Clinical Research Directory

Inclusion Criteria: * Age 18 years or older * Spanish-speaking adult who prefers to receive services in Spanish Resident of a rural or frontier community in Montana or New Mexico Positive screen for depressive symptoms at or above study eligibility threshold on Spanish-language screening measure Able and willing to participate in telehealth sessions Able to provide informed consent Exclusion Criteria: * Active suicidal intent requiring immediate emergency intervention Current psychosis or mania Severe cognitive impairment that would prevent participation Currently receiving intensive psychiatric treatment that would conflict with the intervention Unable to participate in telehealth sessions Unable to provide informed consent