Depression has affected more than 21 million people in the United States. Depression has been identified as the leading cause of disability. Approximately $83.1billion has been spent on depression related illnesses. Low-income and uninsured persons have had higher rates of mental health disorders, including depression. Depression has occurred in every age group, race, and ethnic group. Women are more than twice as likely as men to have experienced depression. One out of seven Americans living in poverty has experienced depression. Biological, psychological, and social components have contributed to depression rates. Minorities have had limited access to care and the care they have received has been substandard. Within the Latino population, the health care delivery system for mental health has been inadequate and underutilized. Cognitive-Behavioral therapy (CBT) for the treatment of depression has been determined to be an effective means of treatment for depression. Advanced Practice Registered Nurses (APRN’s) have been identified as in a position to close the treatment gap for depression. The conceptual framework that guided the project was Callista Roy’s Adaptation Model. The overall project goals are that the CBT group participants would have decreased Patient Health Questionnaire-9 (PHQ-9) scores trended over the course of eight sessions. The participants were a cross-cultural group of women from HealthFinders Collaborative Clinic (HCC), with self-reported symptoms of depression.