Key Points

  1. More than 46 percent of US higher-education institutions reported that 3 percent or more of their undergraduates had a registered disability in fall 2023, more than double the 2008 share.
  2. The growth is driven largely by students reporting mental-health conditions and attention-deficit disorder, which now account for roughly 70 percent of students with disabilities, according to federal data.
  3. Highly selective colleges — those admitting fewer than 20 percent of applicants — are far more likely to enroll large shares of students with disabilities, with seven in ten exceeding the 10 percent threshold.

What the Federal Data Reveal About Disability Reporting on US Campuses

A growing share of American college students are formally reporting disabilities to their campus disability-services offices, and new federal data show the trend is both widespread and accelerating. According to a Chronicle of Higher Education analysis of enrollment data submitted by more than 3,500 two- and four-year institutions, more than 46 percent of colleges reported that at least 3 percent of their undergraduates had a registered disability in fall 2023 — more than double the share in 2008, when the federal government began tracking the figure.

The shift is even more pronounced at the high end. In 2023, more than 17 percent of institutions enrolled student bodies where 10 percent or more of undergraduates reported a disability, up from just 2 percent in 2008. These figures likely understate the true prevalence: colleges are required to report precise shares only when they exceed 3 percent, and students with disabilities historically have high rates of nonreporting. A separate survey by the National Disability Center for Student Success estimates that 43 percent of undergraduates have a disability, but fewer than half — 47 percent — disclose it to their university.

Much of the increase is driven by mental-health conditions and attention-deficit disorder. A 2024 Government Accountability Office report found that the share of undergraduates with disabilities nearly doubled from 11 percent in 2004 to 21 percent in 2020, with behavioral or emotional conditions rising from 6 percent in 2012 to 14 percent in 2020 — about 70 percent of students with a disability. Stephanie W. Cawthon, executive director of the National Disability Center for Student Success, described the post-pandemic rise in anxiety and depression as “alarmingly high” and beyond what campuses anticipated.

The data also reveal a striking pattern: highly selective institutions are far more likely to enroll large shares of students with disabilities. Seven out of ten colleges with admissions rates below 20 percent had more than 10 percent of undergraduates reporting a disability, compared with 32 percent of institutions nationwide. Stanford University, for example, saw its share more than double from 17 percent in 2018 to 38 percent in 2023. Institutions designed for students with learning differences, such as Landmark College, have consistently topped the list.

At a Glance

Data SourceIntegrated Postsecondary Education Data System (IPEDS)
Federal database where over 3,500 two- and four-year institutions self-report enrollment figures, including disability shares.
Key Financial Figure46% of institutions with 3%+ disabled undergrads
Share of US colleges reporting at least 3 percent of undergraduates with a registered disability in fall 2023, up from roughly half that in 2008.
Key Financial Figure17% of institutions with 10%+ disabled undergrads
Share of colleges with 10 percent or more of undergraduates reporting disabilities in 2023, up from just 2 percent in 2008.
Key OrganizationNational Disability Center for Student Success
Research center whose survey estimates the true share of undergraduates with disabilities at 43 percent, far above campus-reported figures.
Key OrganizationUS Government Accountability Office (GAO)
Federal agency whose 2024 report found the share of undergraduates with disabilities nearly doubled from 11 percent in 2004 to 21 percent in 2020.
Key ExecutiveStephanie W. Cawthon
Executive director of the National Disability Center for Student Success; argues the reporting rise reflects real need, not system gaming.
Key InstitutionStanford University
Its share of students with disabilities more than doubled from 17 percent in 2018 to 38 percent in 2023.
Key InstitutionLandmark College
An institution designed for students with learning differences that has consistently topped the list of highest disability shares.
Key TermReporting threshold
Colleges must report precise disability shares only when they exceed 3 percent, making sectorwide averages difficult to calculate.

Where the Sides Stand

Critics and skeptics (some faculty members and media outlets)

Position: The rise in students reporting disabilities, particularly at selective institutions, may signal a gaming of the system to obtain academic accommodations.

Role in the story: They question the legitimacy of the increase and worry it reflects abuse rather than genuine need.

Motivation: Concern that accommodations are being exploited, potentially undermining academic standards and straining campus resources.

Stephanie W. Cawthon and the National Disability Center for Student Success

Position: The increase reflects greater diagnosis, reduced stigma, and more students advocating for themselves; for every student gaming the system, nine are not.

Role in the story: They provide research-based evidence that the rise is real and argue institutions should focus on accessibility rather than policing students.

Motivation: To shift the conversation from suspicion of students to the responsibility of institutions to be accessible and supportive.

