This is an Randomised controlled trial comparing class-delivered guided Cognitive behavioural therapy
self-help using the Living Life to the Full classes, with a Delayed access control who will
receive the intervention after 6 months. We will followup
participants until 6 months, which represents a reasonable
level of sustainability. Our trial experience and
recent review makes us feel that the delayed treatment
arm as opposed to treatment as usual is necessary to
maximize recruitment and retention for this population
[26]. To address stigma and encourage self-referral
(known to address the treatment gap), both recruitment
and delivery will take place in community settings and
recruit directly through community-based adverts supplemented
with advertisements through AOD.