Crisis Presentations
3
Active MH Act assessments today
Active Caseload
127
CMHT · IAPT · EIS · Crisis
Risk Reviews Due
18
Overdue structured risk assessments
Outcome Scores
94%
PHQ-9/GAD-7/AUDIT captured today
🤖 AI Agent Status — Mental Health Teams
11 agents covering crisis, assessment, therapy, compliance, and outcome tracking
Crisis Intelligence Agent3 active · All supervised
Risk Assessment Agent18 reviews flagged
Clinical Notes Agent47 notes drafted today
MH Act Compliance AgentAll deadlines met ✓
Outcome Tracking AgentPHQ-9/GAD-7 captured 94%
Therapy Intelligence AgentCBT formulations ready
📡 Live Clinical Feed
Real-time AI actions — all outputs require clinician review
Why PsychiatristOS — The Mental Health AI Gap
🚨 Crisis Risk Identification
Mental health crises are frequently preceded by detectable signals — missed appointments, A&E attendances, medication changes, and language pattern shifts. PsychiatristOS's Crisis Intelligence AI monitors all these signals in real time, providing 48-72 hour early warning to enable proactive intervention before crisis escalates.
📋 Outcome Measurement Gap
NHSE requires routine outcome measures (ROMs) — PHQ-9, GAD-7, AUDIT, HoNOS — for all mental health contacts. Compliance rates average 61% nationally due to clinical time pressure. Outcome Tracking AI captures, scores, and interprets ROMs automatically from clinical contact, achieving 94%+ capture rates.
⚖️ MH Act Compliance
Mental Health Act Section 2, 3, and 5 have strict statutory deadlines — breach carries serious legal consequences. MH Act Compliance AI tracks every patient's legal status, renewal deadlines, tribunal dates, SOAD requirements, and aftercare obligations under Section 117 in real time — zero compliance failures.
PsychiatristOS AI Agents — Mental Health Intelligence Layer
Crisis Intelligence Agent
Real-time monitoring of crisis risk signals: missed appointments, A&E attendances, medication non-adherence, communication patterns, and self-harm disclosures. 48-72h early warning system. Immediate escalation to responsible clinician. NEVER acts autonomously — all outputs require Clinical Lead review.
Running · 3 active alerts
Reflection + HITLRisk Assessment Agent
Structured risk assessment support for suicide, self-harm, harm to others, and neglect. Columbia Suicide Severity Rating Scale (C-SSRS) integration. HCR-20 violence risk framework. FACE risk tool. All risk formulations require consultant psychiatrist or senior clinician review and sign-off before any care plan change.
Running · 18 reviews due
Reflection + PlanningClinical Notes Agent
Mental health consultation → structured clinical note (ICD-11 diagnostic coding, MSE structure, risk summary, care plan update). RiO / SystmOne / PARIS auto-populated. Section 117 aftercare documentation. CPA (Care Programme Approach) documentation. Average note time: 12 min → 2 min.
Running · 47 drafts today
ReAct + RAGMH Act Compliance Agent
Real-time tracking of all MHA legal statuses across the service: Section 2/3 renewal deadlines, SOAD requests, Tribunal preparation, Nearest Relative notifications, Section 117 aftercare obligations, CTO conditions, and Community Treatment Orders. Zero compliance failures in 24 months.
Running · All compliant
Planning + Tool UseOutcome Tracking Agent
Automated capture and scoring of PHQ-9, GAD-7, AUDIT, DUDIT, HoNOS, HoNOS65+, HONOS-CA, WEMWBS, and IPROS from clinical contacts and patient-completed digital forms. NHSE MHSDS submission. Benchmarking against national standards. Trend analysis per patient across episodes of care.
Running · 94% capture rate
RAG + Tool UseTherapy Intelligence Agent
CBT formulation support from session notes — 5Ps model (Presenting, Precipitating, Perpetuating, Predisposing, Protective). DBT chain analysis. ACT conceptualisation. EMDR trauma processing log. Session summary and homework generator. All formulations require therapist review — clinical decision authority stays with the therapist.
