Another unexplored area of great clinical interest is the degree to which a student’s level of motivation and other individual differences predict successful outcome. Although most students were actively engaged in ACCESS, some were not. Often, those not appropriatelyengaged were freshmen whose parents had encouraged them to participate during their first semester on campus. For others, dealing with comorbid depression or anxiety seemed to interfere with their participation. For still others, holding down a job while attending school often led to scheduling conflicts that made treatment adherence difficult. To determine for whom ACCESS is best suited, it is critical that future research examine these and other individual differences.