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Consensus criteria for referral to a behavioral health specialist
| Two months of treatment without desired clinical improvement |
| Active homicidal ideation |
| Active suicidal ideation |
| Bipolar or manic behavior |
| Counseling with or without medication |
| Difficulty adhering to treatment plans |
| Domestic violence |
| Failure to respond to second antidepressant |
| Lifelong/recurrent depressions |
| Partial response to medication |
| Psychotic symptoms |
| Significant alcohol/other substance abuse |
| Unclear diagnosis |
