Background: The Centers for Disease Control and Prevention (CDC, 2016) considers depression a major public health concern. The Substance Abuse and Mental Health Services Administration (SAMHSA, 2015) states that the number of school age children affected by depression is on the rise and many do not receive appropriate care. Considering all the barriers (lack of providers, stigma, disparities in care) preventing children from obtaining access to necessary mental health professionals, it is vital to recognize the important role school personnel play in assisting students with mental health problems (Sanchez et al., 2018) by identifying and referring them to healthcare providers. Objectives: To increase school nurses knowledge of depression in children and adolescents, to improve the confidence level of school nurses in identifying, screening, and referring students who present with or report signs or symptoms of depression, and to evaluate the satisfaction of the school nurses with an education session and resources toolkit provided to them. Methods: Quality improvement project recruited 13 school nurses who received an education session and a depression resources toolkit to assist them in case-finding depression among students. Nurses received a pre-post self- assessment on depression in children before and immediately after the educational session, post-test and confidence level surveys at 60 and 90 days after project implementation. Also, a satisfaction survey was presented to them at 90 days after implementation, representing the conclusion of project. Results: Pre and post-tests showed a statistically significant difference immediately after educational session, however, results differed between 60 and 90 days post-test compared with pre-test scores. Toolkit resources did not appear to have significantly increased school nurses confidence levels. Conclusion: Although data demonstrated some improvement in understanding of depression in children and adolescents, additional studies and quality improvement projects need to occur to find the appropriate tools and methods to increase the school nurses' confidence level in providing care to the student population they serve. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]