A therapy session used to need a second clinician in the room to be observed at all.

Kuddo scores every therapy session against your program's model and gives the clinician the report first.

Book a walkthrough See the report
01 One cell, one session 132 sessions · one month · one program

Supervision only ever sees what is under the light.

Seven of these were reviewed by a supervisor.
A supervisor can only review so many hours in a week.

Kuddo turns the light on all of them.

The field has always worked this way. The founding corpus of psychotherapy research runs to 158 transcribed sessions from 51 clients, catalogued decades later.

Thesis

What we believe.

Five commitments, written for clinicians first.

Read the full thesis
  1. One.

    Care that is never observed cannot be learned from.

    The one we argue about least.

  2. Two.

    The hour belongs to the two people in it. The record belongs to the clinician first.

    Therapy has been recorded since 1940, when Carl Rogers first listened back to his own sessions to get better at them. When he asked his colleagues to do the same, they offered him the trainees instead. We start from the other end.

  3. Three.

    A score must point back at the words that produced it, or it is a verdict.

    So you can disagree with it, out loud, in supervision.

  4. Four.

    Reproducibility is the minimum for being trusted.

    We publish our agreement number, including the months it dips.

  5. Five.

    Say where you actually are. We are at level three.

    Two levels are still ahead of us, and we say so.

02 What Kuddo hands you Session 1129 · FBT · week 6 / 20
Fidelity report 12 rubric items
0% adherence Drift at 3 min 40 s. The next meal plan arrived late and stayed general.
03 Run it again

A score you cannot reproduce is an opinion.

Run 001

Total85%

Run 042

Total80%

Run 100

Total85%
Run 001 042 100
Total 85% 80% 85%
. . . Measured across repeated runs on our own test set.

The rubric decides and the model only reads, so the same hour returns the same marks almost every time. We publish the agreement number. It is not yet 100, and we will say so until it is.

04 Six levels of clinical AI Dashed steps are ahead of us

Driving automation got levels. So should this.

05 Whose report this is

The clinician reads it first.

When Rogers asked his colleagues to record their own sessions, the answer for years was that he could record the residents. Observation has pointed down the hierarchy ever since, and most fidelity tools were built to satisfy someone other than the clinician.

Kuddo starts from the opposite premise. The report is private by default, the rubric is readable, and every mark points back at the moment that produced it so you can disagree with it.

AYours before it is anyone's
BEvidence of skill, in a form a board recognises
CNever a ranking, a productivity monitor, or a reason to shorten an hour
Writing Including what argues against us
Framework i

The six levels of clinical AI

A shared vocabulary for how far these systems actually go, and an honest marker for where we sit.

Essay · 14 min read Coming soon
Method ii

Turning a modality into a rubric

What a treatment model has to say about itself before a machine can score adherence to it.

Essay · 11 min read Coming soon
Open question iii

Does fidelity actually predict outcomes?

The literature is less settled than the sales decks suggest. Our reading of it, and what we intend to test.

Essay · 9 min read Coming soon

New essays, as we write them.

Research notes on measuring what happens inside the session.

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Your sessions, scored. Every one of them.

Kuddo connects to the way your program already records sessions, scores each one against your model inside your environment, and hands the report to the clinician first. Start with a thirty minute walkthrough on a de-identified training session.

Book a walkthrough Read the research notes