Because TB treatment is inextricably involved in a host of psychological, social, and economic problems, this manual was developed to help providers establish and enhance social support services in a TB clinic. The purpose of the manual is to help the worker establish social services, develop a therapeutic alliance with clients, create an intake form to identify barriers to TB treatment and formulate goals to reduce those barriers and to increase client functioning, counsel and help clients achieve their goals, form support groups, and lead or participate in case management.