EdZola
Mental health sector playbook

Mental-health support does not begin and end with therapy sessions. Your system should hold the whole pathway safely.

Helplines, community workers, specialist clinics, recovery programmes, grant-makers and research teams each carry different responsibilities. The common need is continuity with consent: the right context for the right person, without making a vulnerable person repeat their story.

Works offline, in the local languageBuilt on ZohoNames kept apart from scores and notes
S
ShobhaMH-0418 · Age 34 · Nashik
FULL JOURNEY
PHQ9_camp_Sinnar_Aug_FINAL.xlsxScreens
MH-0418PHQ 16item 9 = 1 ??
MH-041816called? not sure
01 · Screened with consent
PHQ-9 of 16, item 9 positiveSupervisor called her back the same day
Done
Intake: 'tension', not sleeping
Wants a lady counsellor. Group?
02 · Intake
Safety plan made togetherIPT-G group, Marathi, woman counsellor
Placed
IPT-G group · Sinnar · sessions 1 to 6
MH-0418PPPPAA
03 · This week
Missed two sessions in a rowPPPPAA
Flagged
Action today
Check-in call from AnjaliOpens by checking it's a safe time to talk
Due today
PDF
Donor_update_Q2_outcomes.pdfFollow-up reach not shown anywhere
04 · Six months on
Six-month re-screen bookedStays open until she's reached
Mar 2027

Five places, one person. Nobody can see she's stopped coming.

Six common operating models

Find the model closest to how your work actually runs.

Many organisations combine two or three. Start with the closest match, then borrow only the parts that solve a real programme problem.

Model 01

Community and task-shared care

Community workers identify needs, provide structured support and escalate when required.

Usually organised around
Participants, consent, screening, care steps, worker activity and supervision.
Watch for
Screening supports judgement; it is not a diagnosis.
Start with
Participant, care plan, session and supervisor review.
Model 02

Specialist clinical care

Clinical teams assess, treat and review people over multiple episodes of care.

Usually organised around
Clients, appointments, assessments, medication notes, outcomes and referrals.
Watch for
Clinical notes require the strictest access and careful retention rules.
Start with
Client, episode, appointment and clinical plan.
Model 03

Helpline and tele-care

People reach trained responders by phone, chat or scheduled remote sessions.

Usually organised around
Contacts, channels, risk, response, referral and follow-up.
Watch for
Identity may be limited or anonymous; crisis response must still be clear.
Start with
Contact, interaction, safety action and referral.
Model 04

Recovery and social inclusion

Support combines counselling with family work, housing, livelihoods and community participation.

Usually organised around
Recovery goals, social supports, rehabilitation activities and participation.
Watch for
Function and a life chosen by the person matter beyond symptom change.
Start with
Person-led recovery plan, goal and community support.
Model 05

Grant-making and partner networks

A funder supports multiple mental-health organisations and needs portfolio learning.

Usually organised around
Partners, grants, milestones, safeguarding, outcomes and learning.
Watch for
Standardise a small common core while respecting different care models.
Start with
Partner, grant, milestone and shared indicator.
Model 06

Research and implementation learning

Teams run studies, pilots or service-improvement work under formal protocols.

Usually organised around
Participants, consent versions, protocols, visits, deviations and datasets.
Watch for
Research consent is specific; service access must not depend on participation.
Start with
Protocol, consent, visit and deviation log.

Not sure which one you are? Bring one tracker and describe a normal week. The model usually becomes clear quickly.

Sound familiar?

Your programme runs on caring people and scattered data.

These come up in almost every first conversation we have with mental health teams.

"Half our positive screens never got a call back."

Camp scores sit in one sheet and intakes in another, so nobody sees who's still waiting.

Programme coordinator
"I carry my high-risk clients in my head."

Risk calls happen on the phone at night, and there's no record the supervisor saw them.

Lay counsellor
"Half her distress was a pension that never came. We had nowhere to record it."

