In implementing TRIAD, a number of considerations are indicated. First, the content underlying this program is based on the premise that agencies will modify their procedures to support depression detection and referral procedures. An instructor knowledgeable about geriatric depression and the homecare setting is required to implement this program. Finally, the TRIAD program is primarily a depression recognition, skills-building program that requires availability of a primary care provider with training or expertise in managing psychological problems or a mental health expert to evaluate suspected cases of depression after positive screens.