Telepsychiatry Platform Development

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

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The problem

Sound familiar?

  • 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?

  • No infrastructure for group therapy sessions in your telehealth platform, meaning group programmes run on consumer video tools that don't meet HIPAA requirements?

Short answer

RaftLabs builds telepsychiatry platforms 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.

Key takeaways

  • 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.

Trusted by

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Telepsychiatry platform delivery, by the numbers

week delivery
12-16
compliant architecture
HIPAA
cost delivery
Fixed
products shipped
100+

Built around the clinical workflow, not just the video call

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.

Capabilities

What we build

  • 01
    HIPAA-compliant video infrastructure

    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.

    Built with
    Twilio · Daily.co
  • 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

    Prescribing happens inside the consultation dashboard, with EPCS two-factor authentication for controlled substances and automated medication reconciliation against the EHR.

    Built with
    Surescripts · DrFirst
  • 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.

How we work

From scope to live telepsychiatry platform

  1. Week 1
    01

    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.

  2. Weeks 2-5
    02

    Outcome measure and compliance design

    Outcome measure battery, group therapy consent model, and EPCS workflow designed against your regulatory requirements.

  3. Weeks 6-15
    03

    Build and integrate

    Video, outcome measures, and prescription management built in parallel, tested against real clinical scenarios.

  4. Final 2-3 weeks
    04

    Launch and clinical team training

    Providers trained on outcome tracking and EPCS workflow before full rollout.

Why us

Why behavioral health practices choose RaftLabs

  • 01
    Senior engineers build what they scope

    The engineers who assess your clinical programme also build the solution. No bait-and-switch, no offshore handoff after the contract is signed.

  • 02
    Fixed price before development starts

    We scope the work, calculate the cost, and lock it in writing before any development starts.

  • 03
    9 years and 100+ products shipped

    Clients include Vodafone, T-Mobile, Aldi, Nike, Cisco, and Lockheed Martin. Track record building HIPAA-compliant clinical platforms.

  • 04
    Group therapy built for clinical facilitation

    Not a consumer video call with patients on it, purpose-built consent and moderator controls.

  • 05
    EPCS handled correctly from day one

    DEA-compliant two-factor authentication and audit logging, not retrofitted after a compliance review.

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.

Talk about your telepsychiatry project

Related services

Telepsychiatry Platform Development, scoped in one call.

Tell us what's broken. Within one business day you get a straight take on cost, timeline, and the right first step. No deck, no pressure.

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Frequently asked 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 what you need. We'll tell you what it would take.

We scope Telepsychiatry Platform Development in 30 minutes. You walk away with a clear cost, timeline, and approach. No commitment required.

  • 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.

Go deeper

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