Caregiver behavioral health.
The top community-assessment need. Delivered as a partner operator — no new hires.
Behavioral health is ranked the #1 or #2 need in community health assessments county after county, and it's the most underserved. Caregivers are its most acute, most actionable slice. We run the support — screening, peer support, AI presence, navigation — and route clinical needs to licensed care. The outcome we sell: percent of caregivers moved out of the red.
Start a 90-day pilotNo upfront fee · no new FTEs · funded by community-benefit dollars and/or payer reimbursement.
Demand is enormous and structurally unmet.
Hospitals' and hospices' own community health needs assessments rank behavioral health a top-one-or-two need — with the sharpest gaps in rural areas. The demand is named and the obligation already exists; the supply does not.
And the most actionable finding in all of it.
About half of family caregivers report being stressed or depressed; one in four score "in the red" for high strain (ARCHANGELS/SSRS).
Feeling supported nearly halves red-zone risk — and peer support, when people find it, raises the sense of support from 50% to 79%.
The lever exists; the supply does not. That gap is the whole opportunity.
We're not entering a new market — we're naming what the platform already does.
Caregiver behavioral health — anticipatory grief, caregiver stress, isolation, the strain of serious illness in the family — is exactly what hospice and Hospital-at-Home programs are now reaching for (Rays of Hope, Hope Counseling, and others), and exactly the population co-op.care already serves: screen caregiver strain, deliver peer support, surface respite, route to clinical help. We name and fund it as a service line.
Switch it on — don't build it or staff it.
Every hospice solving this the hard way is hiring licensed clinicians or acquiring a company — into a behavioral-health staffing shortage as severe as their own. Slow, expensive, and a distraction from core competency. co-op.care is the opposite: a partner operator a hospice, HaH program, or hospital can switch on.
What we run
The ARCHANGELS-based intensity check flags red / yellow / clear and re-administers over time, so caregivers are caught in yellow before they reach red.
The part the evidence says matters most, delivered through the co-op's caregiver network rather than a scarce therapist roster.
Sage gives always-on, between-touch presence and surfaces the one thing that matters today; red and younger caregivers already turn to AI, so this meets them where they are.
Connecting caregivers to the funding, services, and the break that relieve the underlying load.
Warm handoff to licensed clinicians and crisis resources for anyone who needs clinical care.
co-op.care delivers caregiver peer support, screening/triage, navigation, and respite — and a reliable, fast path to licensed clinical care. It is not a substitute for licensed psychotherapy or psychiatric treatment, and it does not diagnose.
Clinical treatment is delivered by licensed clinicians — via the affiliated practice or the partner's own clinicians — with defined crisis protocols and escalation. This boundary is both the honest design and the reason it scales where hiring more therapists cannot.
If you or someone you're caring for is in crisis, call or text 988 (Suicide & Crisis Lifeline), or 911 for a medical emergency.
No upfront platform fee and no new FTEs for the partner. Funded through community-benefit dollars and/or payer reimbursement, with a gain-share option tied to documented movement out of the red and avoided downstream cost. So a resource-constrained partner can say yes.
The same machine — pointed at a named, fundable need.
The intensity check (screening), the caregiver network (peer support), Sage (AI presence), respite and navigation, the doula / legacy / advance-care-planning layer (anticipatory grief), and the affiliated practice for licensed clinical escalation and any billable services. One capture-and-support spine; behavioral health is a settlement and outcome lane over it.
A 90-day pilot with one hospice or Hospital-at-Home partner.
Screen your caregiver cohort on the intensity index, stand up peer support plus Sage and navigation, route clinical needs to licensed care, and report movement out of the red at 90 days. Low lift for you, a publishable outcome for both — and the evidence base that opens the payer conversations.
Inside Hospice — Extending the Hospice Mission via Behavioral Health (hospice BH expansion; HRSA 40% / ~137M shortage-area figure; SAMHSA ~23% mental illness with ~48% untreated; KFF counseling-use rise; CHNA as driver). ARCHANGELS/SSRS, Caregiving in America (caregiver strain, the intensity index, feeling-supported and peer-support effects). Scope and any billing to be confirmed with counsel and the licensed clinical partner.