Nuala C.
Director, BrandFire
Ireland
RaftLabs was outstanding at addressing our complex platform needs, delivering a stable, high-performance loyalty application that has been genuinely loved by the customers.
Telepsychiatry Software Development
Telepsychiatry software built around the clinical workflow, not just the video call.
The specific failure mode of general telehealth platforms in psychiatry is that they handle the video but nothing else. Psychiatrists need validated outcome measures collected and scored before they open the case, group therapy infrastructure that meets HIPAA requirements, and a prescription workflow, including controlled substances under DEA EPCS requirements, without switching applications mid-session. We build telepsychiatry platforms around these clinical requirements.
HIPAA-compliant video with encrypted sessions, waiting room management, and audit logging
Validated outcome measures (PHQ-9, GAD-7, PCL-5, MDQ) embedded in pre-session intake and session workflows
Group therapy video infrastructure with up to 20 concurrent participants and facilitator controls
Prescription management integrated within the session workflow, including EPCS for controlled substances
Bring the problem, the current workflow, or the existing code. We reply with a practical next step within one business day.
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The brief
Start with what is not working.
Good software decisions begin with the constraint, not a list of features or a preferred technology.
01
Using a general video platform that has no way to administer PHQ-9, GAD-7, or PCL-5 during or before the session, leaving providers to collect outcome data manually?
02
No infrastructure for group therapy sessions in your telehealth platform, meaning group programmes run on consumer video tools that don't meet HIPAA requirements?
Plain answer
RaftLabs builds telepsychiatry software for behavioural health practices, digital mental health companies, and health systems. We develop HIPAA-compliant video consultation infrastructure, validated outcome measure integration (PHQ-9, GAD-7, PCL-5, MDQ), secure provider-to-patient messaging, group therapy video capabilities, and prescription management workflows connected to the telehealth session. Most telepsychiatry platform builds deliver in 12-16 weeks at a fixed cost.
What to remember
- Waiting rooms are built so patients never see each other's presence, unlike consumer video tools where participants can see the waiting room list, a material HIPAA-relevant difference.
- Group therapy join links are unique per participant per session, so membership is enforced and patients can't share links to add unregistered participants.
- EPCS transmission for controlled substances requires DEA-compliant two-factor authentication and routes through a registered intermediary, with every transaction logged for the DEA audit trail.
- A focused MVP (video, PHQ-9/GAD-7 intake, messaging, basic prescribing) runs $50,000-$90,000; group therapy, EPCS, and EHR integration bring a full platform to $90,000-$180,000.
The video connects. Then the psychiatrist is on their own.
A psychiatrist opens a session on a general telehealth tool. The video works. But the PHQ-9 and GAD-7 were never collected, so there is no baseline to read against. The prescription lives in a separate application, and the controlled-substance workflow does not meet EPCS. Down the hall, group programmes run on consumer video that was never built for HIPAA.
The video was the easy part. Everything a psychiatric session actually needs sits outside the call.
That is the gap we build around.
We build telepsychiatry platforms around these clinical requirements. The outcome measures feed into the provider's session view with scores already calculated, group therapy rooms have facilitator controls appropriate to clinical settings, and the prescription workflow lives inside the platform, not in a separate tab. RaftLabs has a track record building HIPAA-compliant clinical platforms. The team that scopes your clinical programme is the team that builds it, no handoff after the contract is signed, and a fixed price locked in writing before any development starts.
This works when the clinical workflow around the video is the hard part.
Everything on the left should already be true for your practice. Even one thing on the right, and a general telehealth tool is likely the smarter first step.
A fit
01
You run a behavioural health or psychiatric practice, a digital mental health company, or a health system with active telehealth volume.
02
You need validated outcome measures (PHQ-9, GAD-7, PCL-5, MDQ) collected and scored inside the clinical workflow, not on paper afterwards.
03
You prescribe, including controlled substances that require EPCS, and want it handled inside the session rather than a separate application.
Not a fit
01
You only need a video call, with no outcome measures, group infrastructure, or prescribing around it.
02
You have no HIPAA obligation and consumer video tools already meet your needs.
03
You want an off-the-shelf platform to configure yourself, not a custom build scoped to your clinical programme.
What we build
Everything a psychiatric session needs, inside one platform.
- 01
HIPAA-compliant video infrastructure
Built on Twilio and Daily.co. Waiting rooms hold patients in a compliant queue where they never see each other's presence, with post-session notes writing back to the EHR via FHIR R4 DocumentReference. - 02
Validated outcome measures
PHQ-9, GAD-7, PCL-5, and MDQ appear pre-scored in the provider's session view, stored as LOINC-coded FHIR Observation resources for structured EHR export. - 03
Group therapy infrastructure
Up to 20 concurrent participants with facilitator-only muting and removal controls, unique per-participant join links, and separately enforced group-level versus individual clinical notes. - 04
Secure messaging
End-to-end encrypted provider-patient messaging with structured safety planning documents and patient digital acknowledgment retained on the clinical record. - 05
Prescription management
Built on Surescripts and DrFirst. Prescribing happens inside the consultation dashboard, with EPCS two-factor authentication for controlled substances and automated medication reconciliation against the EHR. - 06
Compliance and privacy architecture
42 CFR Part 2 data segmentation for substance use records, state-specific mental health privacy rules, and role-based minimum necessary access enforcement.
