This is the first study to examine specific generational differences in this context and so there is no comparable literature, but parallels can be drawn to policy and social changes over time. Thus, some points in the following discussion are speculative only. Briefly, the mean age for service use steadily decreased about 20 years between the silent and millennial generations, suggesting that younger generations may be more aware of alcohol problems and more willing to seek help and/or utilize treatment at an earlier age (see Table 2). However, likelihood of lifetime help-seeking and treatment utilization were equal across generations. Notably, there were generational differences in services used. Fewer millennials sought help from a psychiatrist, psychologist, or another health / medical professional and utilized inpatient programs than other generations. Yet, they utilized AA / another self-help, outpatient programs and other treatment options more than their counterparts. These descriptive differences translated into significant hazards across several transitions for generation X and millennials when compared to baby boomers, whereby these younger generations were often more likely to use services overall (see Table 3
