A new survey from the Hi, How Are You Project finds that while a majority of students express trust in mental health services, only a minority actually access on‑campus care. The data showed 55 percent of students received mental‑health care but just 18 percent used campus resources, spotlighting service design, capacity and stigma as persistent barriers. University counseling centers and student‑services teams face capacity constraints and rising demand; campus officials cited workforce shortages and budget limits as factors limiting on‑site access. Experts recommend triage systems, stronger referral networks with community providers, and investment in preventative programs to expand reach. Campus leaders should prioritize data‑driven resource allocation, tele‑mental‑health partnerships, and clear communications about available services to translate student trust into utilization.