Mental Health

Mental Health Platform Client

Eleven months of stalled development replaced with a ground-up multi-tenant rebuild on the modern stack.

Next.jsPostgreSQLOpenAITailwindPrisma

100%

Ground-up rebuild

Multi

Tenant architecture

E2E

Encryption coverage

Months of frustration ended

The challenge

Where we found them

A mental health platform had been in development for eleven months with the previous team and was still not usable. The architecture decisions could not support the compliance, multi-tenancy, or AI-driven features the business required. Iterative patching had reached the end of its useful life — the only safe path was a ground-up rebuild on a stack designed for healthcare-grade reliability.

Our approach

How the fleet ran it

We treated this as a new-development engagement on the pavel-* reference stack: Next.js, Prisma, PostgreSQL, encrypted patient-provider messaging, OpenAI-backed assessments, role-based access control with granular permissions, and a multi-tenant data model from day one. Every architectural decision went through a HITL review against the compliance checklist before code was written.

Skills involved

Greenfield Architect
Compliance Charter
AI Assessment Builder
Multi-Tenant Schema Designer
RBAC Specialist

The outcome

What landed

A complete platform shipped on the modern stack with multi-tenant architecture, end-to-end encryption on patient communication, AI-powered recommendations, automated assessment scoring, and analytics dashboards. The client moved from eleven months of frustration to a production-ready system in a single engagement window.

Methodology

HITL gates between every step

Every engagement runs the same five-stage methodology — research, plan, execute, review, fix — with a senior engineer signing off at each gate. The agents handle the 80% that doesn't need a human; the 20% that does always gets one.

See the methodology in detail