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See what standard intake misses

Icosa Atlas gives recovery and treatment programs a structural personality assessment that goes beneath presenting symptoms — geometric risk patterns, objective trajectory data, and multi-reporter consensus for family and staff perspectives. HIPAA-compliant, facility-ready.

The Problem

Intake assessments capture symptoms, not structure

Standard clinical intake instruments — PHQ-9, GAD-7, AUDIT — are valuable symptom screens. They were not designed to map the underlying personality structure that shapes how a client responds to treatment. A client whose personality profile shows suppressed Bond capacity across every domain will engage with group therapy differently than one with elevated Open-Relational. That structural difference is invisible in symptom-level data.

Recovery trajectory is hard to quantify from personality data

Clinicians observe when a client is genuinely stabilizing versus managing presentation. Communicating that observation to a treatment team — or to a family member asking for progress — requires more than clinical impression. Longitudinal assessment data with trend detection and changepoint analysis gives the treatment team an objective trajectory alongside clinical observation.

Treatment planning relies heavily on intuition with limited structural data

Experienced clinicians develop strong intuitions about which clients need stabilization first, which need activation, and which are ready for deeper work. The challenge is translating those intuitions into a structured plan that the full treatment team can see, discuss, and build on. A geometric personality map creates a shared reference point that extends clinical judgment rather than replacing it.

Family and staff perspectives rarely integrate structurally

Recovery treatment often involves multiple observers — a primary clinician, a case manager, family members, and residential staff — each with a different vantage point on the client. Those perspectives are rarely synthesized into a single structured picture. When they diverge significantly, the gap itself is clinically informative — and usually invisible without a shared instrument.

How Icosa Helps

Three-Tier Assessment for Intake Flexibility

Quick (10 questions, ~2 min) for rapid screening on high-volume intake days. Standard (32 questions, ~5 min) for a solid baseline at initial admission. Comprehensive (91 questions, ~15 min) for the fullest structural picture during a full clinical intake. All three tiers produce the same 20-center geometric profile — tiers differ in behavioral signal confidence and metric resolution, not structural model.

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Trap Detection and Structural Risk Patterns

Traps are geometric risk patterns active from the structure of the personality grid alone — not from diagnostic categories or self-report answers. The system detects trap configurations automatically from profile geometry and surfaces them as attention indicators for clinical review. Traps are structural observations, not predictions; they inform clinical attention, not clinical conclusions.

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Longitudinal Timeline and Recovery Trajectory

Every assessment becomes a timestamped data point in a structural trajectory. Trend detection identifies directional movement across domains. Changepoint analysis flags when a client's trajectory shifts — up or down. Smart Retake delivers 10–15 targeted questions between full assessments, keeping trajectory data current without overburdening clients in active treatment.

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Behavioral Signals: Objective Data Beyond Self-Report

23 behavioral signals are captured during the assessment across timing, trajectory, motor, sequential, and session categories — response latency, revision patterns, engagement curves, and more. In a recovery context, behavioral signals provide an additional validity layer: a client who answers consistently at high speed may be rushing; the signals flag this for clinical interpretation rather than accepting the self-report at face value.

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Multi-Reporter Consensus for Team and Family Integration

Clinicians, case managers, and family members can each complete a parallel assessment from their observational perspective. The multi-reporter system integrates up to three external perspectives alongside the client's self-report into a weighted consensus profile with a Self-Awareness Index (0–100). Divergence between self-report and observer perspectives is quantified and rendered as structured data.

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Organization Management for Facility-Level Coordination

Create a facility organization, add clinicians and case managers with role-appropriate access, and configure retention and access controls at the organization level. Role-based permissions ensure that each provider accesses only the clients in their caseload. Audit trails record all data access events. Designed to support multi-provider care coordination within a single facility.

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How It Works

01

Administer assessment at intake

During the intake process, clients complete the Icosa assessment at the tier appropriate for the clinical context — Quick for a brief initial screen, Comprehensive for a full structural intake. Behavioral signals are captured automatically during the assessment. The profile is available to the clinical team immediately upon completion.

