The classes are used in Scotland as part of the Widening Access to Self-help project an extension of the Scottish Government funded Doing Well by People with depression program [23] and have proved popular and accessible. An independent Health and Social Board national pilot study conducted by AWARE Defeat Depression, a charity in Northern Ireland, evaluated 46 groups (356 individuals) who took part in the classes. The General Health Questionnaire-12 [24] found only 9.8% of participants self-rated as ‘Happy’ at the start of the intervention compared to over 60% at the end, which was a statistically significant change (P