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Depression among older adults is associated with reduced quality of life, increased health care costs, greater functional impairment, and increased risk of suicide.1-3 Compared with younger adults with depression, older adults are more likely to have longer and more frequent episodes of depression as well as more medical comorbidities that may influence the course and outcomes of care.4 National data indicate that although depression is widespread in late life, it is often underrecognized and undertreated. According to the National Institutes of Mental Health, there are currently, about 6 mil-lion Americans 65 and older dealing with depression, but only 10 % are being treated.5 The purpose of this study was to pilot test a statewide initiative to enhance depression man-agement in home health care. With depression rates at almost 15 % among older hom