02

Review structural patterns and plan treatment

The clinical team reviews the 20-center profile, formation classification, gateway status, and any flagged trap patterns. The centering plan identifies structural priorities — which centers need stabilization, which gateways are closed, what the basin analysis suggests about stability reserves. This structural picture supplements the clinical interview and symptom data to inform treatment planning.

03

Track progress through treatment with Smart Retake

At regular intervals during treatment, run a Smart Retake — 10–15 targeted questions that probe the centers most likely to show movement in this client's specific profile. The timeline accumulates a longitudinal trajectory automatically: formation evolution, coherence trend, gateway activation shifts. The trajectory provides an objective complement to clinical progress notes at treatment review milestones.

Built for Your Field

HIPAA-compliant — PHI scrubbing, audit trails, 7-year retention

End-to-end encryption for all client data

Role-based access controls with audit trails for all data access

GDPR-compliant data export and erasure

Organization-level data retention controls

PHI scrubbing active in all LLM-assisted features — transcripts discarded after processing

What Standard Intake Does Not Capture

Standard intake instruments are designed to screen for symptom severity. They answer the question: how bad is it right now? That is a clinically important question. It is not the only clinically important question.

A complementary question — one that standard symptom screens are not designed to answer — is: what is the underlying personality structure that shapes how this client will engage with treatment? A client whose profile shows suppressed Bond capacity across Emotional and Relational domains will engage with group therapy, peer support, and family reintegration differently than a client with elevated Bond-Relational. A client whose Move capacity is globally suppressed will require different activation strategies than one whose Move is domain-specific. These structural differences are present at intake, invisible in symptom data, and clinically relevant to treatment design.

Icosa Atlas is not a replacement for clinical intake instruments. It is a complementary structural layer — a geometric map of the personality system that supplements symptom screening with structural information about the individual who presented those symptoms.

Important: Icosa is a personality assessment tool, not a diagnostic instrument. Results should be interpreted by licensed clinicians within their scope of practice. The system does not produce DSM diagnoses and does not predict clinical outcomes.


Trap Patterns as Structural Attention Indicators

Traps in the Icosa model are geometric risk patterns — configurations in the personality grid that are active from the structure alone, independent of what the client reports about themselves or their history. The system detects them automatically from the profile geometry.

In a recovery context, trap patterns are useful as structural attention indicators: they flag configurations that clinical experience associates with particular challenges in treatment. A trap in the domain associated with avoidance of emotional experience is worth clinical attention in a substance treatment context — not as a prediction, but as a prompt to look more carefully.

Traps are observations, not conclusions. They inform clinical attention and support clinical judgment. They are not predictive of any specific outcome and should not be used as such.


Multi-Reporter: Integrating the Full Treatment Team

Recovery treatment rarely involves a single observer. A client in a residential program is seen by a primary clinician, a case manager, residential staff, and often one or more family members. Each has a different vantage point, and those vantage points frequently diverge.

The multi-reporter system integrates up to three external perspectives alongside the client’s self-report into a weighted consensus profile. The Self-Awareness Index (0–100) quantifies the divergence between self-perception and external observation. In a recovery context, a client with low self-awareness of their own personality patterns — as measured structurally, not clinically — may benefit from approaches that externalize the pattern before attempting change.

When a family member’s observer report diverges substantially from the client’s self-report, that divergence is rendered as structured data: which centers differ, by how much, in which direction. A clinical conversation that was previously based on conflicting impressions can now refer to a shared structural reference.


Compliance at the Facility Level

All client data in Icosa is PHI by design. The system’s compliance infrastructure was built to meet the requirements of behavioral health contexts:

PHI scrubbing is active across all LLM-assisted features — session transcripts are processed in memory and discarded after analysis, with no PHI stored in the output. Audit trails log all data access events at the user level. Data retention schedules are configurable at the organization level to align with program-specific requirements. All data is encrypted in transit and at rest. The 7-year retention standard for clinical records is supported by the storage architecture.

These are not optional configuration settings — they are the defaults for every facility-level account.

Enterprise pricing (custom) for facility-level licensing, multi-provider organizations, and volume-based arrangements. Contact us to discuss program-specific needs and deployment configurations.

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