The present study examined the process of establishing a school counseling system, including psycho-educational services, in a junior high school. Analysis of 4 years of practice by a health teacher in the school counseling division of a junior high school showed that there were 4 stages in the development of the school counseling system. In the first stage, teachers at the school reported that their students needed psycho-educational services. In the second stage, the health teacher started coordinating services. In the third stage, the school counseling system weathered some crises. Finally, in the fourth stage, the school counseling system was established with the help of the management of the school. This analysis revealed the following: (1) With the introduction and then withdrawal of a school counselor, the school counseling system and the role of the staff of the school counseling room changed; (2) coordination was carried out by a team in which the health teacher was the key person; (3) the school counseling system that was established effectively utilized the helpers available at any given time. Provision of total psycho-educational services was made possible as the establishment of the system progressed.