Benefit applications live in a volunteer's notebook, so nobody knows which ones stalled at the taluka office or what happened to the person waiting.

Field supervisor
"We can't say who was still well at six months."

Follow-up calls happen, but the people we couldn't reach quietly drop out of the numbers.

Programme lead / CEO
Real work, not only illustrations

What we've actually built.

We haven't published a mental health case study yet. Community mental health programmes need two things we've built: restricted case records for sensitive disclosures, and scheme applications tracked until the benefit arrives.

Mental health organisations we've worked with:Mindhug

Recognise your programme? Tell us where the work gets stuck and we'll suggest a useful first version.

One worked example · Awareness to continuing care
Follow one programme journey

For a community mental-health pathway, four questions protect continuity without collecting more than the team needs.

This is one operating model, not a template for every mental health organisation. Use it to see how everyday work, follow-up and management decisions can connect.

Stage 01 · Screen with care

Who screened positive and hasn't heard from us?

People say tension, a heavy heart, thinking too much. Nobody says depression. A screen only helps if every positive score, and every positive item 9, reaches someone who can respond that week.

Your team does

  • CHWs or community volunteers read the screening questions aloud from an offline phone form, in the local language.
  • Scores add up on the phone, so nobody tallies items in front of the person.
  • Contact details go on a separate screen and are stored apart from scores.

The system does on its own

  • Any non-zero item 9 alerts the on-call supervisor by app and SMS.
  • A moderate or higher score creates an intake booking for the coordinator.
  • No intake 7 days after a positive screen? A gentle follow-up call is flagged.

Where AI helps at this stage

  • The PHQ-9 played in pre-recorded local-language audio
  • A monthly look at which sources turn screens into intakes
  • Sensitisation scripts adapted into local words for distress
Programme coordinator · Screening monthMental Health · Stage 01
EXAMPLE DATA
People screened412All with consent
Positive screens8721% of screened
Offered intake in 7 days74%Target 90%
Item 9 follow-ups open1Same day needed
IDSettingScoreStatus
MH-0427Home visitPHQ 14 · item 9Call pending
MH-0431PHC OPDPHQ 12Intake due
MH-0418Health camp, SinnarPHQ 16 · item 9Supervisor called
MH-0409School referralGAD 11Intake booked
Do nextClose the item 9 follow-up for MH-0427 before tonight. Then work through the camp positives, which screen the most people and convert the fewest.
Build your sector playbook

Choose the parts your programme needs, not a giant system all at once.

Choose the parts that match your duty of care. A helpline needs a different record from a clinic, and a grant-maker should not receive identifiable clinical notes.

Consent, privacy and restricted notes

Set purpose, access, sharing and retention rules before collecting sensitive information.

Crisis and suicide escalation

Give teams clear risk prompts, escalation paths, named responsibility and closure.

Stepped-care pathway

Connect screening, low-intensity support, specialist referral and return to community care.

Counsellor competency and supervision

Track training, observed practice, case consultation and supervisor actions.

Helpline and tele-care operations

Manage shifts, interactions, anonymity, follow-up and referral directories.

Recovery, grants and research

Add social-inclusion plans, portfolio milestones or protocol controls only where needed.

Questions the system should answer

Useful on an ordinary workday

  • What did this person agree we may record and share?
  • What support is appropriate at this level of need?
  • Who owns the next contact or escalation?
  • Has the person’s functioning and chosen recovery goal changed?
Measures worth seeing together

Delivery beside outcomes

  • Symptoms and daily functioning
  • Crisis action and safe closure
  • Continuity, referral completion and re-engagement
  • Counsellor competency and supervision quality
  • Recovery goals and social participation
Keep people in charge

Boundaries to agree before build

  • Qualified people make clinical and crisis decisions
  • Collect the minimum necessary sensitive data
  • Separate service, research and communication consent
  • Never use public AI tools for identifiable case information
How we build it · the MAP approach

We fix the data first. AI comes last, and it's better for it.

