Level	Psychotherapy and medication treatment
Informal coordination	Send an introductory letter to potential behavioral health partners to establish a relationship. Establish relationships with local crisis lines and providers (see a sample behavioral health outreach letter from the Suicide Prevention Resource Center which is available in Appendix 2). Be familiar with first- and second-line medication management for depression and other common psychiatric disorders. Explore if there is a psychiatrist available to consult with for treatment-resistant moderate or severe psychiatric illness.
Co-location	Meet and/or send an introductory letter to co-located behavioral health partners. Be familiar with first- and second-line medication management for depression and other common psychiatric disorders. Explore if there is a psychiatrist available to consult with for treatment-resistant moderate or severe psychiatric illness. Patients with increased psychiatric illness severity may require a higher level of psychiatric care (e.g., through local behavioral health agencies or tertiary medical centers). Co-located behavioral health practitioners may consider CBT/DBT/medication management drop-in groups weekly with rolling admission for rapid access when needed while awaiting individual treatment.
Integration	Establish relationships with local crisis lines and providers. Embedded therapists provide evidence-based short-term therapy for depression and other common behavioral health disorders. Track patients on psychiatric medications weekly and make an evidence-based change if patients are not improving. The care coordinator reviews patients with a consultant psychiatrist regularly. Patients with increased psychiatric illness severity will likely need a higher level of psychiatric care with local behavioral health agencies or university programs. Run CBT/DBT/medication management drop-in groups for immediate access while awaiting individual treatment.