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Engage / Lifecycle

Between-session engagement for therapy and mental health

The therapy hour is one of the week's hundred-and-sixty-eight — the agent owns the other hundred-and-sixty-seven, where clients quietly drop off.

Get aheadTime-based triggerBehavioral triggerChatPushIn-appHealth & TelehealthWellness (B2C apps)

What it does

Talk therapy lives in a single regulated hour a week, and the rest of the week is where clients lose momentum: the intake form that never gets filled before the first session, the mood that goes untracked between appointments, the homework a therapist suggested and no one followed up on, the client who misses one session and is never heard from again. That gap is where mental-health businesses lose retention, and it is precisely the work no clinician has time to do. The agent owns everything around the clinical hour — collecting intake ahead of a session, prompting light mood and progress check-ins between appointments, holding gentle accountability on what the client and therapist agreed, and reaching out when someone goes quiet — without ever stepping into the therapy itself. It supports continuity; it does not counsel, and anything that signals crisis is routed to a human immediately.

How it works

  1. 1
    Trigger. a between-session moment fires — a session booked and the pre-session intake still open, a planned mid-week check-in due, a missed or unbooked session, or an engagement gap since the client last appeared.
  2. 2
    Decision. the agent reads the client's memory — what was agreed last session, their check-in history, their preferred channel and quiet hours — and weighs whether a message genuinely helps now. Every unprompted message passes a quality judge, and crisis-language detection runs on every inbound reply before anything else.
  3. 3
    Action. a short, warm message on the channel the client actually uses — a nudge to complete intake before the session, a one-tap mood check, an encouraging note on the step they committed to, or a soft re-engagement after a missed appointment.
  4. 4
    Follow-through. responses write back to the client's record so the therapist opens the next session on context, not a blank page; a pending nudge is cancelled the moment the client books or shows up; any reply suggesting distress or self-harm skips self-serve entirely and routes to a clinician and the crisis pathway.
Example
AgentHi — your session's on Thursday. Last time you and your therapist set a goal of one short walk on the hard days. No pressure to report back, but how have this week's felt, on a scale of rough to okay?
ClientHonestly pretty rough, I skipped most of them.
AgentThank you for being honest — that's useful to know, and a tough week doesn't undo the work. I'll note this so you can pick it up with your therapist on Thursday. If things feel heavier than usual before then, you don't have to wait — I can connect you with someone now.

Configuration

How the agent is wired for this use case.

Triggera between-session event — session_booked with intake incomplete, checkin_due, session_missed, or an engagement_gap flag — from the practice-management or care platform.
Tools & actions
  • Practice-management system · read the appointment schedule, session status, and the agreed care goals to time and target outreach
  • Intake / forms service · send and collect the pre-session intake, then file it to the client's record before the appointment
  • Mood / progress tracker · prompt a light check-in and write the response back to the client's history
  • Scheduling system · offer a rebooking link when a session is missed or unbooked, and cancel the nudge once a slot is taken
  • Clinician / crisis escalation queue · route any distress or self-harm signal straight to a human with the client's context
  • Messaging channel · run intake prompts, check-ins, and re-engagement on the client's preferred surface
Autonomyintake prompts, mood check-ins, accountability nudges, and drop-off outreach run unattended under judge gating, quiet hours, and frequency caps. The agent gives NO therapy, counselling, diagnosis, or clinical advice — it supports logistics and continuity only, under a clinical-safety policy class; any crisis or distress signal is detect-and-escalate to a clinician, never handled by the agent.
Channelschat · push · in-app
Escalationany reply indicating distress, self-harm, or risk, or any request for clinical guidance, hands off immediately to a clinician and the crisis pathway with full context attached.

What you need

The inputs this use case runs on. Your channels stay yours; the agent supplies the judgment.

Signals

appointment and session-status events, intake-completion state, check-in schedules, missed-session and engagement-gap flags, and client replies

Data

the client's care-plan goals and session history, check-in and mood history, channel preference and consent, quiet hours, persistent memory of prior between-session contact

Guardrails

the agent supports continuity only — no therapy, counselling, diagnosis, or clinical advice; crisis- and self-harm-language detection on every inbound, with immediate clinician/crisis-pathway handoff; judge gating on every unprompted message; consent, quiet hours, and frequency caps; stale-outreach cancellation once the client books or appears; the practice keeps owning the send channels; full audit of every contact

Metrics it moves

  • churndown: clients who would silently drift off between appointments stay engaged with the practice instead of going quiet
  • adherenceup: intake arrives before the session and agreed between-session steps get gentle, timely follow-up rather than silence
  • dau-mauup: check-ins and re-engagement open into real conversations on the practice's own surface between the clinical hours

Related use cases

Engage / Lifecycle

Proactive health-coach companion

the in-program coaching companion this adapts to talk-therapy continuity, outside the clinical hour

Prevent / Care

Crisis and red-flag detection for mental health

the safe-escalation pathway every distress signal here hands off to

Engage / Lifecycle

Commitment check-in

closing the loop on what the client committed to between sessions

See it on your own customer journey

Bring one drop-off, one churn cliff, or one silent segment. We will show you what a proactive agent with memory and judgment does with it.

Book a demo