In the 21st century, the Internet is providing new options for treatment delivery, as described in two reports in this issue. In the lead article, Enid M. Hunkeler, M.A., and coauthors report outcomes of a randomized trial of an Internet-delivered care management and illness self-management program for patients with recurrent or chronic depression. The program—eCare for Moods—is delivered via a secure Web site that offers participants personalized self-monitoring tools, messaging with their eCare manager, eight modules of depression education, and a discussion group. The program is integrated with ongoing depression care. Participants’ eCare managers monitor the site and consult with treating clinicians as needed. Participants in eCare and in usual specialty mental health care were assessed at baseline and at six, 12, 18, and 24 months after enrollment. eCare participants experienced a greater reduction in depressive symptoms, along with other positive outcomes (page 1063). The Veterans Health Administration (VHA) was an early adopter of telehealth care, in large part to serve rural veterans with poor access to VHA facilities. Tisha L. Deen, Ph.D., and colleagues examined 2005–2010 national data on various types of VHA telemental health encounters (diagnostic assessment, medication management, and individual and group psychotherapy). Each type of encounter increased substantially, and individual psychotherapy with medication management was the most frequently delivered service (page 1131). In a Taking Issue commentary, Amy M. Kilbourne, Ph.D., M.P.H., acknowledges the potential of e-health technologies and describes several key challenges in regard to their adoption and sustainability (page 1059).