Structured psychiatric review for the cases that don’t fit a standard treatment plan.
The Mosaic Case Review Process
When a patient isn’t responding to treatment — or their presentation is complex enough to warrant interdisciplinary review — Mosaic’s clinical team evaluates the full picture. Medical data, behavioral health trajectory, medication interactions, autonomic regulation status. The result is actionable clinical guidance delivered back to your care team, not another referral into a void.
Built for the Cases That Aren't Moving
Built for the Cases That Aren't Moving
You know these patients. They are on your panel right now:
- Treatment-resistant depression where multiple medication adjustments haven't produced meaningful change
- Chronic pain patients with escalating behavioral health symptoms that complicate every care decision
- Patients with multiple failed referrals who have disengaged from behavioral health treatment entirely
- Post-hospitalization patients who aren't engaging with recovery or follow-up care
- Chronic illness patients whose non-adherence is driven by unaddressed psychological or physiological barriers
If a patient is consuming disproportionate clinical time without progressing, they are a candidate for Mosaic's structured case review.
From Referral to Clinical Recommendation
Clinical review before care matching helps the patient land in the right level of support.
Step 1 - Referral Received
We evaluate the presenting concern alongside the full patient context, including demographics, medical data, treatment history, and the specific clinical questions your team needs answered.
Step 2 - Clinical Triage
Our interdisciplinary clinical team assesses risk, complexity, scope, and urgency. This is not a screening form. It is a structured clinical evaluation drawing on behavioral health, psychiatric, and integrative care expertise.
Step 3 - Care Match
Based on the triage assessment, the team determines the right level of support: individual therapy, integrative support, psychiatric consultation, combined intervention, or, when the case falls outside Mosaic's scope, a referral out with specific clinical recommendations.
Step 4 - Provider Update
ROI-compliant status updates are delivered back to the referring provider when authorized. You know where the patient landed, what the clinical rationale was, and what happens next.
How We Evaluate Complex Cases
Mosaic's case review is an interdisciplinary process, not a single clinician's opinion. When a case enters triage, the evaluation draws on multiple clinical perspectives:
Behavioral Health Therapist
Assesses psychological barriers, autonomic regulation status, treatment engagement patterns, and prior intervention history to identify what has and hasn't worked.
Psychiatric Consultant
Reviews the full case for diagnostic guidance, medication considerations, and treatment plan adjustments, bringing clinical depth that standard behavioral health referrals lack.
Integrative Care Lead
Evaluates chronic illness cases through a lifestyle medicine lens, including nutrition, movement, behavior change factors, and physiological contributors to behavioral health symptoms.
The team convenes to develop coordinated recommendations that address the full clinical picture, not just the behavioral health component in isolation.
Actionable Clinical Recommendations
After review, your team receives:
- Clinical recommendations addressing the presenting concern and contributing factors identified during triage
- Suggested treatment plan modifications based on the interdisciplinary evaluation
- Medication guidance from the psychiatric consultant when applicable
- Behavioral health intervention recommendations tailored to the patient's engagement patterns and barriers
- Follow-up coordination to ensure the recommendations translate into care
HIPAA-Compliant From Intake to Update
All case data is handled through HIPAA-compliant secure channels. Patient consent protocols are in place before any clinical information is shared between teams. Mosaic maintains telehealth compliance across all four licensed states (Florida, Illinois, Texas, and Maryland), and Business Associate Agreements are executed with every partner practice.