Worldwide, there are 153 million orphaned children, and in addition to the trauma of losing a parent, they are also at greater risk for additional traumatic exposure. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is proven effective to improve mental health outcomes for trauma-exposed youth in low and middle-income countries (LMIC), however there is a need for implementation strategies to support the adoption and sustained use of mental health interventions in LMIC with limited mental health services. Hence, this study aims to describe implementation strategies used by lay counselors to support the implementation of TF-CBT in school and community settings in Western Kenya. “Pamoja Tunaweza” (PT), a version of TF-CBT adapted to address posttraumatic stress symptoms among orphaned children in Kenya, was delivered by lay counselors, including community health volunteers (CHV) and teachers. After the first year of implementation, stakeholders identified different implementation strategies necessary to implement TF-CBT. Lay counselors and leaders, including Community Health Extension Workers (CHEW) and Head Teachers, developed strategy recommendations to guide future sites implementing TF-CBT. Supervisors (N=5) and a subset of lay counselors (N=10) and leaders (N=10) from the initial sites conducted 6 coaching meetings with subsequent sites initiating TF-CBT delivery. New sites included schools (N=5) and communities (N=5) consisting of CHV (N=15) and teacher (N=15) counselors and their leaders (N=10). During meetings, participants selected implementation strategies from recommendations to develop work plans to support TF-CBT implementation. Work plans and follow-up forms measured the actor carrying out each strategy, temporality, frequency, adaptations, and completion rate of each strategy. Descriptive statistics will be used to describe the characteristics of strategies. Measuring and describing implementation strategies may improve research on methods to enhance implementation and aid organizations in applying strategies to adopt and sustain evidence-based practices. Ultimately, this may improve effective mental health services for children living in LMIC.