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Although geriatric rehabilitation continues to grow, little attention has been paid in the literature to the mental health issues of older adult minority patients. Given the prominence of depression in geriatric rehabilitation for dominant culture patients, the program of depression research and treatment described herein was targeted for urban African Americans. This program of research addressed four main questions: Is depression prevalent in this minority patient group? Is depression adequately detected? Does depression relate to functional outcomes? and, Can the treatment of depression reduce depressive symptoms and improve function? A series of studies is reviewed in which these questions are tackled. The overall findings were, similar to White samples, that depression was prevalent, and did relate to functional outcomes. Treatment was also effective in reducing depression.