Very little is known about the counselling profession in Palau due to the lack of literature that is available. However, there is a document that was drafted by the Ministry of Education in 2011 that serves as a comprehensive guide for program revision, improvement, and evaluation of guidance and counselling services in schools. Per the World Health Organization (2011), mental health services training for primary health care practitioners has begun to decrease. Palau shaped its mental health model after the American mental health model in hopes to reach the same success for their citizens mental well-being (Ministry of Education Palau, 2011). The information on the history of guidance and counselling in Palau mainly focuses on the history of the American model, rather than the history of the Palauan model. Although Palau adopted the American model for guidance and counselling, they still made some adjustments to better fit their country’s needs (Ministry of Education Palau, 2011).