School counsellors in Hong Kong constitute an underutilised resource in supporting the wellbeing of young people. We investigated how counsellors working in local and international schools perceived their roles and professional status. Counsellors were both surveyed and interviewed. Findings indicate that local school counsellors have a low professional status and an unclear identity compared to their international counterparts. As a group, they are marginalised and disempowered within their own school settings, reducing their effectiveness, and limiting the benefits they can provide to students. Policy innovation at school level is needed to better utilise school counsellors. Professional organisations have an important role to play in educating the community about school counselling and advocating for policy change at school and government levels. Copyright © 2023 Informa UK Limited, trading as Taylor & Francis Group.

School-based counselling is an effective intervention for psychological distress in adolescents, but little is known about the processes leading to a therapeutic change in a Chinese sociocultural context. Twenty-five Chinese senior secondary school students and eight school counsellors in Hong Kong were interviewed, and the data were analysed thematically within a critical realist paradigm. Three change processes were developed: new ways of thinking, developing better relationships and experiencing positive emotions. The study's findings were broadly consistent with previous research into school-based counselling in Western contexts but not consistent with previous studies carried out with adult Chinese clients. Counselling in schools has the potential to deliver significant benefits to adolescents in Hong Kong. Copyright © 2020 Informa UK Limited, trading as Taylor & Francis Group.