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Scaling Mental Health Access
with AI-Powered Clinical Workflows

Improving mental health care in underserved areas using Google Gemini and precision prompt engineering
We partnered with a U.S.-based behavioral health platform whose mission is to make high-quality mental health care more accessible — especially for patients in rural and underserved areas. By integrating Google Gemini's AI capabilities and developing a high-precision prompt engineering framework, we enabled faster, more consistent clinical decision-making at scale. The result: more patients served per day, less administrative burden, and broader access to care.
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Business Challenge

The client’s vision was to bring structured, AI-supported mental health care to communities that typically lack psychiatric infrastructure.

To succeed, they needed to:

The challenge was twofold:

Drastically improve the efficiency of intake and diagnostic workflows across clinics
Enable intelligent decision-support without overloading clinical staff
Support clinics operating in low-resource or geographically remote environments
Accelerate clinical operations while maintaining care quality

Technical Challenge

Working with AI in a clinical setting required extreme attention to accuracy, safety, and contextual nuance.

Core challenges included:

Drastically improve the efficiency of intake and diagnostic workflows across clinics
Enable intelligent decision-support without overloading clinical staff
Support clinics operating in low-resource or geographically remote environments
Accelerate clinical operations while maintaining care quality

Model definitions

Model NameArchitec­tureProviderPurposeInputOutputUsage Context
Med­Suggest-XGB
XG­Boost (Gradient Boosting Trees)
Gemini ML Platform
Suggests probable diagnoses based on structured patient data
EHR vector: symptoms, vitals, history (~100 features)
Top-N diagnosis candi­dates with confi­dence scores
Triggered during in-person or async consulta­tion
Safe­Check-Net
Shallow Neural Network + Rule Engine
Custom (Python, ECS)
Validates doctor-entered diagnosis for contra­dic­tions
Diagnosis input + medication and condition context
Risk flags, validation messages
Real-time validation in physician UI
Video­Diag-Gemini
Multimodal Trans­former + Speech2Text Pipeline
Gemini Multimodal API
Analyzes patient-recorded video responses and suggests possible conditions
Short recorded videos (60–120 sec), transcribed text
Suggested diagnosis + confi­dence score + structured symptom record
Used for remote patients or symptom triage intake; adds to clinical record

Runtime characteristics

Model NameAvg Infe­rence TimeRetrain­ing FrequencyContext VolumeExplaina­bil­ityReal-Time Compa­tible
Med­Suggest-XGB
~250 msWeeklyStructured data vector (~100 vars)
Feature impor­tance (SHAP)
Yes
Safe­Check-Net
~300–400 msQuarterly (rules), Rare retrain~20–30 input fields
Rules + trace­able logic
Yes
Video­Diag-Gemini
~2–3 sec (incl. ASR)No retraining (Gemini prompt)~1–2 min spoken input + transcript (~300 tokens)
Natural-language expla­nation (prompt)
Yes, but post-recor­ding, not fully live

Tech Stack

React, GraphQL, Node.js,
real-time assessment parser, clinical validation module

Tech Stack

Node.js
Node.js
React
React
GraphQL
GraphQL

Our Solution

We engineered a dynamic AI interaction layer tailored for behavioral health assessments, enabling real-time communication with Google Gemini. Our prompt engine was built to accommodate a wide range of assessment types, patient inputs, and clinic-specific workflows.

Key Features

Context-aware prompt templates:

Tailored prompts for clinical accuracy

Our dynamic prompts are adapted to each assessment type, patient input style, and care environment — ensuring AI responses are precise, clinically meaningful, and easy to interpret.

AI Risk Detection:

Filtering vague or unsafe responses

Every AI-generated output is validated in real-time to catch ambiguity or clinical risk — preventing low-quality suggestions.

Real-Time Decision Support:

Insights where they matter most

Clinically relevant AI suggestions appear directly in the interface — no context-switching, no delays.

Continuous Prompt Optimization:

Learning from real-world use

We monitor how clinicians interact with prompts and AI output, continuously refining templates to improve clarity, efficiency, and relevance.

Seamless System Integration:

Compliance-ready and workflow-friendly

Our AI layer integrates fully with existing clinical systems, ensuring smooth adoption, data consistency, and regulatory compliance.
This allowed providers to spend less time on documentation and interpretation, and more time with patients — especially important in rural clinics where staff are limited and every minute counts.

Clinically-Driven Product Development

The product team maintained an active feedback loop with clinicians and operational staff at partner clinics. Product Owners conducted regular interviews with healthcare providers to understand pain points, unmet needs, and opportunities for improvement. Many new features — from UI enhancements to AI output tuning — were directly driven by this ongoing, clinician-informed discovery process.

We demo, we listen,
we improve.

1.

Up to 10 customer feature requests collected weekly

Direct input from clinicians ensures we build what truly matters.
2.

Requests prioritized by frequency and urgency

The most common pain points rise to the top of our backlog.
3.

Feasibility and impact assessed before each sprint

We commit only to features that are timely, useful, and buildable.
4.

Features developed and tested in tight cycles

Delivery is fast, focused, and aligned with clinical workflows.
5.

Live demos conducted with real providers

We validate value in real time and gather actionable feedback.
6.

Iterative delivery with post-launch feedback

We track adoption and adjust based on how features perform.

Impact

  • Expanded access to care

    in rural areas through increased throughput
  • 3–4× faster clinic onboarding

    enabling rapid scale
  • ~50% reduction

    in time to interpret assessments
  • >90% provider validation accuracy

    on AI diagnostic suggestions
  • 50+ assessment types supported

    enabling consistency across providers

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