Senior Peer Alliance for Rural Research On Wellness

Inclusion Criteria: * Residence in rural Tuolumne, Calaveras, San Joaquin or Stanislaus Counties; * Diagnosis: Major depression, unipolar (by SCID ascertained DSM-IV criteria); * Severity of depression: A PHQ-9\>10 or a 24-Item HDRS\>19; * Need for social services: CANE score\> 2, i.e. at least one unmet need; Exclusion Criteria: * Psychotic depression by SCID-IV, i.e., presence of delusions; * High suicide risk, i.e. intent or plan to attempt suicide in near future; * Presence of any Axis I psychiatric disorder or substance abuse other than unipolar major depression; * Axis II diagnosis of antisocial personality (by SCID-P and DSM-IV); * History of psychiatric disorders other than unipolar major depression or generalized anxiety disorder (including bipolar disorder, hypomania, and dysthymia); * Dementia: MMSE below 24 or clinical diagnosis of dementia by DSM-IV; * Acute/severe medical illness (delirium, metastatic cancer, de-compensated cardiac, liver or kidney failure, stroke or myocardial infarction) 3 months prior to entry; or use of drugs causing depression, (steroids, reserpine, alphamethyl-dopa, tamoxiphen, vincristine); * Inability to perform any of the ADLs (MAI: ADL subscale) even with assistance (walking with a cane is not an exclusion criterion) * Inability to speak English; * Aphasia interfering with communication;