The Mental Health Services Honor Roll was developed for the benefit of students looking for, heading to, or currently enrolled in colleges; that they might see the types of services provided.

This distinction provides a look at 16 institutions that have shown a strong commitment to their students' mental health and well-being. Broadly, these schools display:

  1. Overall administrative support for campus mental health and well-being through its policies including commitments to staffing and student support.
  2. Students have a campus quality of life that is both healthy and attentive to overall well-being.
  3. How well a school is empowering its students to address their own mental health through education programs and peer-to-peer offerings.

We collected data from nearly 250 schools in our 2024 Campus Mental Health Survey. You can find this data on each school's college profile or through our dedicated Campus Mental Health page here.

How It Works

We assembled a panel of experts in higher education mental health practices to produce a survey for school administrators. The panel then selected key questions for our honor roll criteria. As with all our research, nearly all 4-year colleges and universities are invited to participate early in the year.

We asked all the schools we annually collect data from to answer questions about their efforts to provide (and continually develop) a student experience centering around mental health and wellness. Colleges that did not supply answers to the survey are displayed as Not Reported in the Mental Health and Wellness section of their college profile. The schools have an opportunity to update their Campus Mental Health data every year and will have their data posted online upon completion of their reporting.

The questions covered include:

1.Education & Training. Please report on the types of training available for students and faculty/staff including: Question, Persuade, Refer (QPR); Applied Suicide Intervention Skills Training (ASIST); SafeTALK; Mental Health First Aid; Talk Saves Lives.

Our board notes that ideally a campus reviews a number of well-established prevention programs and selects one which best suits the needs of their campus. Selection criteria is often based on cultural fit, number of trainers required, length of training, mode of training, target audiences, and resources available. At times, a campus might select more than one well-established training for different populations on campus. It might also create customized trainings, but the key is that anything available to students "should have clear outcomes and learning objectives." Colleges have an opportunity to help respond to and treat those mental health issues that first occur in those between the ages of 18 and 24, and the wider the range of training, the more a school can cover.

2.Institution has a Chief Behavioral Health Officer (and/or Chief Wellness Officer) tasked by the administration to advise on and implement policies and programs related to mental health on campus.

These positions not only demonstrate a commitment to collegiate mental health but show a respect among colleagues in various roles throughout campus for the expertise of an experienced mental health professional as well as an acknowledgement of the specialized nature of the role. Ideally, the person in that role and/or designees from their team consult on curricular issues, campus-wide strategy, environmental scans, faculty and staff (not just student) onboarding, risk mitigation, budgetary planning, fundraising, donors and campaigns. The person in this role is also able to remain current and share best practices and national (and beyond) trends with the wider campus community, as they are members (often leaders) in professional organizations and advisory boards focusing specifically on collegiate mental health. Most important, they can ensure the alignment between the scope and depth of what a campus seeks to deliver, messages that they deliver and is resourced to deliver.

3. Engaging the whole campus. Clinicians are trained to provide care to these specific groups: Racial/ethnic minority students; Students who are veterans; LGBTQIA+ students; Student-athletes; International students; Students on scholarship or financial aid; First-generation students.

Members of our board agree that it is critical to include the thoughts, opinions, and experiences of students, faculty, and staff to ensure that services and resources meet their needs. They note that college counseling centers should have clinicians with not only an interest in specialty areas and engaging with specific groups but, also, postgraduate/post-licensure training and expertise in those areas. The more varied these backgrounds, the better served specific groups will be, whether through individual and group psychotherapy, specialty workshops, outreach programming, or supervision of trainees. Additionally, schools can continue to grow by listening to direct feedback from their intended audience. This not only improves the appropriateness and acceptability of services but shows students, faculty, and staff that their college or university is invested in their mental health and well-being. Board members add that any programs or communications produced by the school should be responsive to feedback from specific groups, so that it can tailor to their needs.

4. How often is a wellness screening and assessment of all students conducted?

Our board leans in favor of regular, widespread screening (campus screening days, screenings in primary care medical services, online screenings sent to randomly selected students via email, etc.) for two reasons: First, it introduces students to available resources and supports they may not have sought out on their own. Second, It is an awareness-raising tool that helps to destigmatize any negative perceptions about seeking services, with one comment suggesting the value of making these screenings as routine as a yearly physical that checks for things like high cholesterol or blood pressure.

