Psychiatry, psychology and therapy

Mental health software for the whole consult.

92health runs a psychiatry or psychology practice as one record: the history taken section by section, a mental state examination filled by tapping, the risk rated from what was recorded, rating scales scored in the patient's own language, the plan and the prescription, and therapy sessions numbered and carried forward.

  • Psychiatry clinics
  • Psychologists and therapists
  • Hospital psychiatry departments
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The screener, the score and the safety plan

Schematic
The visit01

One visit, from the screener to the summary.

Each step is a screen built for the person doing it. Scroll through them in the order a patient meets them.

  1. Front desk

    The desk, and a screener before the doctor

    The patient is registered once. A PHQ-9 or GAD-7 is answered at the desk or on the patient's own phone, in English, Hindi, Tamil or Telugu, and the score is on the chart when the doctor opens it.

    See the front desk in a demo
  2. Assessment

    The history and the mental state examination

    The history is taken section by section, with tags for what the patient reports and room for their words, and the last visit's history is offered to carry forward. The mental state examination is a grid of eleven domains: Fill normal records an unremarkable domain in one tap, and anything found is picked or typed on its own cell.

    See the examination in a demo
    SOAPICD-10
  3. Risk

    Risk, rated from what was recorded

    Suicidal thoughts, a plan, intent, means, past attempts, self-harm and risk to others are recorded as facts, and the level is derived from them. The clinician can override it with a reason. A high level puts a banner on every step of the consult, and the safety plan is written in the patient's own words with Tele-MANAS 14416 and 112 under it.

    See the risk assessment in a demo
  4. Rating scales

    Rating scales, scored on the spot

    PHQ-9, GAD-7, WHO-5, DASS-21, PSS-10, K10, ISI, AUDIT, EPDS, PCL-5, GDS-15 and the child and adolescent scales are built in, in English, Hindi, Tamil and Telugu where a translation exists. A scale is answered on the clinic's screen or the patient's phone, scored at once with its severity band, and every administration joins one series, so this visit's score sits beside the last.

    See the rating scales in a demo
  5. Plan

    Diagnosis, formulation and the prescription

    Diagnoses are coded to ICD-10 from a typeahead of the common mental health codes, provisional or confirmed, one marked primary. The plan holds the formulation, the therapy offered, investigations, referrals, what was discussed, the disposition and the review date. The prescription opens beside its printed sheet, with the risk level and the last weight and blood pressure in view.

    See the plan in a demo
  6. Therapy

    Therapy sessions, numbered

    A therapy visit opens on the session: its number, format and length, the interventions used, goals with their progress, the homework set and the next session agreed. The last session's goals and homework are carried forward, so progress is reviewed rather than retyped.

    See a therapy session in a demo
The visit summary02
Built for the consult

Two copies of the visit: what the patient takes home, and what the clinic keeps.

The summary the patient takes home carries the diagnosis as the doctor recorded it, the plan in words, the medicines, the review date and the safety plan with the helplines. It never prints the mental state examination, the risk rating or the clinician's note.

The clinic chooses whether its own copy prints the full record: the history, the examination as prose, the risk assessment, this visit's scale scores and the clinician's note.

  • The safety plan printed in the patient's own words
  • Tele-MANAS 14416 and 112 on every summary that carries a safety plan
  • The mental state and the risk rating kept off the patient's copy
  • A clinical copy, by the clinic's own setting

The visit summary

Two copies

Schematic. Layouts are simplified, and every name, number and result shown is invented.

The rest of the clinic03

The rest of the clinic, on the same record.

Billing, the counter and the books run on the same patient record, so a patient is registered once and pays once.

Plain answers04

Questions mental health practices ask.

Does the patient see the mental state examination?
No. The summary the patient takes home prints the diagnosis, the plan, the medicines, the review date and the safety plan. The mental state examination, the risk rating and the clinician's note stay on the clinic's record, and a clinic that wants a full clinical copy switches that on in its settings.
Can a psychologist or a therapist use it without prescribing?
Yes. A therapist records the history, the scales, the session and the plan, and a therapy visit opens on the session rather than the examination. The prescription step is there for whoever holds the prescription permission.
Which rating scales are built in?
PHQ-9, GAD-7, WHO-5, DASS-21, PSS-10, K10, ISI, AUDIT, EPDS, PCL-5, GDS-15, PSC-17, PHQ-A, CRAFFT, ASQ, SCARED (child and parent) and CRIES-13, each scored with its own severity bands. PHQ-9 and GAD-7 and most of the adult scales are available in Hindi, Tamil and Telugu as well as English.
What happens when a patient screens high risk?
The level is derived from what is recorded, a high level puts a banner on every step of the consult, and the safety plan with Tele-MANAS 14416, 112 and 108 is part of the record and of the patient's summary. Nothing is decided by the software: the clinician rates the risk and can override the derived level with a reason.
Is it ABDM compliant?
Patient records link to ABHA numbers, and clinical records are kept in FHIR R4, the format ABDM exchanges. Sharing records through the ABDM gateway is switched on for each facility.
How long does it take to go live?
Usually within a week. We set up departments, doctors, fees and the scales with your team, import your patient register from a spreadsheet, and train the front desk, nurses and doctors in a few hours.
Book a demo

See it on your own clinic.

Bring a first visit and a follow-up. We'll take the history, fill the examination, score a PHQ-9 in Tamil, write the plan and print the patient's copy.

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