PHQ-9
Depression severity
Patient Health Questionnaire 9. Validated across primary care, behavioral health, and workplace settings.
How it works
Validated instruments. Run on a cadence. Stratified by risk. Consented up front.
One reference page. One set of mechanics. Every audience page sits on top of what is described here. The clinical boundary, the aggregate only floor, and the crisis protocol are the same whichever product you buy.
Section 01
Seven validated screeners
Clinical instruments with years of research behind them. Named. Scored. Tracked. No proprietary questionnaires stand in for them.
GAD-7
Anxiety severity
Generalized Anxiety Disorder 7. Short, validated anxiety screener used widely across primary care.
PCL-5
Trauma and posttraumatic stress
PTSD Checklist for DSM 5. Used for screening, severity, and response to treatment over time.
DAST-10
Drug use
Drug Abuse Screening Test 10. Validated in clinical and general population screening.
AUDIT
Alcohol use
Alcohol Use Disorders Identification Test. Developed by the World Health Organization. Validated across care settings.
PSQI
Sleep quality
Pittsburgh Sleep Quality Index. Captures sleep duration, latency, disturbances, and daytime dysfunction.
Work Wellness
Work related wellbeing
Workplace Wellbeing Index. Captures engagement, workload pressure, and psychological safety signals.
Section 02
The R-Score
A single composite stratifier computed from weighted instrument scores. The weighting formula is not published. What the R-Score is for and who can see it are.
Scale
0.0 to 1.0. Lower is better.
Scope
Individual, department, and organization. Individual scope is visible only to the Medical Provider role. Department and organization scope are available to the employer tenant on an aggregate only basis.
Clinical thresholds pre wired
PHQ-9 ≥ 15 · GAD-7 ≥ 15 · PCL-5 ≥ 50 · DAST-10 ≥ 6 · AUDIT ≥ 18. Flags fire at the instrument layer before the R-Score composite is computed. Every threshold is auditable.
Section 03
Three views, one boundary
Every view sits on the same clinical boundary. What changes across views is scope, not the rules.
Employee
Eight minute check in. Always private.
The employee sees their own trends. Their score is theirs. Nobody at the employer can pull it, request it, or reconstruct it.
Manager
Aggregate only. Department level.
The manager sees department level trends. No individual scores. No reconstruction. The aggregate only floor is a function of minimum cohort size, not a dashboard setting.
Executive
Organization R-Score and engagement.
Leadership sees organization level R-Score, participation, and trend. The same aggregate only rules apply. Every view enforces the same boundary.
Section 04
Cadence
Pick a rhythm that matches the program. Change it later. The system does not assume one answer.
- 01
Quarterly
Four measurement cycles per year. The lightest cadence. Used where cultural readiness is still building. - 02
Monthly
Twelve cycles per year. Standard for workforce programs that want trend visibility without over surveying. - 03
Weekly
Used in clinical delivery for high risk check ins and short cycle response measurement. - 04
Custom
Configurable per tenant. Defaults are sane. Edge cases are supported.
Section 05
Scheduling, in three clicks
Configuration. New Schedule. Save. Screens are pulled from the live tenant UI, not from a design deck.
01
Configuration
Open the Configuration panel from the admin console. Tenant scope is confirmed on the page header.
02
New Schedule
Pick the instrument bundle, the audience group, and the cadence. Preview a dry run before commit.
03
Save
The schedule goes live at the next cycle boundary. Anyone on the audience receives the check in on the chosen cadence.
Screenshots from the live tenant UI land with the production launch. Until then, the three click flow above is the sequence.
Section 06
Crisis protocol
The escalation path runs through the Cognifica clinical team, not through HR and not through the employer. Anonymity may be paused only to connect urgent clinical or crisis support.
- 01
Automated in app escalation
Crisis flags from a check in trigger an automated escalation to the designated crisis counselor in real time. No delay. No manual routing. - 02
LiveChat 24 by 7
A secure messaging channel is available at all hours. On the clinician side, this is the messaging workbench routed at /secure-messaging. On the user side, it is LiveChat. - 03
Warm handoff to 988
When the situation calls for it, the counselor facilitates a warm handoff to the 988 Suicide and Crisis Lifeline. Not a redirect. A warm handoff. - 04
Scheduled safety check in
A follow up check in is scheduled at 24 to 48 hours. The record stays with the clinical team. Anonymity may be paused only to connect urgent clinical support.
Section 07
AI posture
The system flags and sorts. It does not diagnose. It does not decide. Clinicians decide. Users see what the system concluded and why.
- 01
Not used for diagnosis.
- 02
Not for emergency response.
- 03
Clinical decisions are always initiated by a human.
- 04
Transparent to the user.
Try the sandbox
See it running
A live demo sandbox sits at cognifica.ai/demo. Click through a tenant. Run a check in. Look at the R-Score. Leave without leaving a record.