The Smiley Activation Programme (SAP) is a home-based intervention that is targeted to reduce depressive symptoms in elderly Hong Kong Chinese. The SAP includes eight social worker’s home visits and two volunteer visits over 19 weeks and a three-month follow-up, integrating problem-solving treatment and behavioural activation. This study aims to evaluate the feasibility of the SAP in reducing depressive symptoms for elderly depression in Hong Kong, by comparing the outcomes at pre-test, post-test and three-month follow-up. Two hundred and nineteen old adults aged 60 or above with depressive symptoms were recruited. Significant improvements in depression (t = 12.79, p < .01) and an effect size of 0.96 were reported. Other benefits include improvements in perceived general health, physical and social activeness and pleasant activity level. The low attrition rate and high participant satisfactory level supported the feasibility of the programme. Implications of social work research and practice are discussed.