The Mary Christie Institute, in partnership with the Ruderman Family Foundation, presents “Peer Programs in College Student Mental Health,” an in-depth look at a growing practice at colleges and universities around the country. Amidst escalating rates of anxiety and depression among college students, campuses are considering the role of trained peers in helping some students with some level of distress yet little information or guidance exists broadly on the practice of peer to peer support in college. This report gives an overview of peer support in a college setting, identifies commonly used programs, considers their benefits and risks, and makes recommendations about how to codify and strengthen the practice.