Cognitive Behavioral and Faith Fellowship to Improve Thy Health

Investigators will examine the efficacy of a faith-based depression intervention, in reducing symptoms of depression among African American adults in Wisconsin. Twelve church groups, each with 10 people (N=120) will be invited to participate. This intervention will be the first evidence-based, faith-based intervention designed for African Americans if validated.

Inclusion Criteria: * self-identify as an African American man or woman * are ages 18 and older * have symptoms of major depressive disorder, as evidenced by score of 10 and higher from the Patient Health Questionnaire-9 (PHQ-9). Exclusion Criteria: * major psychotic illnesses, such as schizophrenia; * current participation in psychotherapy * current suicidal ideations (trained staff will conduct a suicide risk assessment and facilitate referral for appropriate care). * Medication stabilization. Eligible participants who report recent changes to their psychiatric medications (i.e., initiation of a new medication, change in dose or type of medication) will delay their study enrollment for a stabilization period of 4 weeks. Baseline data collection will be re-administered * alcohol or drug dependence - those with alcohol or other drug dependence who have been clean and sober for 3 months will not be excluded