The behavioral health your patients need, where they already get care.
Integral Health embeds the Collaborative Care Model into your primary care practice, so depression and anxiety get treated instead of referred away.
The referral was never a treatment plan.
Most behavioral health referrals never turn into a first visit. The wait is long, the clinic is far, and the patient is already struggling. The untreated depression does not disappear. It comes back as the diabetes that will not control, the readmission, the avoidable cost. Integral Health keeps care inside the practice the patient already trusts, and follows the outcome week to week.
Care that reaches, and care that works.
Registry-verified outcomes across our collaborative care panels.
The gap is not the treatment. It is getting the patient into it.
Faster access, real improvement, lower cost.
What collaborative care does for a patient, and for the total cost of their care.
Average from referral to first appointment. No more three- and four-month waitlists.
Of patients see a meaningful reduction in depression and anxiety scores.
Of patients rate their care five stars.
One team around your patient, inside your practice.
Collaborative care adds a small, coordinated team to the physicians you already have. No separate clinic, no lost referrals.
Identify
Routine screening finds patients with depression or anxiety and enrolls them onto a shared registry.
Engage
A behavioral care manager checks in on a schedule and tracks symptoms with the PHQ-9 and GAD-7, in the patient's own language.
Adjust
A consulting psychiatrist reviews the caseload weekly and advises the physician, without the patient waiting months for an appointment.
Resolve
Care is measurement based. The team changes the plan for anyone who is not improving, and documents every step for billing.
We show our work.
Every claim we make traces to published research or our own library. Read it for yourself.
Closing the depression-screening gap at a Western New York primary care network
The network built screening into every visit, then used collaborative care to reach and treat the patients who screened positive. It generated $1M in collaborative care revenue at no upfront cost to the practice.
enrolled in care
at $0 practice cost
The 2026 Integral Health Outcomes Report
The full data on reach, clinical improvement, and total-cost impact across our collaborative care panels.
- 72% enroll
- 89% retention
- 41% remission
- 3.2 days to first visit
“For the first time, behavioral health is something a practice can manage inside primary care, instead of referring out and hoping.”
A screening score is not the same as knowing who needs help.
Screening finds the patients who answer the questionnaire on the day they happen to be in the office. The patients who cost the most are usually the ones the screen does not catch. Their record has been saying so for months.
Screens negative, but is not well
The questionnaire comes back low while the chart tells a different story.
Stopped refilling an antidepressant
Treatment quietly ended months ago and nobody was told.
Referred to psychiatry, never went
The referral closed the loop on paper, not for the patient.
Back in the emergency department
A repeating visit pattern that reads as medical and is not.
Diagnoses and screener trends
ICD-10 history, PHQ-9 and GAD-7 scores, and the direction they are moving.
Prescription patterns
Fills, gaps, and discontinuation across the medication list.
Admission and discharge events
Emergency visits, inpatient stays, and transitions of care.
Visit notes
The free-text clinical observations that never become a coded field.
Referral status
Sent, and whether the patient was ever actually seen.
One engine reading the whole record, not one questionnaire at a time.
Nightingale sweeps the panel every month and hands the care team a ranked list of people to reach, with the reason attached.
The care coordinator that never loses the thread.
Scroll through what it does. The panel on the left responds.
Proactive outreach
Reaches every enrolled patient on cadence, in their own language, between visits. It contacts the people who never call back, so no one goes quiet for a month.
Live registry
Every enrolled patient tracked to target. The ones not improving surface first, so the care team spends its time where a score is actually stuck.
Billing-ready documentation
Time and contacts logged against the monthly CoCM thresholds automatically, so the work you already do turns into a clean, reimbursable claim.
One system, many surfaces.
Nightingale.AI is not a single dashboard. It is the layer doing the between-visit work, wherever the work happens.
Built for the people who carry behavioral health risk.
Primary care practices
Treat behavioral health in-house and get reimbursed for the work you already do.
- Care managers and psychiatry, staffed for you
- Runs in your existing EHR and schedule
- Covered for Medicare and Medicaid patients
Health systems
Extend behavioral health across your network, without building a new department at every site.
- Deploys across employed and affiliated practices
- Fewer behavioral-health-driven ED visits and readmissions
- Moves system-level quality and Stars measures
Payers and ACOs
Reach the members driving avoidable cost, and move the quality measures that matter.
- Population reached, not just screened
- Impact on total cost of care
- HEDIS and Stars behavioral measures
The most evidence-based model in behavioral health.
Collaborative care is about as settled as anything in the field. Integral Health delivers it with the operational rigor that decides whether the evidence ever reaches a patient.