An editorial notes that important questions remain about how to engage patients more in collaborative care models, as less than 11% of eligible patients took up the offer of screening in the study, despite three attempts, suggesting that a different approach is needed to “sell” this model of care, especially to patients with social and economic disadvantage. In addition, adhering to eight treatment sessions was difficult as just under half of the participants received a potentially therapeutic “dose” of the intervention and a third either withdrew after referral or did not attend any sessions. Furthermore, the high levels of social and economic disadvantage among participants (75% were not working) suggest that models of collaborative care that include a social care element are worth testing. Questions remain as to whether such models are cost effective and how best to incorporate them into routine practice.