AI-native operating system for mental health

The care exists, the system doesn't.

A field full of excellent people, programs, and providers - and still in crisis. The losses happen at the seams between institutions, where people fall through. Spine gives case managers and clinicians one place to work - scheduling, referrals, follow-ups, handoffs - and routes every help-seeker to the right care the first time. One layer of tools and rails, across every organization that shares a patient.

What's broken

1
Post-October 7, the system is overloaded. With more than 2 million people with post-traumatic stress symptoms. This is a bottleneck that requires cutting-edge tools to solve.
2
Coordination eats the work. Your case managers were hired for judgment and relationships. Most of their week goes to phone tag, re-entering the same details, and hunting for who has an opening.
3
Evidence you can't produce. Funders increasingly want outcomes, not activity counts. Outcomes live past the handoff, on the other side of the boundary where your visibility ends. So you report what you can count instead of what you achieved.
4
Too many players, not working as a system. Mental health care has been built one organization at a time, none of them was designed to connect to the others.
5
The burden falls on the person in crisis. To navigate, to repeat their story, to wait in queues no one is watching, to find the door themselves. The people least able to carry that burden are the ones we ask to carry it.

What Spine is

Everyone wants to build the AI therapist. We came for the paperwork.

The coordination load carried, so your team does the work they're for

Capacity without new headcount

Your capacity made visible, so the right people are routed to you

Purpose-built for mental health

The platform, in four parts

Patient Records

One record that travels with the patient across organizations and levels of care, so no one ever has to start from scratch.

AI-Ready Data Layer

You connect once. We handle the plumbing to health funds, government systems, and other organizations. Nothing lands on your IT, because we're not assuming you have any.

Agentic Layer

Follow-ups, reminders, referral chasing, status checks and the writing-up run on their own, with your case manager ratifying anything clinically meaningful. This is the part that gives your team their week back.

Provider Matching

Routes people on clinical need, level of care, language, geography and real availability. If you deliver services, that means referrals that fit what you actually do - and fewer that don't.

Our commitments

Clinical judgment stays human. AI carries the busywork, while every clinical decision has a clinician behind it.

Your data stays yours. Self-hosted and FHIR-native, engineered to the standard the data deserves: end-to-end encryption, role-based access, full audit trails. Your residency requirements, your governance, your patients' consent.

No integration project on your plate. - We do the connecting - your teams just keep working while the seams close around them.

We're not a new front door. You're the face your community trusts, and you know what you're doing - Spine just makes sure the system behind you keeps up.

We build what design partners need. Not what we assumed in some roadmap. If it doesn't serve you, it's the wrong product.