The investigators will recruit 60 adults (50+ years old), from two randomly assigned large WCMA primary care practices that screen all patients for depression with the PHQ-9. One practice will offer Relief (N=40) and one will offer referral (based on clinical indication) for mental health care (N=20), provided at the practice site. Participants will have clinically significant depression (PHQ-9 ≥10) and suffer from pain (during most days for ≥ 3 months). To facilitate future implementation studies, WCMA LCSWs and NPs will administer Relief. Assessments will be conducted at entry, and at 6, 9, & 12 weeks.