Aim 1: Establish a tool kit for HIV adolescent care by adapting and translating a HIV curriculum and mental health intervention, such that training for lay-counselors can be implemented in additional HIV adolescent clinics in Tanzania. Aim 2: Determine if a lay-counselor delivered mental health intervention improves mental health and anti-retro viral therapy adherence.

Attention to mental health among this vulnerable HIV-positive adolescent population is critical. Evidence-based support of the impact of a mental health intervention is likely to have local and national policy implications for implementation of mental health services as standard of care in HIV adolescent clinics.