Pupil support services have been slow to gain attention in the educational reform movement of the 1980s. Accordingly, in this paper the New York State School Boards Association examines the policy issues surrounding pupil support services, their place in the educational system and the reform movement, and their potential to integrate and strengthen the resources offered students. Topics discussed include the following: (1) the purpose of schooling; (2) a kaleidoscope of student needs; (3) the directions in pupil support services; (4) the organizational strategies for support service delivery; and (5) the relationship between school boards and pupil personnel services. The paper concludes with the contention that school district collaboration with counties and private-sector human service providers is the key to new possibilities, but that such possibilities will require careful planning by school boards and financial support by the state. A bibliography of 19 items is included; a summary of recommendations precedes the text. (TE)