Have a telepsychiatry project?
Tell us your clinical programme structure, individual, group, or both, your prescribing requirements, and your current EHR environment. We'll scope the build.
How it works
From scope to live telepsychiatry platform
- Week 101
Clinical programme and prescribing scoping
We map your clinical programme structure, prescribing requirements, and current EHR environment. You leave week 1 with a written scope document and a fixed-price quote.
- Weeks 2-502
Outcome measure and compliance design
Outcome measure battery, group therapy consent model, and EPCS workflow designed against your regulatory requirements.
- Weeks 6-1503
Build and integrate
Video, outcome measures, and prescription management built in parallel, tested against real clinical scenarios.
- Final 2-3 weeks04
Launch and clinical team training
Providers trained on outcome tracking and EPCS workflow before full rollout.
What clients say
What our clients say
Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.
Testimonial 1 of 1: Nuala C.
Proof
Case studies
Nurse-Assisted Telehealth Platform
We built Galen, a nurse-assisted HIPAA-compliant telehealth platform: a clinic nurse operates the exam camera, otoscope, and digital stethoscope while a remote doctor directs the exam and e-signs the prescription at close.
RaftLabs grows organic traffic 30% after migrating its website to a headless CMS and launching 3,000 programmatic pages
RaftLabs migrated from Webflow to Sanity CMS to run a programmatic SEO strategy at scale. Zero downtime. 3,000+ pages launched. 12,000 monthly visitors moved without traffic loss. Organic traffic up 30% in the first year.
Custom LMS development case study: building Sekou, a French-first school management platform for K-12 schools in French-speaking West Africa
A French-first school management platform and LMS for K-12 schools in West Africa. Attendance, marks, fees, and role-based portals for administrators, teachers, students, and parents, built by a six-person RaftLabs team over about six to seven months.
Where you land in that range depends on scope, not negotiation:
- Focused MVP, $50,000-$90,000
- HIPAA-compliant video, pre-session PHQ-9/GAD-7 intake, secure messaging, and basic prescription management, delivered in 12-16 weeks.
- Full platform, $90,000-$180,000
- Everything in the MVP, plus group therapy, EPCS for controlled substances, EHR integration, and 42 CFR Part 2 data segmentation.
What it costs
Telepsychiatry platforms, starting at $50,000.
A written scope and a firm quote in week 1, then a platform built around your outcome measures, group programme, and prescribing workflow.
Starting investment
Starts at $50,000
Priced by project, not by the hour. A focused MVP for individual sessions delivers in 12-16 weeks. Group therapy, EPCS, and EHR integration expand the platform once the MVP is live.
No hourly billing
Once we scope your first phase, that price is locked in writing. No hourly billing, no surprise invoices, no change fees you didn't agree to.
EPCS done right
DEA-compliant two-factor authentication and audit logging built in from day one, not retrofitted after a compliance review.
Useful next steps
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Read moreCommon questions
A focused MVP with HIPAA-compliant video, pre-session PHQ-9/GAD-7 intake, secure messaging, and basic prescription management typically runs $50,000-$90,000 and delivers in 12-16 weeks. A full-featured platform with group therapy, EPCS, EHR integration, and 42 CFR Part 2 data segmentation typically runs $90,000-$180,000.
PHQ-9, GAD-7, PCL-5, MDQ, AUDIT-C, DAST-10, CAGE-AID, Columbia Suicide Severity Rating Scale, and condition-specific instruments used in your practice, with automated scoring stored as FHIR Observation resources with LOINC codes.
EPCS requires two-factor authentication, a knowledge factor plus a biometric or hardware token, before each controlled substance prescription is transmitted through a DEA-registered intermediary like Surescripts or DrFirst, with every transmission logged for the DEA audit trail.
Yes, but it requires purpose-built infrastructure: a BAA with the video provider, end-to-end encrypted media, waiting room management preventing participants from seeing each other, facilitator-only controls, and unique non-shareable join links per participant per session.
Work with us
Tell us where the work is stuck.
Bring the rough workflow, half-built product, or messy brief. We will map the smallest useful first move, then send scope, timeline, and price in plain English.
- Scope and cost agreed before work starts. No surprises. No obligation.
- Working prototype within 3 weeks of kickoff.
- Pay by milestone. You see progress before each invoice.
- 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
- All conversations are NDA-protected.
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