Tuko Pamoja is a family strengthening program developed in Kenya using community-based participatory methods to improve family relationships and mental health among children, adolescents, and caregivers. It includes two complementary interventions: a group-based prevention program and an in-home family therapy model for families experiencing elevated distress. Both build communication, problem-solving, conflict resolution, trust, and mental health coping skills. A randomized trial of the group program shows improvements in family communication, and pilot findings for the in-home model suggest benefits for family functioning and mental health.