This article describes the impact on social services of an innovative model of family care in Moshi, Tanzania, aimed at orphaned children and youth who are affected by HIV/AIDS and their caregivers. We explore three questions: Is social capital created during the provision of social work services? If so, what aspects of the model are responsible for it? How does this social capital influence the participants’ educational/occupational aspirations and vision of the future? This qualitative study is based on a case analysis of eight adolescents and their caregivers. Data were collected from in-depth interviews. The unique aspects of a family-oriented, holistic, social service model focused on empowerment and future orientation-generated bridging, bonding, and linking social capital. Youth with more social capital appeared to have clearer visions of their future path. Implications for community-based social work practice serving marginalized and impoverished groups are presented.