A large urban area clinic serves a population base of older adults aged 65 and older who are Medicare insured. The clinic utilizes a home visit model whereby primary care providers visit medically complex clients within their home environment. The clinic serves elderly clients who live with multiple medical conditions, experience possible mental health concerns, and may cope with social isolation and loneliness as well. There is currently no framework in place to address the prevention of clinical depression for these clients, many of who carry multiple risk factors for the development of depression. Without intervention, these clients are at risk for further deterioration of their mental health as well as the worsening of an already fragile physical health status. Leadership would like to implement a framework to prevent depression and to promote optimal functioning in their elderly clients. Non-licensed, support staff address the needs of less acute clients as well as promote engagement in clinic services for lower acuity clients.