Clinical governance, in plain language.
A coordinated care model only works if it’s deliberate about who decides what, what happens when providers disagree, and how a crisis is handled. Here’s how Zaha runs that.
Clinical decisions are clinical.
Diagnosis, treatment plan, modality choice, medication referral, risk assessment, and safety planning are the licensed therapist’s call, sometimes in consultation with our Clinical Advisor. The imam doesn’t override them. Imams cannot diagnose, prescribe, or treat clinical mental health conditions. Their lane is spiritual.
When therapist and spiritual advisor disagree.
It will happen. The protocol: the disagreement gets surfaced in the provider thread (not in front of the client), and the Clinical Advisor weighs in within two business days. If it’s a clinical question, the clinical view holds. If it’s a spiritual or scope question, the imam’s view holds. We document the resolution. We don’t paper over it.
If a client is caught between conflicting guidance, that’s a process failure on our side. The client is told plainly, and we make it right.
Crisis escalation.
Crisis never waits for Zaha: 988 or 911 first, every time — the platform is not monitored around the clock. Anything a client posts that suggests self-harm, harm to others, or imminent risk is treated as same-day priority under the Clinical Safety Manual, both providers are looped in, and the standard reply windows do not apply. Every client also builds a written safety plan with their therapist at the first session, so the numbers and the people are already in hand.
For any client (or anyone reading this) who can’t wait: 988 (Suicide & Crisis Lifeline, 24/7) or 911 for immediate danger. Our crisis & safety page has the full list.
Scope of practice for imams.
Our imams are not licensed mental health providers. They cannot diagnose, prescribe, bill insurance, or accept clinical referrals as the primary treating provider. They are trained to recognize clinical signs, defer to the therapist, and refer escalations up. Their work is spiritual: spiritual framing, religious counsel, accompaniment. The therapist carries $1M/$3M malpractice coverage — the primary clinical liability instrument — and the spiritual advisor’s signed scope agreement keeps clinical care, and clinical liability, with the licensed clinician.
Quality oversight.
Our Clinical Advisor reviews every risk escalation on fixed clocks — hours, not days — samples documentation on a cadence he sets, and owns the Clinical Safety Manual every provider signs. Outcomes (PHQ-9, GAD-7, program-specific measures) are tracked from intake to graduation. Quality is supervised. Nothing is left to assumption.