Strong mental and behavioral health supports on campus can improve the academic performance of students and increase their resilience and ability to handle stress, with reduced suicide rates, substance abuse, and eating disorders, but this study reveals that students with mental health disabilities continue to face barriers to accessing counseling services on campus and in receiving disability-related accommodations that are necessary to help them participate in their education on an equal footing with students without disabilities. This study identified two main areas that pose barriers to the academic achievement of students with mental health disabilities: (1) institutional policies and practices; and (2) federal laws and policies. All need attention and reform in order to remove barriers that impede the academic success of students with mental health disabilities on campuses across the nation. This National Council on Disability (NCD) study examines and assesses the status of college mental health services and policies in the United States, and provides recommendations for Congress, federal agencies, and colleges to improve college mental health services and post-educational outcomes for students with mental health disabilities.