Participants in this arm will participate in the Interventions for Stressful Transitions in Later Life (InSTILL), a behavioral health intervention tailored to the needs of short stay nursing facility residents and their primary care partner. InSTILL includes 8 sessions (2x per week for about 4 weeks) delivered in person or remotely. Both participants (e.g., resident and care partner) attend all sessions together, facilitated by a trained clinician.

Participants in this group will receive a psychoeducational pamphlet with enhanced referrals for community support resources.

The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents and their care partners experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills, emotion regulation skills, and dyadic coping skills with the goal of reducing depression symptoms among both dyad members (i.e., resident and care partner).

3-item self-report measure of participant's belief regarding how helpful the intervention will be for them. Higher scores (min = 0, max = 30) scores indicate greater credibility.

3-item self-report measure assessing patient satisfaction with the program. Higher total scores (min = 3, max = 12) indicate greater satisfaction.

Percentage of eligible approached dyads that are enrolled into the study.

Percentage of all participants with no measure fully missing at follow-up.

Percentage of InSTILL participants completing 5/8 sessions

Percentage of InSTILL sessions delivered with 100% adherence on a study-specific Fidelity Checklist.

Any adverse events related to participation in the study.

9-item self-report measure of depression symptoms. Higher scores (min=0, max=27) indicate greater depressive symptoms.