This current investigation was to explore effective counseling strategies for counseling psychologists working in the elementary schools for extended mental health services. A total of 37 participants including 12 counseling psychologists (1 male and 11 females, professional experience range from 6 to 14 yrs) and 25 ‘clients’ (8 child-clients, 9 parents, and 8 school teachers) voluntarily participated in the study. Data was collected by individual in-depth interview and analyzed by using the consensual qualitative research procedure. The findings indicated that counseling psychologists working in elementary schools tended to be more effective when ecological perspective was incorporate in their counseling frameworks. Parents and teachers were key resource persons to include in the services. Activities (e.g., story telling, drawing, etc.) and play were effective strategies with child-clients for building rapport, obtaining information, developing assessment, as well as conducting treatments. Effective strategies working with parents and teachers included seeking cooperation, empowering and supportive, developing unanimous counseling goals, and facilitating their awareness and change. The results also revealed that all participants, including the child-clients, parents, and teachers, reported to have received positive benefits through counseling services. Detail results and suggestions for further implementation are discussed.