open enrollment: Only 50% of young adults reported knowing how to access behavioral and mental health services, compared to 69% of college students.

More are turning to AI as a mental health resource

Approximately 1 in 4 young adults and students

reported turning to AI for companionship, reassurance and emotional support

One of the most significant emerging findings in the report concerns the role of AI in young adults' behavioral health journeys. Young adults and college students are increasingly turning to AI-based tools to explore symptoms, coping strategies and information, often as an initial step before seeking formal care. Approximately 1 in 4 young adults and students reported turning to AI platforms for companionship, reassurance and emotional support (26%), as well as for in-the-moment support during mental health concerns (25%).

This trend likely reflects 1) the growing accessibility of AI tools and 2) persistent gaps in formal care availability or awareness of available offerings. For employers, this may introduce a new dimension of responsibility: ensuring that employees who leverage AI for mental health support also know how to access any licensed professional providers and resources. 

Perception gap is putting young people at risk

For college students, the "parent perception gap" — the distance between the mental or behavioral health challenges college students self-reported and what parents believed they were experiencing — is at its widest point in 4 years, even as the frequency of parent-child conversations about mental health has increased. Frequency of conversation, in other words, may not be sufficient. The quality and depth of those conversations matter enormously.

5 strategies for employers

The report also surfaces a structural communication challenge that may extend into the organizations that employ young adults. The report's findings point toward specific, actionable opportunities for employers who are committed to supporting the behavioral health of their young adult workforce. Drawing from the report's recommendations and the data that underpin them, here are 5 strategies that can meaningfully move the needle.

1. Value quality in addition to quantity of well-being conversations

The report indicates that frequency of conversation does not close the gap between what a young person experiences and what those around them perceive. Focus on conversations that include genuine encouragement, guidance and navigation toward care, which may help translate awareness into action. Investing in manager training that focuses on active listening, destigmatization and care navigation is a high-leverage intervention.

2. Reduce structural barriers through benefit design and access

Among those who reported not seeking help for behavioral or mental health concerns, 25% of young adults and students cited cost as a barrier, and 14% of students cited availability. Employers can directly address both through intentional benefit design: working to ensure that mental health coverage is comprehensive and affordable, expanding access to virtual and on-demand behavioral health services that reduce wait times, and providing “in the moment support,” which offers rapid, low-friction pathways to care. Where gaps in coverage exist, employers who offer additional resources designed for low severity mental health needs — such as digital mental health platforms like Calm Health and Behavioral Health Coaching — can meaningfully reduce the cost barrier.

3. Invest in insurance literacy and care navigation support

Nearly half of young adults do not know how to access behavioral health services through their coverage. Employers can address this directly by building insurance literacy into onboarding, benefits communications and ongoing employee education efforts. This means going beyond sending benefits guides and instead offering clear, accessible explanations of how to access 24/7 telephonic access to mental health specialists, how to download on-demand support such as Calm Health, how to find a provider, what is covered, how to use telehealth or virtual options and who to contact when questions arise. Care navigation support — whether through a dedicated HR contact, an Advocate or a digital tool — can further reduce the distance between a young employee's need and their first step toward care.

4. Actively leverage peer influence within the organization

The report found that peers are among the most powerful influences on young people’s willingness to seek care. Employers can harness this dynamic intentionally by cultivating a workplace culture in which employees share experiences with mental health resources, champion well-being benefits and normalize help-seeking behavior. Peer ambassador programs and employee resource groups (ERGs) focused on mental health and visible storytelling from leaders who have personally engaged with behavioral health resources can reinforce the message that seeking care is encouraged and supported.

5. Establish guidelines for AI and mental health in the workplace

Given that a significant share of young people are already turning to AI platforms for emotional support and mental health information, employers have a responsibility to engage with this reality proactively rather than reactively. This does not mean discouraging the use of AI tools; it means helping to ensure employees understand their limitations and know when and how to transition to licensed professional support. Clear organizational guidelines, digital well-being resources and regular communications that connect employees to human-centered care pathways can help ensure that AI serves as an on-ramp to care rather than a substitute for it.

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