Project ADAPT (Assuring Depression Assessment and Proactive Treatment) tested a multifaceted intervention to improve the diagnosis and treatment of depression in older adults in rural (mostly primary care) sites. Under the program, providers received training, education, and ongoing consultation and support; agreed to use a standardized protocol for depression care; and designated an existing staff member as an onsite specialist who coordinated all depression-related care. The program enhanced access to screening and treatment and improved communication about depression among providers, leading to earlier diagnosis of the disease.