The infrastructure for community-based care
shamiriOS coordinates delivery across lay providers, supervisors, and young people — connecting everyone in the stepped-care system.
Three integrated products
Each product serves a different user in the stepped-care system.
Shamiri Digital Hub
The operational backbone for running a tiered care model day-to-day. Multi-site coordination, workforce management, and payments.
Session attendance tracking
Stipend reconciliation
Multi-site dashboards
Provider Platform
Tools for providers at every tier. Training modules, supervision workflows, and session management — designed for task-shifted delivery.
Guided session templates
Supervision scheduling
Clinical documentation
Rafi
Giving young people agency over their mental health. Understand your wellbeing, access care when you need it, and engage with support on your terms.
Wellbeing check-ins
Self-guided resources
Pathways to care
How stepped care flows through shamiriOS
Data moves through the system, triggering the right actions at each tier.
Check-in
Youth tracks wellbeing
Session
Fellow delivers care
Supervision
SDH surfaces cases
Escalation
Routes to clinicians
Built for context
We evaluated existing platforms against six criteria. None met our requirements. So we built shamiriOS.
Cost
Affordable for grassroots and mid-sized organizations. No prohibitive licensing fees.
Ease of use
Usable by lay providers, supervisors, and adolescent clients with varying digital literacy.
Customizability
Accommodates task-shifting workflows, school-based implementation, and stepped-care triage.
Open-source availability
Ensures accessibility, adaptability, and long-term sustainability without vendor lock-in.
Suitability for mental health
Supports psychosocial content, triage workflows, and group or individual care formats.
Low-resource appropriateness
Supports offline use, low bandwidth environments, and options for local hosting.
Open source, by design
shamiriOS is built to be shared. The codebase is modular, documented, and designed for adaptation by other organizations working on community-based mental health delivery.
View on GitHubValidated in the field
11
sites
1,300+
staff
76,000+
youth
Preprint
shamiriOS: A Modular Digital Platform for Task-Shifted Youth Mental Health Delivery
Lilan, Osborn, et al. · March 2026
Read on PsyArXiv