Question 1

What is 42 CFR Part 2 and does it apply to our platform?

Accepted Answer

42 CFR Part 2 applies to records from federally assisted programs for substance use disorder treatment. It is more restrictive than HIPAA: it requires patient-specific written consent for each disclosure, even to other treating providers. If your platform handles SUD treatment records, the access control architecture is materially different — you cannot allow standard HIPAA-compliant treatment disclosures without per-patient authorization. We assess this in Discovery.

Question 2

How do we handle crisis data (suicidality flags) in a digital intake system?

Accepted Answer

Intake forms that capture PHQ-9 or suicidality screening questions must route concerning responses to a real-time clinical review queue — not just store the data. We build: immediate notification to the on-call clinician when a threshold response is submitted, confirmation that the response was reviewed, and a crisis resource display to the patient within the intake flow.

Question 3

What mental health records laws apply beyond HIPAA?

Accepted Answer

New York's Mental Hygiene Law, California's LPS Act, and similar state laws impose additional restrictions on disclosure of mental health records, particularly for involuntary treatment and 5150 holds. If you operate in multiple states, the most restrictive applicable state law sets the floor. We build access controls and disclosure logic with per-state configurability where needed.

Question 4

Can minors access their own mental health records through a patient portal?

Accepted Answer

This depends on state law. In many states, minors seeking mental health treatment independently (without parental consent) have confidentiality rights regarding those records — the records may not be disclosed to parents without the minor's consent. Patient portal architecture must accommodate minor-specific access rules by state. We configure this in the role-based access control system.

Question 5

Can AI documentation tools work for therapy notes?

Accepted Answer

Yes, with care. Therapy notes require understanding nuance, therapeutic relationship, and clinical judgment. We build AI scribe tools trained on behavioral health note patterns (session summary, interventions, patient progress, homework assignments, clinical observations). The tool augments the therapist's documentation — the therapist always reviews and edits before the note is finalized.

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