This manual was developed as part of a PhD by the South Africa HIV ATTC Co-Director, Dr. Goodman Sibeko. Initial piloting took place at two non-profit organizations after ethical approval was obtained from the Human Research Ethics Committee (913/205) of the University of Cape Town.The manual now serves as the basis of the training approach used by the South Africa HIV ATTC to help organisations improve mental health care as a means of reducing HIV risk and improving HIV treatment outcomes.