Why Selective Colleges Report the Highest Disability Shares — and What It Means for Institutions

Why Selective Colleges Report the Highest Disability Shares

The concentration of disability reporting at highly selective institutions is one of the most striking findings in the data. Seven in ten colleges admitting fewer than 20 percent of applicants reported that more than 10 percent of their undergraduates had a registered disability — more than double the national rate of 32 percent. This pattern likely reflects a combination of factors: greater awareness and reduced stigma among students at these institutions, more robust disability-services infrastructure, and possibly a student body that is more accustomed to seeking formal accommodations. Outside this selective group, however, selectivity did not meaningfully predict disability shares, suggesting the dynamic is specific to elite campuses rather than a general feature of higher education.

The Mental-Health Driver Behind the Numbers

The data make clear that the surge in disability reporting is not primarily about physical disabilities. Behavioral and emotional conditions — including anxiety, depression, and attention-deficit disorder — grew from 6 percent of undergraduates in 2012 to 14 percent in 2020, accounting for roughly 70 percent of students with a disability. Cawthon described the post-pandemic rise in mental-health conditions as “alarmingly high,” noting that the impact of anxiety and depression has exceeded what campuses anticipated. This shift has direct operational implications: disability-services offices that historically focused on physical accommodations now find themselves managing a caseload dominated by mental-health needs, requiring different expertise, staffing models, and partnerships with counseling centers.

The Gaming Debate and Its Limits

Some faculty members and media outlets have questioned whether the rise in reporting — particularly at selective institutions — reflects genuine need or a gaming of the system to obtain academic advantages. Cawthon pushes back forcefully, arguing that “for every student who is gaming the system, there are nine who are not.” She reframes the issue around institutional accessibility: if campuses were designed to work for more people from the start, fewer students would need to seek formal accommodations. The debate matters because it shapes how administrators allocate resources and how faculty perceive accommodation requests. A suspicion-driven approach risks deterring students with genuine needs; an accessibility-first approach requires upfront investment but may reduce the need for individualized accommodations over time.

What This Means for Institutional Planning

With disability reporting rising across all institution types, colleges face a dual challenge: meeting immediate demand for accommodations while rethinking how they design courses, facilities, and support services. Cawthon advocates for a proactive posture — asking “how do we better understand who our students are on campus and what their characteristics are” rather than treating the situation as a problem to be managed. For context, the broader trend of increased mental-health disclosure among Gen Z, reduced stigma around disability, and greater student advocacy all point to continued growth in reporting. Institutions that invest in accessible design, universal learning principles, and integrated mental-health services may be better positioned than those that simply expand reactive accommodation processes.

What University Leaders and Disability-Services Offices Should Do Next

The most important insight: the rise in disability reporting is real, driven overwhelmingly by mental-health conditions, and concentrated at highly selective institutions — making it a strategic planning issue, not a compliance formality.

For university leaders, disability-services directors, and enrollment managers, the data suggest several concrete steps:

  • Audit your disability-services capacity against mental-health demand. With behavioral and emotional conditions now accounting for roughly 70 percent of students with disabilities, offices designed for physical accommodations may need different staffing, training, and referral pathways to counseling services.
  • Benchmark your reported disability share against peer institutions. If your share is below 3 percent, you are not required to report precise figures — but that may signal underreporting rather than low need. The National Disability Center estimates true prevalence at 43 percent, with fewer than half of students disclosing.
  • Review accommodation request workflows for efficiency and fairness. The gaming debate, while contested, signals faculty concern. Transparent, consistent processes — and clear communication about what accommodations are available — can reduce suspicion and ensure genuine needs are met.
  • Invest in accessible course design and universal learning principles. Cawthon’s argument that accessible institutions reduce the need for individualized accommodations suggests upfront design changes may be more cost-effective than expanding reactive case management.
  • Track the share of students reporting disabilities over the next 2–3 years. The trend has been consistently upward since 2008; institutions that plan for continued growth will be better positioned than those that treat current levels as a ceiling.

Metrics to watch: your institution’s reported disability share in the next IPEDS cycle; the ratio of mental-health to physical-disability accommodation requests; student-to-disability-services-staff ratios; and retention and graduation rates for students registered with disability services.

Risk & Opportunity Assessment

Commercial RiskMediumInstitutions face rising costs for disability services, staff training, and accessible facilities as reporting shares grow; smaller colleges with limited budgets may struggle to keep pace.
Competitive RiskLowDisability reporting is not a competitive differentiator in admissions; however, institutions with strong support services may attract students who prioritize accessibility.
Regulatory RiskMediumColleges are required to report disability shares above 3 percent to IPEDS; evolving federal expectations around accessibility and accommodation could increase compliance burdens.
Reputation RiskMediumThe gaming debate, particularly at selective institutions, could trigger negative media coverage or faculty friction if accommodation processes are perceived as unfair or inconsistent.
Technology DisruptionLowNo direct technology disruption in this story; however, assistive technologies and online learning platforms are relevant to how accommodations are delivered.
Commercial OpportunityMediumInstitutions that invest in accessible design and robust disability services may improve retention and graduation rates, and position themselves as leaders in inclusive education.