A national survey finds 93% of college students consider mental health important and 73% trust campus counseling, yet only 18% report using on‑campus services. The Thriving College Student survey identified stigma, fear of judgment and time barriers as major reasons students avoid campus counseling. Residential communities score high for social opportunities but low for perceived mental‑health support. For student‑services leaders, the results underscore a disconnect between outreach and utilization. Institutions face operational decisions—expand access, destigmatize services, integrate mental‑health supports into residential life and streamline referrals to off‑campus care—to move from awareness to effective use.