Our interventions focus on interactions that help individuals articulate their attitudes toward depression and its care, define their distress in their own terms, identify potential barriers, assess options for care, and determine preferences for its delivery. Logistics of transportation and costs are frequent initial barriers, as are the anticipated social costs (such as stigma and loss of independence). Frequently, we must address the undercurrents of ageism and hopelessness—“I am just old”—as reasons for not seeking help. In the Open Door study, a community-based trial funded by the National Institute of Mental Health, engagement is promoted through a collaborative effort between the counselor and the older adult. During intervention meetings, they review the client’s symptoms, views and attitudes, personal goals, options, and useful information about mental health, and they problem solve to create an engagement plan. To conduct successful engagement research, investigators need to build strong partnerships with other providers, such as aging services, community partners, and health care agencies.