The Collaborative Care Model (CoCM) is an evidence-based, team-based approach that treats common behavioral health conditions inside primary care instead of referring patients out. A primary care provider, a behavioral care manager, and a consulting psychiatrist work as one team, tracking every patient on a shared registry and adjusting treatment until symptoms measurably improve.

It is the most rigorously studied model for delivering mental health care in primary care, validated by more than 90 randomized controlled trials and developed at the University of Washington AIMS Center (the IMPACT model). Because the care team manages most patients without an outside referral, CoCM extends scarce psychiatric expertise to far more people than traditional one-to-one referral can reach.

AI in the Collaborative Care Model coordinates care; it never diagnoses or treats. In Integral Health's platform, every clinical decision is made by a licensed behavioral care manager and a board-certified psychiatrist, and the AI's job is to let that small clinical team manage a much larger patient panel by handling the operational work that usually slows collaborative care down.

Working across the registry, the AI:

• Surfaces patients who are overdue for follow-up or not improving on their PHQ-9 or GAD-7 scores
• Prompts timely outreach so no enrolled patient falls through the cracks
• Drafts documentation and visit notes for the care manager to review and finalize
• Routes the right patients to psychiatric consultation and flags possible safety risk for human review

The result is that psychiatric reach expands well beyond what one-to-one referral allows, while clinicians stay fully in control of every diagnosis and treatment decision.

Yes. The AI is governed by a strict human-in-the-loop model: it assists with coordination and documentation only, never makes clinical decisions, and a licensed clinician reviews and finalizes everything it drafts. This keeps accountability with the care team and controls the risk of automated error in a clinical setting.

On data, protected health information (PHI) is handled under the business associate agreement (BAA) and is not used to train third-party foundation models. Safety-related flags, such as a possible risk signal, are always routed to a human for review rather than acted on automatically. Our security and clinical teams can walk your governance, IT, and compliance stakeholders through these controls during evaluation.

Yes. The platform meets your systems where they are and integrates with the EHR and population health tools your teams already use, including Epic, athenahealth, MedGen, Cerner, MEDENT, MDLand, eClinicalWorks (eCW), and Practice Fusion, so behavioral health screening results, registry status, and outcomes surface where clinicians already work rather than in a separate tool. Where deep integration is supported, we use standards-based interfaces such as HL7 and FHIR for bidirectional data exchange.

Where a full interface is not the right fit, lighter-weight options like shared worklists and reporting feeds keep behavioral health data flowing back to the right people, which is a matter of flexibility rather than limitation. Our team scopes the integration approach with your IT group during onboarding, so the platform conforms to the systems you have instead of forcing a new one on your staff.

Yes. Integral Health is HIPAA compliant and handles all protected health information (PHI) under a signed business associate agreement (BAA) with every partner. The platform runs on HIPAA-eligible cloud infrastructure, and the patient data remains the partner's; Integral Health acts as a business associate, not a place data is locked away.

Our safeguards include:

• Encryption of data in transit and at rest
• Role-based, least-privilege access for the care team, with multi-factor authentication
• Audit logging of access to patient records
• A documented incident-response and breach-notification process
• Independent security assessment and ongoing monitoring of our controls
• Subcontractors bound by sub-BAAs and held to the same safeguards

Our security and compliance team will complete your standard security questionnaire and sign your BAA during procurement, and we can provide documentation of our controls on request.

Patients are identified through routine behavioral health screening and provider referral, then enrolled with their consent. Most enter the program after a positive PHQ-9 or GAD-7 screen at a primary care visit, or when their PCP refers them because they would benefit from structured behavioral health support.

From there, the registry helps the care team find every patient with a positive screen so no one is missed, and the patient agrees to participate in what is a covered, billable service before enrollment. Because identification runs off screening and the registry rather than your staff's manual tracking, the program reaches the patients who need it without adding a workflow to your front-line team.

Measurement-based care means every patient's symptoms are tracked with validated rating scales at intake and on a regular schedule, and treatment is adjusted until those scores improve. In collaborative care, the standard instruments are the PHQ-9 for depression and the GAD-7 for anxiety.

This treat-to-target approach is what separates collaborative care from a simple referral. Rather than assuming a patient is improving, the care team watches each PHQ-9 and GAD-7 score on the shared registry, intensifies or changes treatment when a patient stalls, and works toward measurable response and remission for the whole panel, not just the patients who happen to follow up.

Integral Health measures outcomes using the same validated PHQ-9 and GAD-7 scores used to deliver care, captured at intake and on a set cadence, then reports population-level symptom reduction, treatment response, and remission across the enrolled panel. Because reporting comes from the clinical instruments themselves, it reflects real clinical change rather than activity counts.

For payers and ACOs, that registry data rolls up into population-level reporting on engagement, symptom improvement, and behavioral health quality-gap closure for HEDIS- and Stars-type measures. This gives risk-bearing partners a direct line of sight into behavioral health impact and the measures that drive value-based contracts, instead of a black box.