Cara: Your team’s AI mental health companion, built with care and clinical integrity.
Cara provides emotionally intelligent conversation for everyday wellbeing, backed by clinical-grade safety and 24/7 escalation to real clinicians when it matters.
Built to the highest standards
ISO27001
certified
GDPR
compliant
EU AI Act
aligned
CE Class II
in development
RCT
published evidence
How Cara Works
Everyday support, clinical safety, human connection. Cara sits at Step 1 of Spectrum.Life's stepped care model. Accessible wellbeing support, with a clear path to clinical care when it's needed.
Everyday wellbeing and reflection
Emotionally intelligent conversation that helps members manage mood, build resilience, and find small daily resets. Users can interact via text or voice, choose their companion’s personality, and access evidence-based exercises including breathing, meditation, and EMDR techniques.
Text & voice · 3 companion styles · Personalised over time
Risk detection and escalation
A dedicated safety classifier analyses every message independently of the conversational AI — detecting risk across five categories including suicide/self-harm, self-neglect, domestic abuse, exploitation, and risk to others. When risk is flagged, users are presented with a clear path to Spectrum.Life’s 24/7 clinical team.
Dual-layer safety · Independent classifier · 24/7 clinical escalation
Fully connected continuity of care
Cara connects to Spectrum.Life’s existing clinical infrastructure. Counsellors and clinicians are one tap away, and support is integrated within members’ ongoing care plans, not siloed in a standalone app.
24/7 counsellors · Integrated care plans · Seamless handover
Clinical governance and data ethics
100% hosted in AWS EU (eu-west-1). All foundation models run via Amazon Bedrock inference profiles, so no customer data is used for model training by any provider. PII is masked and encrypted in storage. Full session traceability via self-hosted Langfuse.
AWS EU only · PII encryption · Full audit trail
Built on technology validated in a published randomised controlled trial.
Cara is built on the same technology evaluated in a UK-based exploratory RCT (n=316) among adults with elevated anxiety. The trial demonstrated measurable improvements in anxiety and depression symptoms versus an NHS self-help control group.
Published peer-reviewed evidence
The trial showed significant reductions in anxiety and depression versus control at 2 weeks, with effects sustained at 12 weeks.
- d=0.32
Between-group effect size for anxiety at 2 weeks - d = 0.34
Between-group effect size for depression at 2 weeks - 316
Participants in the randomised controlled trial - Zero
Adverse events reported in the trial
Strengthen your wellbeing ecosystem.
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Drive awareness and adoption of existing wellbeing programmes. Cara intelligently connects members to the right resources, increasing utilisation of services you already provide.
From the trial.
What participants said.
"Talking to the AI without embarrassment allowed me to raise personal issues that I wouldn't necessarily have shared with a real person."
RCT Participant
"The feeling of a real dialogue was very impressive, as was the AI's manner and variety of responses and adaptations."
RCT Participant
"The app was particularly useful after exhausting days at work, before facing personal issues at home."
RCT Participant
We believe in AI-powered care, but never AI-only care. Augmented care, not automated care.
AI brings scale and consistency. People bring context and compassion. Cara is designed to support clinicians and coaches, not to replace them. A medical version addressing mild–moderate anxiety and depression is currently in development for CE Class IIa certification.
Ready to add Cara to your wellbeing offering?
Cara will be available on select Spectrum.Life plans from Q2 2026. Speak to your Account Lead or get in touch to learn more.