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 question of religious content, the spiritual advisor’s view holds. If it’s a question of scope, the Clinical Advisor decides. 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 top priority under the Clinical Safety Manual, both providers are looped in, and it jumps the standard one-business-day reply window. 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 complete Zaha's onboarding on recognizing clinical signs, deferring to the therapist, and referring escalations up, before their first client. Their work is spiritual: spiritual framing, religious guidance, accompaniment. The scope agreement keeps clinical care with the licensed clinician.
Quality oversight.
A Clinical Advisor, or a documented consulting clinician, is in place before the first client is seen, owning risk escalation on fixed clocks (hours, not days), sampling documentation on a set cadence, and owning the Clinical Safety Manual every provider signs. Outcomes (PHQ-9, GAD-7, program-specific measures) are tracked from intake to graduation.