 The objective of this grant was to carry out preparatory steps toward national implementation, including developing and investigating TIDES sustainability and partnering and marketing strategies. The project supported VISNs as learning organizations in the area of depression care improvement, and ultimately aimed to support as many as 8 to 10 of veterans nationally in improving their health and quality of life. Preparatory steps included 1 development of easily disseminated tools, including CPRS decision support, panel monitoring, and care manager and team training materials, 2 national and local dissemination to support TIDES model sustainability and spread and 3 evaluation using tools that would assess not only the success of this project, but could be used for quality monitoring during roll-out. 