Lifetime treatment utilization rates did not differ across generations after adjusting for age. Lifetime use of AA / another self-help group fluctuated over time. However, baby boomers and generation X endorsed significantly more self-help attendance than the silent and millennial generations. Individuals in the silent generation reported ever utilizing fewer outpatient programs (again, after accounting for age) than the other generations. Millennials were less likely than all other generations to report ever utilizing inpatient treatment and were more likely to report utilizing another treatment. As with help-seeking, age at first treatment decreased with each subsequent generation, with generation X and millennials utilizing treatment at younger ages than silent and baby boomer generations. Among individuals who utilized treatment, millennials were more likely than the other generations to first utilize AA / another self-help group, outpatient program, or another treatment and less likely to utilize inpatient services. Other generations were more likely to first utilize inpatient programs, followed by AA / another help-seeking group, outpatient programs, and another treatment. The millennial generation presented a different picture, with highest endorsement of self-help as