Processing · Session analysis
Reflection + RAGPsychopharmacology Agent
Psychotropic medication monitoring: clozapine CPMS compliance, lithium levels and eGFR monitoring, DVLA notifications for relevant diagnoses, metabolic monitoring for antipsychotics (waist, BMI, glucose, lipids), and polypharmacy review. NICE guideline integration (NG185, NG222, CG76).
Running · 12 flags
ReAct + Tool UseCAMHS Intelligence Agent
Child and Adolescent Mental Health: HoNOS-CA, SDQ (Strengths and Difficulties Questionnaire), RCADS. Safeguarding interface with children's social care. ASD / ADHD assessment pathway support (DISCO, ADOS, Conners). EHCP contribution documentation. Section 17/47 interface.
Idle · On demand
Planning + HITLSocial Determinants Agent
Housing, financial, employment, and social support needs identification. Universal Credit and PIP assessment support documentation. Housing support letter generation. Social prescribing referral intelligence. Deprivation-adjusted outcome analysis. Safeguarding alerts for homelessness and domestic abuse.
Idle · On demand
RAG + Tool UseCarer Intelligence Agent
Carer needs assessment support (Care Act 2014). Triangle of Care compliance documentation. Young carer identification. Carer's assessment referral. Section 132 rights information provision. Nearest Relative engagement under MHA 1983. Carer support letter generation for benefits applications.
Idle · On demand
RAG + HITLMHSDS Reporting Agent
NHS Mental Health Services Data Set automated submission: activity data, outcomes, CQUIN indicators, access standards (4-week IAPT waiting time, 72-hour follow-up post-discharge), and NHSE national metrics. Reduces data quality errors by 84% and report preparation from 4 days to 4 hours.
Running · NHSE submission
Planning + Tool UseCrisis Management — 24/7 Early Warning System
Active Crisis
3
All under consultant review
High Risk (24h)
7
Proactive contact today
S136 Assessments
2
Place of Safety · Today
72h Follow-up
100%
Post-discharge · NHSE target
Crisis Bed Availability
4
Acute · 1 PICU · 2 ICU
🚨 Active Crisis — Consultant Review Required
⚠ ALL CRISIS OUTPUTS REQUIRE CLINICAL REVIEW — AI PROVIDES INFORMATION ONLY
Patient MH-0847 — Acute Suicidal Ideation
Active plan disclosed to duty worker 09:14. PHQ-9 score 24 (severe). C-SSRS: High lethality, intent with plan. Two previous attempts (2019, 2022). Crisis team attending — AMHP assessment underway. Nearest Relative notified.
Patient MH-1204 — Section 136 Arrival
Brought to Place of Safety by police at 11:47. Acute psychosis — command hallucinations. Risperidone non-compliance 3 weeks. Previous S3 2021. AMHP + S12 doctor assessment requested. Next of kin unable to contact.
Patient MH-0312 — Crisis Escalation Risk
Three missed appointments. Benefits sanctioned last week. Landlord eviction letter received. Correlation with prior crisis episodes. AI confidence 0.74. Duty worker telephone contact attempted — no answer. Home visit recommended.
📈 Crisis Service Performance — This Month
72h post-discharge follow-up100% ✓ (NHSE target)
Crisis resolution within 24h87%
S136 to MHA assessment time2.4h avg (target 4h)
Repeat crisis presentations (30d)14%
AI early warning accuracy78% sensitivity
False positive rate (crisis alerts)22% — reviewed by clinician
⚠️ Clinical reminder: AI risk scores are decision-support tools only. The clinician always makes the risk assessment decision. No automated action is taken based on AI output alone.
Mental Health Act Compliance — Statutory Obligations Tracker
Section 2 Patients
4
28-day max · All within deadline
Section 3 Patients
11
6-month renewals tracked
SOAD Requests
2
Part 4 consent to treatment
Tribunal Dates
3
Reports due · Preparation status
CTO Patients
8
All conditions monitored
⚖️ Upcoming Statutory Deadlines
📅
Section 2 Renewal / Conversion — MH-0847
11 days · Action required⚖️
MHT Hearing — MH-1092 · 16 Jan 2026
13 days · Report due in 6 days💊
SOAD Visit — MH-1388 · Clozapine
9 days · SOAD arranged📋
Section 117 Review — 3 patients
Due Jan 2026 · In progress📊 MHA Compliance Performance
Section deadlines met (12 months)100% ✓
Tribunal report on-time delivery97%
Rights explained on admission (s132)100%
CTO recall decisions documented100%
SOAD requests within 3 months100%
S117 reviews completed annually94%
💡 AI Note: MH Act Compliance Agent monitors all statutory deadlines in real time and generates clinician alerts 7 days before any deadline. This has eliminated all MHA compliance failures since deployment.
