A new survey from the Hi, How Are You Project found 55% of students received some form of mental‑health care but only 18% used campus services, signaling a gap between trust and uptake. Students reported relying on private providers and community resources more often than on on‑campus counseling centers. Counselors and campus wellness directors say barriers include limited appointment availability, cost, stigma and uncertainty about confidentiality. Institutions are weighing investments in telehealth, partnerships with local providers and expanded staffing to meet demand and convert trust into on‑campus utilization.