Existing literature on mental health utilization with Division I college athletes is very limited. Specifically, little research has been conducted regarding what may make an athlete more or less likely to seek mental health services. This qualitative study investigated 1.) The facilitators and barriers for mental health utilization among the collegiate athlete population, and 2.) Why this high-risk population for mental health and performance problems underutilizes the available mental health services within the college campuses. Five female and three male Division I athletes completed a semi-structured interview developed by the researcher. Data analysis revealed five categories comprising of twenty-three themes. The five categories included: relationship with sport participation; beliefs about mental health; history of mental health services; mental health at the participant's university; and mental health and college athletes in general. Results indicated that several factors that may inhibit an athlete from seeking mental health services when a concern arises. Although the athletes in the current study maintained either positive or neutral viewpoints regarding other athletes who seek services for a mental health concern, in regards to seeking services for themselves, factors such as stigma and fear of negative outside judgment might preclude them from seeking services. As a result, an athlete may attempt to ignore their symptoms or utilize maladaptive coping skills to manage their distress. Athletes who were required to attend a mandatory Freshman/transfer-student seminar regarding available support services resulted in athletes being more adequately prepared to know how and when to seek services for a mental health concern. The support from coaches and athletic department staff regarding mental health was also found to positively influence help-seeking behavior. Information from this study may help mental health clinicians, as well as athletics department staff, to provide continued encouragement and support regarding mental health information and services for student-athletes at Division I universities. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]