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, safety planning — these 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 imam 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.
If a client posts content suggesting self-harm, harm to others, or imminent risk — in the shared room or to either provider directly — the on-call clinical lead is paged immediately, day or night. Both providers are looped in within minutes. Standard 24-hour response windows do not apply.
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 pastoral — spiritual framing, religious counsel, accompaniment. Both providers carry malpractice coverage; the therapist’s policy is the primary clinical liability instrument.
Quality oversight.
Our Clinical Advisor reviews flagged threads within 24 hours, samples the rest on a rolling cadence, and audits the full corpus quarterly. Outcomes (PHQ-9, GAD-7, program-specific measures) are tracked from intake to graduation. Anonymized cases are reviewed in monthly provider rounds. Quality is supervised — nothing is left to assumption.