"Their ability to translate my vision into a fully functional MVP in just 8 weeks was outstanding. Highly recommend!"
Eric M.
Founder at Intrinsic Sales
Telepsychiatry Software Development Services
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.
Video built for HIPAA-covered workflows: 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 video consultation infrastructure for HIPAA-covered workflows, validated outcome measure integration (PHQ-9, GAD-7, PCL-5, MDQ), secure provider-to-patient messaging, group therapy video, and prescription management workflows. Each engagement is scoped in writing, with a fixed price locked before development starts.
What to remember
- Waiting rooms hold patients in a queue where they never see each other's presence, unlike consumer video tools where the participant list is visible.
- Group therapy join links are unique per participant per session, so membership is enforced and patients can't share links to add unregistered participants.
- The EPCS workflow includes two-factor authentication at transmission, routing through a registered intermediary, and a complete audit trail of every transmission.
- Every engagement is scoped in writing with a fixed price locked before development starts.
- Outcome measures (PHQ-9, GAD-7, PCL-5, MDQ and more) score automatically and store as FHIR Observations with LOINC codes.
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 clinical telehealth 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
You run a behavioural health or psychiatric practice, a digital mental health company, or a health system with active telehealth volume.
You need validated outcome measures (PHQ-9, GAD-7, PCL-5, MDQ) collected and scored inside the clinical workflow, not on paper afterwards.
You prescribe, including controlled substances that require EPCS, and want it handled inside the session rather than a separate application.
Not a fit
You only need a video call, with no outcome measures, group infrastructure, or prescribing around it.
You have no HIPAA obligation and consumer video tools already meet your needs.
You want an off-the-shelf platform to configure yourself, not a custom build scoped to your clinical programme.
The first decision is not what to build.
It is whether software is the right answer at all. We use four possible recommendations before discussing a development scope.
- 01
Buy
Choose a maintained product when it handles the core workflow and the remaining gaps can be solved with configuration, a connector, or a small process change. Paying for software you do not have to maintain is often the better trade.
- 02
Repair
Keep the existing product when users still get value from it and the code can be understood safely. Start with evidence: where the code lives, how the data is organized, what is tested, which outside services it depends on, who can access what, and how updates go live.
- 03
Build
Own the system when the care session shapes margin, customer experience, speed, or a product customers pay for. Start with one complete path and the system connections that path cannot work without.
- 04
Wait
Do not turn a changing policy into permanent software. Stabilise the rules, name the workflow owner, and measure the cost of the current process before paying for a product.
Not sure which path is yours? Bring it to a 30-minute call. Leave with the answer in writing.
Capabilities
Everything a psychiatric session needs, inside one platform.
Video infrastructure for clinical workflows
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.
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.
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.
Secure messaging
End-to-end encrypted provider-patient messaging with structured safety planning documents and patient digital acknowledgment retained on the clinical record.
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.
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 work.
How it works
From scope to live telepsychiatry platform
- Phase 101
Clinical programme and prescribing scoping
We map your clinical programme structure, prescribing requirements, and current EHR environment. You leave phase 1 with a written scope document and a fixed-price quote.
- Phase 202
Outcome measure and compliance design
Outcome measure battery, group therapy consent model, and EPCS workflow designed against your regulatory requirements. You approve the clinical design before any technical work begins.
- Phase 303
Integration into production
Video, outcome measures, and prescription management built in parallel, tested against real clinical scenarios.
- Phase 404
Launch and clinical team training
Providers trained on outcome tracking and EPCS workflow before full rollout. The rollout follows only after providers are comfortable running the clinical workflows on their own.
Proof
Case studies
- 01
Nurse-Assisted Telehealth Platform
We built Galen, a nurse-assisted 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. - 02
GrantHub indexes 1,600+ active grants across 21 countries so SMEs stop missing funding they qualify for
GrantHub gives businesses a single place to filter 1,600+ active grants and tax credits across 21 countries by country, industry, and business type.- active business grants indexed
- 1,600+
- countries covered in one search
- 21
- average time to find relevant grants
- 10 min
- 03
AI phone agents automate global feedback loops through voice interviews
Text surveys only reached people comfortable filling out forms. We built a voice platform that calls anyone with a phone, runs the interview, and has the findings ready when the last call ends.- from concept to launch
- 12 weeks
- delay as insights available as soon as interviews end
- 0
General telehealth tool or purpose-built telepsychiatry platform
| General telehealth tool | Purpose-built telepsychiatry platform | |
|---|---|---|
| Outcome measures | PHQ-9 and GAD-7 were never collected, so there is no baseline to read against | Outcome measures feed into the provider session view with scores already calculated |
| Prescribing | The prescription lives in a separate application, and the controlled-substance workflow does not meet EPCS | EPCS workflow with two-factor authentication, routing through a registered intermediary, and a complete audit trail |
| Group therapy | Group programmes run on consumer video that was never built for HIPAA | Purpose-built infrastructure: a BAA with the video provider, end-to-end encrypted media, waiting room management, facilitator-only controls, and unique join links |
Proof
What clients say about working with RaftLabs
Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.
What distinguished RaftLabs from other providers was their fantastic ability to build real-time engagement-based products.
Georgina D.
CEO & Co-Founder, People Supported Technologies
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.
Common questions
Every engagement is scoped and fixed-price. Week 1 produces a written scope document and a fixed-price quote for your clinical programme, prescribing requirements, and EHR environment, and no development starts without your sign-off. The scope depends on which capabilities are in play: video and intake, group therapy, EPCS prescribing, and EHR integration each change the shape of the work.
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.
The EPCS workflow includes two-factor authentication before a controlled-substance prescription is transmitted, routing through a registered intermediary, and a complete audit trail of every transmission. Your counsel maps these mechanics to the DEA requirements that apply to your practice.
Yours. The data-export terms should be settled in the contract before you sign: exactly what happens to client records on exit, in what file format, and on what timeline. A signed BAA from the vendor is the baseline, not something extra.
Emergency protocols are established before care begins: local emergency contacts, backup communication, and a documented escalation path. The platform supports standardized screening (C-SSRS or ASQ), structured safety planning documents, and escalation routing so a risk finding reaches the right person with a named next owner. The video connects, and the crisis workflow runs inside the same platform.
The video call is not the care; the clinical workflow around it is. When outcome measures, safety planning, prescribing, and notes all run inside the platform, the session time stays clinical instead of administrative. That is the difference between a commodity video call and a psychiatric session.
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.
What it costs
Every project starts at $10000.
The first phase covers the psychiatry-specific workflow: validated outcome measures, group sessions, and HIPAA video.
Starting investment
Starts at $10000
A telepsychiatry release with outcome measurement, group support, and compliant video. After a 30-minute call, you get a written build, buy, repair, or wait recommendation plus first-phase direction. Free, whether or not you build with us.
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