This study investigated the effectiveness of a combined academic and personal counselling initiative on student performance and emotional well-being outcomes of 289 at-risk students at a Canadian University. Criterion for risk included academic struggles, mental health distress, or both. The program was developed to be tailored to individual needs, and students participated in weekly counselling sessions over the course of 1 academic year. Results showed significant overall increases in student grade point average (GPA), academic functioning, and mental health well-being, demonstrating the program’s effectiveness in addressing the differential needs of students. Implications of the results are discussed.