Problem: In addition, Dr. Chibanda realized that grandmothers, unlike many younger workers, were more likely to stay in place and not leave the communities to seek other opportunities. Furthermore, many grandmothers were already doing community work, and association with this program would reinforce their role in the community. "When we started, we didn't know what the core competencies were . . . Later we discovered that our lay therapists needed strong listening skills, an ability to convey empathy and an ability to reflect-all skills the grandmothers had and could develop further" (WHO, 2018, p. 377). Training these community counselors involved the application of basic cognitive therapy (often referred to as "talk therapy") concepts. The grandmothers were taught to adopt a nonjudgmental and practical approach, allowing the clients to discuss their challenges and talk through possible solutions. Dr. Chibanda's strategy was to "empower them [the grandmothers] with the skills to provide behavior activation, [and] activity scheduling; and support them using digital technology. You know, mobile phone technology. Pretty much everyone in Africa has a mobile phone today" (Chibanda, 2017c). The program launched in 2007, and Dr. Chibanda spent the first four years of the program working with 14 grandmothers and his colleague, Petra Mesu, to develop a "culturally appropriate and evidence-based intervention they could deliver" (WHO, 2018, p. 377). Together, they developed a therapy focused. Need Assignment Help?