Background: Mental health concerns for the collegial population are noted throughout the literature, with a recent focus on assessment, interventions and outreach. Concerns regarding individual resilience, barriers to seeking care and outreach opportunity venues have led careful consideration for further investigation of the rural college student. Purpose: The purpose of this research study was to examine the mental health issues and concerns, as well as the challenges related to accessing campus mental health services. Methods: A descriptive study was conducted to examine the self-reported mental health of currently enrolled students. Results: A campus wide survey confirmed that many students experience stressors that negatively impact their college experience. Study participants reported that their major sources of stress were financial strains and academic performance pressures, along with body image and food related issues to a lesser degree. Additionally, the students reported barriers to accessing mental health resources. Discussion: College students face a variety of stressors and mental health issues that threaten the quality of their lives and their ability to perform well academically. Translation to Health Education Practice: Institutions of higher education need to ensure that mental health and wellness resources are not only available to students, but readily accessible.