Most AI projects stall because the records underneath are messy. So we work in a fixed order.

M
Model

Start with the decisions you need to make.

Every field has to earn its place by helping someone decide something. If nobody uses it, we don't collect it.

  • Eight connected records: client, screening, risk assessment, care plan, session, referral, benefit application, counsellor or volunteer
  • PHQ-9, GAD-7, GHQ-12 or your own tools, with every version kept, and referral routes to the District Mental Health Programme, PHC doctors and Tele-MANAS
  • Names and phone numbers in a locked contact table, apart from scores and notes
A
Align

Fit it to how your field team already works.

A system people avoid is worse than a spreadsheet. We design around shared phones, patchy signal and WhatsApp.

  • Offline forms read aloud in Gujarati, Marathi, Hindi or your language
  • A different screen for the community volunteer, counsellor, supervisor and lead
  • Risk alerts and follow-ups that fire on their own
  • Screeners see that the person they screened started care
P
Power with AI

Then add AI where it saves real hours.

On clean, connected records, AI can read paperwork, draft reports and flag who needs attention. A person always checks.

  • Six tested use cases, picked for the hours they save
  • A human check written into every one
  • Clear lines on where AI doesn't belong

Where you start depends on where you are. If your records are already in good shape, we can move to AI quickly. If they're in notebooks, we start there, and we don't start from zero.

Offline forms, local languages, links to government IDs and AI features are set up to suit each programme's needs and consent rules, so not every build includes all of them.

Where AI helps

Six places AI earns its keep.

We picked the jobs that save mental health teams the most hours. Each starts with a problem we hear often, and each keeps a person in charge of the decision. How we think about AI →

Collect fasterScreen with care

“We screen people who can't read, and a volunteer reading questions aloud changes how people answer.”

Plays the screening questions (PHQ-9, GHQ-12 or your tool) in pre-recorded local-language audio and records the answers.

Your team still decides: human recordings only, and a supervisor spot-checks the audio each quarter.

Build fasterScreen with care

“Nobody in the village says depression, and our awareness films still use words people don't use.”

Adapts sensitisation scripts into local words for distress, from de-identified community conversations.

Your team still decides: local volunteers and community members review every script first.

Know soonerSessions that work

“We find out someone stopped coming only when the volunteer mentions it at the monthly meeting.”

Flags people who aren't improving or may drop out, from attendance and score patterns.

Your team still decides: the supervisor goes through the list in weekly supervision.

Work smarterSessions that work

“Our supervisors can't listen to every session, so feedback reaches volunteers weeks late.”

Drafts feedback from consented session audio, noting which skills were used and which were missed.

Your team still decides: the supervisor listens to the flagged parts and owns the rating.

Build fasterStay well

“Our volunteers spend days filling the same details into pension and disability forms, and half come back for missing documents.”

Pre-fills scheme application forms from the client record and lists the documents still missing.

Your team still decides: the volunteer checks every field with the person before anything is submitted.

Build fasterStay well

“Writing funder reports means reading through case notes, and in a small village one detail can identify someone.”

Drafts the funder outcomes report from totals and approved anonymised themes.

Your team still decides: the programme lead removes anything that could identify someone in a small community.

Where we won't use AI.

Mental health data is some of the most private there is. These lines don't move, whoever's asking.

  • Chatbots for someone in distressA person with suicidal thoughts needs a trained human.
  • AI suicide risk scoresRisk is a clinical conversation. A false low could cost a life.
  • Triage without a supervisorA person decides the care tier, with context a form can't hold.
  • AI in place of a counsellorThe relationship is the therapy. Lay counsellors are the evidence.
  • Recording sessions without consentPeople stop speaking freely, and that trust doesn't come back.
  • Session content outside the care teamManagers and funders see totals, never what was said.
What changes, and for whom

Everyone enters less and gets something back.

