1. Lesson Learned: HIV is not the top concern of many providers and must be addressed in the context of other youth health issues.

How related to achievements: The trainings we developed covered a wide range of other topics of concern to providers and youth, including substance use, violence, and other STDs.

2. Lesson Learned: It is difficult for a project with a small staff to train providers throughout a large geographic area such as the 5-county Bay Area through traditional venues.

How related to achievements: We reached relatively few providers in the area farthest from our office as we had no mechanisms for distance learning.

3. Lesson Learned: Training is especially needed for young (under 25) peer providers and paraprofessionals.

How related to achievements: Many of the providers we trained were young people who had not received previous training and had great need for our services.

4. Lesson Learned: Input of consumers (in our case, youth) is essential in developing training curricula.

How related to achievements: Our trainings included young people as trainers and guest presenters.