Inclusion Criteria:  English or Spanish Speaking ≥ 18 years of age Elevated depressive symptoms Elevated Patient Health Questionnaire (PHQ)-9 >=10 Elevated PHQ-9 >=5 and Generalized Anxiety Disorder (GAD)-7 >= 10  Exclusion Criteria:  Under the care of a psychiatrist or depression collaborative care manager in the prior 3 months Diagnosis of psychosis or schizophrenia Diagnosis of bipolar disorder Dementia or severe cognitive impairment History of coronary heart disease Pregnancy Dementia or severe cognitive impairment