Comprehensive--yet cost-effective--provision of psychological care is a timely concern for most college counseling centers. The current review summarizes the components of a program designed to meet such seemingly discordant demands. The Counselor-in-Residence program places live-in, doctoral students in clinical psychology/counselor education, in residence halls in order to provide on-site, easily accessible, and professionally supervised mental health support services for residents and residence life staff. The process of program development and implementation of the Counselor-in-Residence program at a medium-sized Midwestern university is discussed. (Contains 3 tables.)