Flourish

• Student mental health focus areas: Develop life and character-building skills, Promote Social and School Connectedness, Equip Staff and Students to Recognize and Respond to Distress, Ensure Student Access to Effective Mental Health Treatment
• Product category: Check-ins, Coaching/mentorship, Crisis intervention, Curriculum/lessons, Screening/assessment, Self-guided activities
• Tiers of intervention: Tier 1, Tier 2
• Grade levels: 10th grade, 11th grade, 12th grade
• End user(s): Parents, Students, Teachers
• District experience: <1,000 students, 1,000-5,000 students, 5,001-20,000 students, 20,001-50,000 students
• Free version available?: Free version is available nationwide.
• Use of AI: Flourish uses generative AI to power Sunnie, a conversational well-being coach that guides students through evidence-based activities and personalized coaching. AI is also used for personalization and activity recommendations. Sunnie was designed by psychologists with clinical oversight; AI conversations operate within structured, safety-reviewed boundaries, and safety-relevant language triggers a crisis protocol that routes students to human support and crisis resources.

• Intended outcomes: Intended outcomes include increased well-being, resilience, and flourishing; strengthened emotional regulation, mindfulness, and coping skills; a greater sense of belonging; reduced symptoms of depression, anxiety, and stress. Flourish is designed as a preventive and early-intervention resource that helps students build these skills before difficulties escalate, complementing rather than replacing school counseling and clinical care.
• Demonstrated outcomes: Flourish's effects have been evaluated in two randomized controlled trials. RCT1 was published in NEJM AI (Cachia et al., 2026; https://ai.nejm.org/doi/full/10.1056/AIoa2501293). RCT2 (n=1,137 university students) found that Flourish reduced perceived stress (PSS-4) and symptoms of depression and anxiety (PHQ-2, GAD-2) in a general, undiagnosed student population; the manuscript is available as a preprint (https://osf.io/preprints/psyarxiv/nwz9q) and the trial is registered (NCT06668532).

• Privacy & security: HIPAA, CCPA, GDPR completed. SOC 2 in progress.
• Crisis protocols: Flourish maintains a clinician-developed, industry-leading crisis protocol overseen by a Clinical & Safety Lead and advised by suicide prevention experts. Safety-relevant language in AI coaching triggers immediate routing to local and national crisis resources and clear guidance to human support. Protocols are adaptable to partner needs: Flourish co-develops escalation pathways with each institution's counseling and health services, and can configure feature scope to institutional requirements.

Flourish provides partner institutions with de-identified, aggregate reporting on engagement, utilization, and well-being trends, helping schools understand adoption and student needs without exposing any individual student's data. Reporting can be tailored to the metrics a school or district cares about most.

• Web accessibility: Flourish can provide a VPAT (Voluntary Product Accessibility Template) documenting the product's conformance with WCAG 2.1 and Section 508 accessibility standards upon request.
• Language accessibility: Flourish's AI-powered features, including Sunnie's coaching conversations and the interactive journal, support all major languages. The app's interface is primarily graphic-based, minimizing language barriers; a fully multilingual interface is in development and expected by December 2026.