Technology

How HandHeld Monitoring Works

A continuous monitoring platform that fills the gap between clinical encounters — tracking compliance and emotional wellbeing every day.

Abstinence & Medication Compliance

Random Testing That Can’t Be Gamed

Our automated random scheduling algorithm ensures clients cannot predict a “using window.” Tests are scheduled unpredictably, with automated notifications to clients and staff.

Nursing Station Mode: Semi-automated dashboard for in-house specimen collection and results management.

In-the-Wild Mode: Fully automated specimen collection and results through LabCorp — used by sober coaches, M.D.s, and drug courts.

Medication Compliance: Daily tracking of prescription adherence with automated alerts for missed doses.

Staff receive alerts for:

✓	Test day reminder
✗	Missed collection
✓	Passed test
✗	Failed test
⚠	Missed medication

Daily check-in captures:

🙂 Mood: Happy, OK, Sad, Anxious, Angry

💨 Stress level: 1–5 scale

⚠️ Craving level: 1–5 scale

🌟 Life satisfaction: 1–5 scale

💊 Medication compliance: Yes/No

🎤 Voice journal: Free-form recording

Cognitive Behaviour Therapy

Daily Emotional Check-in

Clients check in every day through three channels — ensuring universal access regardless of technology access:

📞 Phone call: Interactive voice response — works on any phone, including government-issued devices.

💻 Web browser: Full-featured check-in from any computer or tablet.

📱 Smartphone: Mobile-optimized interface for on-the-go check-ins.

Voice Analytics & Emotion AI

The Emotion Blind Spot — Solved

Most monitoring systems only tell you if someone passed or failed a test. We detect the emotional deterioration that precedes relapse.

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Voice Journaling

Speech-to-text transcription captures daily reflections in the client’s own words.

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Emotion Detection

AI infers emotional tone from vocal prosody and compares it to self-reported mood.

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Self-Awareness Score

Alignment between self-report and detected emotion — a behavioral measure that improves over time.

“Relapse is preceded by emotional deterioration. If you can detect the emotional warning signs — rising distress, increasing isolation, declining engagement — you can intervene before the relapse, not after.”

New Clinical Innovation

Emotional Intelligence Training

Research shows that individuals with substance use disorders exhibit elevated deficits in emotional awareness and empathy. Our platform trains both.

Emotional Self-Awareness

Alexithymia — the difficulty identifying and describing one’s own feelings — is consistently elevated across substance use populations and is associated with greater craving intensity and increased relapse risk.

Our system measures the alignment between self-reported emotion and voice-inferred emotion, giving clinicians an objective metric for emotional self-awareness that improves with practice.

Empathy Recognition Game

Meta-analyses show impairments in facial and vocal emotion recognition across alcohol and substance use disorders. These deficits undermine therapeutic alliance and group participation.

Clients listen to voice recordings and identify the emotion expressed, building the empathy skills critical for recovery relationships, group therapy, and family repair.

Backed by published research (E. Hill et al., 2013; 2014). Multi-site randomized study underway at ABC Recovery Center and CRI-Help (Los Angeles), 70–110 participants.

Getting Started

Up and Running in Days, Not Months

Setup & Training

HHM configures your admin accounts, trains staff, and sets up testing schedules.

Client Intake

Caseworkers register clients with drug profile, prescriptions, and family contacts.

Daily Monitoring

Automated check-ins, random testing, and voice journal analysis run continuously.

Alerts & Analytics

Real-time alerts for threats to recovery. Dashboards show trends and outcomes.

CARF & Medi-Cal Reporting Built In

ABC Recovery Center has used HandHeld Monitoring statistics for Medi-Cal Riverside County and CARF accreditation reporting for 3+ years.

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Intake & Discharge

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Urine Test Results

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Daily Emotions

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Medications

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Monthly CARF

Automated daily .csv statistics on compliance, CBT emotional state, and recovery well-being. Monthly work and medical statistics. Proof of compliance for clients, loved ones, and court mandates.

See the Platform in Action

We’ll walk you through the dashboards with real data from ABC Recovery Center.

Schedule a Demo