This qualitative study was conducted in four Gauteng public primary schools to assess the utilisation of psychological support services. Individual and focus group interviews were conducted with various stakeholders. The results indicated an underutilisation of Psychological Support Services attributed to lack of staff within the support services, an abundance of paperwork, staff turnover and unavailability, and inefficient response time to requests. Several difficulties identified within the schools reflected the urgent need for Psychological Support Services, especially with regard to intervention, prevention and staff professional development. From the analysis of the data it is argued that the current psychological support services are not adequately meeting the needs of schools and that the demand for such services are likely to become more profound with the escalating number of learners in child-headed homes as a result of HIV & AIDS. It is also argued that an ecosystemic, whole school development and health promoting view on the provision of Psychological Support Services should be adopted if schools are to make effective use of psychological services.