Background: College campuses have been faced with rising rates of mental health concerns among students for the past two decades. During the Coronavirus pandemic these demands increased, with students presenting in higher numbers and with higher acuity of illness, requesting mental health services. Campus administrators and healthcare providers have struggled to find models of care that meet the increased demand. Purpose: The purpose of the proposed project is to evaluate the state of mental health services across college campuses. Methods: A mixed-method program evaluation design was used to engage key stakeholders in an assessment of current practices, perceived problems, challenges, and potential solutions to improve mental health care on their campuses. Surveys and individual interviews were used to gather data from colleges across the United States.