 Outcome measures are a hope Herth Hope Index HHI b health related quality of life Short Form 12 SF-12v2 c self-efficacy General Self Efficacy Scale GSES which measures ability to deal with adverse situations; and d use and costs of health services Health and Social Services Inventory HSSUI. Trained data collectors will administer the instruments using audio-taped telephone interviews at baseline, 1, 3 and 6 months after the start of the intervention. A sample size of 180 caregivers 45 per group x 2 groups x 2 provinces will provide 80 power alpha 0.05 to detect a mean difference of 2 increases in the HHI, GSES, and SF-12 v2, with a standard deviation of 2.5. At 3 months, all participants in group 1 will be interviewed using open-ended questions to further assess perceived effectiveness and mechanisms of change associated with the intervention. 