Inclusion Criteria:  Adult Outcomes Questionnaire (AOQ) score between 10-30 English-Speaking  Exclusion Criteria:  High risk for suicide defined by answer to question 9 on PHQ-9 of 1 or more Diagnosis of bipolar disorder Diagnosis of a psychotic disorder Dementia diagnosis Active substance use disorder diagnosis Current hospice Current home-based palliative care Residing in a skilled nursing facility Residing in an assisted living facility Non-Kaiser Permanente Member Established psychiatric care outside of Kaiser Permanente