@preppedparent you’re lucky to live in an area where there is a good supply of providers, but unfortunately that is not the case in many communities. It’s not just the colleges that don’t have the providers on staff, but the communities that don’t have enough provider to provide adequate coverage for referrals. While I agree that a prescriber should be willing to provide a 90 day prescription, I can see why they might not want to for a relatively new patient, particularly if they work for the campus health service, and won’t be available over the summer to deal with any complications. When my daughter finishes at the community college, and hopefully goes away to finish her BA, she will maintain her relationship with her local therapist, and may stay with her psychiatrist as well - though depending where she goes, she may have him consult with someone local to the college so she has someone to see on an emergency basis, without having to visit the ER. Those who complain of having to wait a month or more to get an appointment might not understand that is unfortunately a typical wait - if you go to the ER, you will be seen immediately, and then referred to someone who will often see you sooner because the ER has certified that your need is critical. Unfortunately while there are urgent care facilities popping up everywhere to deal with physical ailments, there isn’t a similar model for mental health. I’m not sure whether such a model would even be a good idea. How many patients are going to be that open with a random therapist with whom they don’t expect to build a relationship? And if meds are being prescribed, I would expect a certain level of follow-up that usually isn’t part of that model - with a physical illness, you’re usually referred back to your primary care for follow-up.