Background The mental health and well-being of students has been a global concern for some time. More recently, the COVID-19 pandemic has negatively impacted mental health and well-being. Increasing pressures on students such as the “cost of living crisis” and lack of suitable accommodation have led to increased levels of anxiety. Higher Education Institutions (HEI) are seeking ways to incorporate a “whole university” approach to tackle the perceived mental health crisis. Academic libraries are at the heart of campus life and are therefore in a unique position to provide mental health and well-being support to students. Aims Despite many initiatives taking place on the island of Ireland there is little in the extant literature providing evidence of this. The aim of this study is to provide an overview of the provision of mental health and well-being supports in Irish academic libraries, and drivers and barriers in doing so. In addition, this study investigates the impact that COVID-19 has had on service provision. Method A primarily quantitative approach was taken using a questionnaire adapted from a previous UK study. Academic librarians who were either library directors or had responsibility for student services in the library answered a series of multiple-choice questions, and two open text questions were provided for longer responses. Descriptive statistical analysis was performed on multiple-choice questions and thematic analysis applied to the open text comments.