Validated instruments, real-time alerts, and a clinician dashboard built around the patients who need it most.
Sanjay M. Udoshi MD
Behavioral health lives between visits. A patient with depression, anxiety, or bipolar disorder spends fifty minutes a month with a clinician and the rest of the month on their own — and that is exactly where deterioration hides. COPE (formerly MindLog) was built to close that gap, pairing a native patient app with a clinician command center so that the signal between visits actually reaches the person who can act on it.
Patients log daily mood, sleep, exercise, medication adherence, triggers, and symptoms through a React Native app. Clinicians monitor their whole caseload through a web dashboard organized around validated instruments — PHQ-9, GAD-7, ISI, C-SSRS, ASRM, and WHODAS 2.0 — with a population view that ranks who needs attention today. Real-time alerts surface critical signals over WebSockets the moment they are reported, and clinical reports generate automatically for office visits.
Safety is not a feature bolted on at the end. The 988 Suicide & Crisis Lifeline and Crisis Text Line are integrated throughout, and the C-SSRS pathway is treated as a first-class clinical workflow rather than a checkbox. Authentication is first-party — bcrypt against the platform's own store, with no third-party identity vendor in the loop — and clinician access now runs through single sign-on with Authentik.
Everything a patient records can leave COPE as FHIR R4 — Observation, MedicationRequest, QuestionnaireResponse, and Consent — so the longitudinal picture COPE assembles can travel back into the EHR rather than staying trapped in a silo. The rename from MindLog to COPE reflected that maturation: a production deployment, its own clinical database, and a clear identity as a behavioral-health monitoring platform.
The next chapter deepens the EHR integration and the longitudinal record — turning thousands of daily check-ins into a trend a clinician can act on, and making COPE a dependable instrument in the spaces between appointments where care so often falls through.