Table 1 Appalachian Mind Health Initiative (AMHI) inclusion and exclusion criteria

Inclusion criteria

Participants must meet the following criteria:

 1. Seeking MDD treatment for the first time in the past 6 months (i.e., the beginning of a first or new course of treatment)

 2. Aged 18 years or older

 3. Appropriate for outpatient treatment (i.e., do not require inpatient psychiatric treatment)

 4. Literate in English

 5. Access to a telephone

 6. Access either to a smartphone or computer or willing to travel to access a device at the doctor’s office

Exclusion criteria

A person is not eligible if any of the following apply:

 1. Treatment of MDD within the past 6 months

 2. Required inpatient psychiatric treatment at the time of the current MDD diagnosis

 3. History of hearing, vision, or cognitive impairment that would interfere with participation

 4. History of either bipolar disorder or non-affective psychosis either in medical records or self-report, or as indicated by treatment with a mood stabilizer or antipsychotic medication

 5. Acute serious suicide risk