AgentOps — Live Agent Observability
📡 Live Trace Feed
📊 Session Metrics (24h)
Total Sessions847
Avg Latency1.4s
P95 Latency3.1s
Error Rate0.3%
HITL Escalations12
RAGAS GatePASS ✓
💰 Cost & Tokens
Cost (24h)£124 / ₹13,000 / $155
Input Tokens8.2M
Output Tokens2.1M
Cache Hit Rate71%
Cost/Session£0.15 / ₹16 / $0.19
🎯 RAGAS Quality Scores
Faithfulness0.94 ✓
Answer Relevance0.91 ✓
Context Precision0.89 ✓
Hallucination Rate0.8%
Context Recall0.93 ✓
🤖 Agent Health
All agentsHealthy
OrchestratorActive
Tool registryOnline
MCP serversConnected
Memory storeHealthy
Guardrails — Responsible AI & Patient Safety
🛡 Active Safety Rails
✅ Clinician-in-the-Loop (HITL)
Every clinical AI recommendation requires authorised clinician review and sign-off before any patient-facing action. AI cannot autonomously update patient records, prescribe, or refer. GDPR Article 22 — no fully automated consequential healthcare decisions.
🔍 Patient Data — NHS DSPT / HIPAA
All patient identifiers (NHS number, name, DOB, address) stripped via Presidio before LLM processing. Data never leaves NHS-approved environment. No cross-patient data in AI context windows. DSPT Standards Met compliance.
⚠️ Clinical Safety — DCB 0129
All AI clinical recommendations carry confidence score + uncertainty disclosure. AI never overrules treating clinician. High-risk flags (suicide risk, safeguarding, emergency) automatically escalated to senior clinician within 60 seconds.
📝 Immutable Clinical Audit Trail
Every AI interaction logged with: patient pseudonym, input context, AI output, clinician response, and outcome. 10-year retention. Exportable for CQC, GMC, GDC, or NMC investigations.
📋 Regulatory Compliance Mapping
GDPR Art. 22 — Automated decisionsHITL enforced
NHS DSPT — Data SecurityCompliant
MHRA SaMD — Advisory onlyExempt
DCB 0129 — Clinical riskDocumented
EU AI Act — High-risk AIMapped
NIST AI RMFAligned
ISO/IEC 42001Compliant
0.8%
Hallucination Rate
Target <2%
100%
HITL Coverage
0
PII Leaks (30d)
A+
Security Grade
Documentation — Deployment Guide & Runbook
🚀 10-Week Deployment Guide
1
Week 1–2: Data Foundation & Integration
Connect to clinical systems (EMIS/SystmOne/Dentally/RiO). Establish NHS DSPT data governance. Configure RBAC roles (admin, clinician, approver). Run baseline evaluation on golden dataset. Confirm DCB 0129 clinical risk assessment.
2
Week 3–4: Core Agents Live
Deploy first 3 agents (highest-value use case for your setting). Wire HITL approval workflows in Temporal. Configure NeMo guardrails and patient data scrubbing. Set up Langfuse tracing and RAGAS eval gate. Clinician demo with real data.
3
Week 5–7: Full Agent Mesh
Deploy remaining agents. Configure Orchestrator routing. A/B test prompt variants. Enable drift detection. Train clinical staff on HITL workflow and approval interface. Clinical governance committee presentation.
4
Week 8–10: Production Hardening
Pen test + security scan. Load test to 3× peak concurrent users. Configure PagerDuty clinical alert routing. CQC/GMC compliance review. Caldicott Guardian sign-off. Produce runbook and clinical handover documentation. Go-live.