Qualitative approach and case study design was used to get rich and in depth information from respondents on how counseling helps them make decisions as they prepare to go back to their communities after school. The study was conducted in the current Butula District which was previously known as Busia District in Western province. 5 teachers and 50 young adults and their parents were selected for the study. Interview guides were used to collect data. The study revealed that low intelligence affects their emotional maturity and hence their adaptive behaviour, independent living, social life and making decisions on all relationships. In addition they experience low understanding of concepts, difficulties in following instructions, short memory, poor concentration and lack of intellectual competencies. Recommendations were made with respect to making counseling more effective by training teachers and parents in counseling skills in order to help young adults better. Counseling services should be provided adequately in all schools for children with mental retardation by providing facilities and necessary resources. In addition young adults should be guided on career development and coping skills to live independently.