• Support and closely coordinate mental health care with the patient’s primary care provider, establishing a mutually agreeable care plan • Screen and assess patients for common mental health disorders • Support psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and treatment effectiveness • Track patient follow-up and clinical outcomes using a registry, record encounters in the registry, and use the system to identify and re-engage patients • Plan specific mutual self-management goals, objectives, and behavioral interventions with action-oriented patients • Facilitate care plan changes for patients who are not improving, including changes in medications or psychosocial treatments or appropriate referrals for additional services • Participate in regularly scheduled caseload consultations with psychiatric consultants