Children with rheumatic disease are at increased risk of developing mental health issues, including depression. Our study looks at a system to screen children in the pediatric rheumatology clinic for depression and provide mental health resources for those who screen positive for depression. The American Board of Pediatrics developed The Roadmap Project, which includes a readiness checklist to prepare for mental health screening. Our 3 centers have used parts of this checklist to guide us in creating a change package for depression screening in our rheumatology clinics. The goal is to ensure that our screening system can be used across diverse pediatric rheumatology clinics. We will use implementation science outcomes to see if our change package can be used to start depression screening.