5. Institution has peer-to-peer offerings relating to mental health.

Board members note that even schools that are fully staffed around the year to provide professional coverage to students may benefit from developing peer-to-peer offerings for one simple reason: some students may feel more comfortable speaking with a fellow classmate. Just as trained clinicians may be better served to meet the needs of students from specific backgrounds (see Question #3 above), so too may those who have been through similar stressors on campus be seen as more empathetic. It's also possible that students may be more willing to take issues that they deem less serious (although not necessarily objectively less serious) to a peer as opposed to a professional. Ultimately, peer programs have a long history of thriving and playing an important role on many campuses.

6. Does your institution incorporate mental health and wellness into the residential experience?

Emotional and physical well-being are foundational to academic rigor. Our board explains that a healthy integration of well-being across campus, from curriculum to athletics to residential life, can demonstrate that campus leadership is just as committed to the emotional wellness of students as they are to their academic wellness. They also point to the natural infrastructure of residential communities, which can support campaigns and programming that normalizes healthy communication, sleep, eating, and self-care.

7. Does the institution have a mental health/wellness program that makes counseling, referral, and well-being services available to all students?

There is no way to predict the services that students will need, which is why a robust referral network is a key part of a counseling center's network of care. Off-campus referrals allow for targeted expertise in a variety of specialty areas (eating concerns, substance abuse, trauma, etc.), as well as the opportunity for a higher level and/or higher frequency of care. Having such services available helps to broaden coverage.

8. Does your institution have a website that consolidates information about the institution's mental health offerings/efforts?

Think of this akin to a tree falling in the forest when nobody's around: if a school has services that students remain unaware of, how useful are those offerings? To that end, the board notes that Websites are essential in dispensing clear and concise messaging regarding mental health resources, wayfinding, screening tools, and asynchronous learning. Websites are also now being used effectively to guide students to navigate off-campus referral databases; make students aware of the counseling center's scope of service; manage expectations and provide psychoeducation; and highlight important policies, procedures, and workflows (such as for seeking accommodations). According to findings from the NIH, there is a positive correlation between enrollment size in programs and the clarity of online information.

9. School offers either for-credit or non-credit mental health/well-being education for students.

The value of well-being courses being a part of the curriculum is akin to the value of education being a natural part of residential life (see Question #6), or as the board puts it, It reduces stigma and normalizes help-seeking. It also gives faculty an opportunity to model discussing mental health topics, which allows them to appear more approachable and less intimidating to students. An increase in the number of available courses brings with it the opportunity to shift culture on campus where a discussion of mental health, help-seeking, and self-care becomes common place and part of the fabric of the university.

10. Is your institution's counseling center accredited?

Accreditation indicates that the counseling center voluntarily opened its doors to an external team of counseling professionals who reviewed and verified that its services meet the highest established standards in the field.

11. School has an official support program in place for students returning from mental health leave of absence.

Institutions of higher education support the self-determination of all students, equally those students who are actively enrolled in classes and students taking a leave of absence. We recognize students, their families and supporters have a right to choose what their wellness goals are and how they want to proceed in achieving those goals. Institutions support students to make informed decisions about taking a leave of absence and provide pathways that are equitable for return.

12. Is the counseling center open and fully staffed year-round?

The board feels that the level of services provided need to reflect the student presence on campus. This may vary depending on the type of school, or whether it is open year-round. What's important is that students are aware of when they will reliably be able to seek counseling, and that there are alternatives available for students who need continued care.

Additionally, The Princeton Review and the Ruderman Family Foundation continue to collaborate on their effort to collect and report on campus mental health offerings.

Note: All quotations are from our advisory board members, including:

  • Brett Harris (Senior Research Scientist, NORC; Clinical Associate Professor, University at Albany School of Public Health; President, New York State Public Health Association)
  • Sarah Ketchen Lipson, PhD, EdM (Boston University, Associate Professor, Health Law Policy and Management; Principal Investigator, Healthy Minds Network)
  • Nadja Lopez,PhD (William James College, Executive Director, Center for Behavioral Health, Equity, and Leadership in Schools; Director, Graduate Certificate in Classroom Mental Health Faculty, Children and Families of Adversity and Resilience Concentration; Adjunct Faculty, School Psychology Department)
  • Karen Singleton, (Massachusetts Institute of Technology, Associate Medical Director and Chief of Mental Health & Counseling Services, MIT Medical)