CHW / screener

Knows her conversation led somewhere.

She sees when someone she screened was contacted and started care.

Lay counsellor

Never carries a high-risk client alone.

A clear triage decision, supervisor backing on every risk call, and each client's score trend.

Clinical supervisor

Sees who needs attention this week.

Risk changes, people not improving and fidelity by skill, ready for supervision.

Programme coordinator

Fills groups without seeing notes.

Open places by language and location, and waiting times, with Client IDs only.

Leadership & funders

Get outcomes with the reach rate beside them.

Response and remission by cohort, with people lost to follow-up shown as their own number.

Six-month follow-up is where most programmes lose people, and the people you can't reach are rarely the ones doing well. We report remission and reach, side by side, every time.

It's the number funders trust, because it's the hardest one to show.
How we work with you

From your first email to a system your team actually runs.

Most systems launch in three to four months. The timeline moves with the number of programmes and roles, how messy the old data is, and how many tools need connecting.

Email us what hurts

Tell us where the work gets stuck today. Spreadsheets, notebooks, WhatsApp groups, all of it.

A 30-minute walkthrough

Free

You show us how the programme runs. We'll tell you straight if you need a new system, a better workflow or nothing at all.

Diagnosis

1 to 2 weeks

We map how your programme works, talk to the people who'll use it, review the tools you use today and hand you a System Blueprint, a clear plan of what we'll build.

Build in stages

6 to 16 weeks

Working screens every 2 to 4 weeks, tested by your field team in your own terms. We clean up your old spreadsheets and move them across.

Launch, then stay

30 to 60 days

Field training and launch, then 30 to 60 days of close support. After that, the system keeps changing as your programmes do.

What we'll need from you

  • A programme owner who can make decisions and join a short weekly review
  • Your current forms, trackers and one recent donor report
  • A few field staff to test screens before launch
  • Access to the tools you want connected

Works with what you already use

We connect to IVRS and WhatsApp, Tele-MANAS referral records, your research exports (Stata, R or SPSS) and partner organisations' own sheets, rather than replacing what already works. Zoho licences sit in your organisation's name, and everything exports whenever you want it.

Research-led programmes. If the programme sits inside a study, we work with your PI and ethics requirements from the start: consent versions, trial arms and de-identified exports.

100+organisations worked with
150+systems built
5+countries
ZohoAdvanced Partner
75%of our work is with nonprofits
Your data, your rules

What 'your data stays yours' actually means.

The questions your finance head and IT lead will ask, answered before the call.

Your account, your licence

Zoho licences are bought in your organisation's name and hosted in the Zoho data centre region you choose, including India. We work inside your account.

Export any time

Every record exports to Excel or CSV whenever you want, including the day you stop working with us. You're not locked in to us for support either.

Access by role

Each person sees only the records their role needs. Built to respect confidentiality under the Mental Healthcare Act 2017. Names sit apart from scores and session notes.

A trail on every change

Edits are logged with who made them and when, so an audit or a funder query doesn't start from memory.

Consent and DPDP

Consent is recorded for each purpose, and we agree up front how long data is kept and when it's deleted. ZolaShield, our DPDP platform, shows where you stand.

AI stays inside your system

AI features run on your records under your account's controls. Beneficiary records never go into public AI tools.

Tell us which mental health model you run. Bring us one tracker.

We’ll map what your team does now, identify the smallest useful first version and show where follow-up, learning and reporting can share the same information, without forcing your programme into a generic template.

If budget is tight, ask about the Built for Impact Programme, which gives eligible nonprofits free Zoho credits.

Tell us what is getting in the wayWrite to us

Other sectors we build for

The same approach, shaped to each kind of work.

See all 16 sectors on one page →

EDZOLA BYTES

Get EdZola Bytes once a month.

Field notes, useful tools and practical lessons from building systems with nonprofits.

You can unsubscribe at any time. We use your details only to send EdZola updates.