Proactive health is an important measure to implement the healthy China strategy. How to form a mental health education community and improve the effect of mental health work is the actual requirement of college counselors work for excellence, but also the practice of proactive health measures. The KH coder was used to analyze the text records of 1097 psychological counseling work carried out by counselors of an engineering university for students, and it was found that communication difficulties with students and parents were the biggest difficulty in family-school coordination, while some countermeasures were focused on pattern and lack of in-depth connection. Through the analysis of the difficulties and countermeasures of family-school cooperation in mental health work, practical strategies from an proactive health perspective such as consensus, resource sharing and empowerment are proposed.