A full-time outreach worker is on shift 40 hours a week. A week has 168.
CVI+ extends the credible messenger relationship into the hours nobody is scheduled for. The outreach worker keeps the relationship. The platform covers the gap. Same clinician-authored library and the same care infrastructure that run SEL360 in schools, adapted for community programs and youth at elevated risk.
CVI+ v1.0 is in build. What follows is how it is designed to work, and further down there is a plain account of what is finished and what is not.
A program, not a separate platform
CVI+ runs on the same foundation as SEL360, so a community program inherits the clinical library, the language coverage and the reporting on day one rather than waiting for something to be built.
mySHO Scalable Care platform
More than 300 clinician-authored exercises spanning mental and behavioral health and workforce-ready soft skills, authored through a seven-year partnership with the UCSF Langley Porter Psychiatric Institute.
Scalable Care digital care infrastructure
Care coordination infrastructure built by the architects of Epic and MyChart. Its CTO, John Denning, co-developed both. It produces the documented, billing-ready clinical record. It is digital care infrastructure, not an electronic health record.
CVI+
The community violence intervention program. School roles become community roles: site, participant, outreach worker, program administrator. Every site is its own tenant with its own data.
I do. We do. You do.
CVI works because of the trust a credible messenger builds. CVI+ is built around that relationship using the Gradual Release of Responsibility framework (Fisher and Frey), moving a young person from guided practice to independent use of the same tools.
I do
The outreach worker sees a need: a conflict just happened, or a decision is coming. They pick a targeted exercise and sit with the young person while they work through it, explaining each step.
- Conflict resolution, anger management, decision making
- The outreach worker is physically present for the first experience
We do
The outreach worker assigns an exercise and checks in afterward. What did you learn, and how will you use it. This is the conversation that makes the learning hold.
- The young person completes it with the outreach worker reachable
- Structured discussion connects the exercise to a real situation
You do
The young person works independently, and starts choosing exercises based on what they are feeling. The platform becomes a coping tool at the hours the outreach worker is off shift.
- Available at any hour, in 92 languages
- The outreach worker sees engagement and follows up
Two kinds of crisis, watched at the same time
CVI+ is designed to watch for harm turned inward and harm turned outward at the same time, because in community violence work the two arrive together.
Harm to self
Self-harm language, hopelessness, suicidal ideation. Raises the mental health escalation path.
Harm to others
Retaliation language, weapon references, targeting language. Raises the violence intervention escalation path.
When both appear together, both paths run at once. Detection is designed to run across the after-hours companion, journal entries and check-in text, at any hour, whether or not an outreach worker is on shift. The alert goes to the assigned outreach worker first, then to the family care team contact, then to the program administrator, with a 988 Suicide and Crisis Lifeline prompt shown to the participant, and each step timestamped for the site's own incident log. Contacts and timers are configurable per site, since a city program and a county program rarely route the same way.
Built for a phone, in the field, by someone with no clinical license
CVI+ v1.0 is being built as a responsive web application. Nothing to download, and it runs on whatever device the worker already carries.
The caseload view
The caseload view is designed to put every assigned participant on one screen with last activity, exercises completed this week and alert status, color coded so the next check-in is obvious. Activity history covers exercises completed, mood trend and session counts.
- Journal entries stay private. The worker sees that entries exist, never their content
- Case notes are internal to the worker and are not visible to the participant
Getting started
Onboarding is designed as a single short session covering navigation, assigning exercises and running the weekly plan. Enrollment starts with the worker entering a name and a contact, and the young person finishes setup on their own phone.
- No clinical training required to use it
- Program administrators create and manage worker accounts at their own site
The weekly plan, so nobody writes curriculum
Each week arrives as a one-page plan with named exercises, discussion prompts and facilitation tips. The rhythm stays the same so a group knows what to expect.
| Day | Theme | What happens |
|---|---|---|
| Monday | Check-in | A mood check-in and a self-awareness exercise. The worker sees who may need more attention this week. |
| Tuesday | Skill building | One specific skill through an interactive exercise: de-escalation, impulse control, emotion regulation. |
| Wednesday | Real talk | The skill applied in a scenario-based exercise. Real situations, guided decision making. |
| Thursday | Reflection | Journaling or a reflection exercise on what was learned and where it applies. |
| Friday | Circle up | A worker-led group discussion using the provided prompts, with space for the group to talk through the week. |
A trusted adult, not necessarily a parent
Each participant can name up to three trusted adults. They get their own simple account and a deliberately narrow view.
What they see
Exercise titles and categories from the last 30 days, with the descriptions, so they can reinforce the same work at home.
What stays private
Journal entries and companion conversations are the participant's own. The family care team view carries neither.
When something happens
On an escalation they receive a support-focused notice with the 988 number and how to respond, and they can acknowledge it. Clinical detail stays with the clinical partner.
The platform CVI+ inherits
The first three describe the platform CVI+ is built on, shared by every program that runs on it. The fourth is a SEL360 school result, included because it is the same content library and the same delivery layer, and it is the only outcome data mySHO has published. It comes from Innovation Academy West in Cleveland, Phase 1, April to December 2025, measured against the prior year from the school's own administrative records: 13 suspensions down to 3. That is an observed result at a single school, not a controlled trial, and it is not a CVI+ result. CVI+ has no outcome data of its own yet, because no CVI+ site has completed a program cycle.
Lee Davis
Lee Davis
Principal of Lee Davis and Associates Consulting, Pittsburgh. Founder of the GV Coalition for Peace and Justice. Director of Violence Prevention at Greater Valley Community Services. He leads the CVI+ design work and the Western Pennsylvania rollout.
Across two programs he ran, Cure V.I.B.E. (125 people over five years) and ACTES (30 people over two years of intensive case management), 155 of the highest-risk individuals in the community were engaged, and there were no shootings or homicides among them across the full lifespan of both programs.
Source: Woodland Hills Violence Prevention ROI Report, Lee Davis and Associates Consulting with mySHO, December 2025.
The honest status
The city's Cure Violence network, administered through its Crisis Management System, is the multi-site model we are studying for 2027: many independent community organizations, each running its own site, each reporting separately. CVI+ was designed multi-tenant for exactly that shape. No New York City site is running CVI+ yet.
Grants start it. Insurance sustains it.
The organization funds it
Through a grant or an existing behavioral health or violence prevention budget line. No insurance relationship is needed to start, so a launch never waits on billing.
Public or private insurance, primarily Medicaid
The platform produces the documented, billing-ready clinical record. The licensed provider partner in that market holds the clinical license and submits the claims.
mySHO brings the curriculum and the platform. The billing belongs to the licensed provider partner in your state, not to mySHO and not to Scalable Care. Where that partner has not been named yet, this page says so.
What a funded CVI+ site can show you
The reporting a funder asks for is produced by the activity itself rather than assembled afterward.
Every organization is a separate tenant with logically isolated data, its own branding, its own administrators and its own escalation chain. One site cannot query another.
Enrollment, active participants, exercises completed, mood trend and crisis events with resolution status, over any date range, exportable for the reporting a funder already requires.
CVI+ is being built for HIPAA handling throughout: encryption at rest and in transit, audited access to protected health information, and crisis incident logs retained for at least seven years.
On the roadmap after v1.0
None of these is available today, and none of them is part of the first release.
Site administrators can export their own reports. A direct dashboard for a funder or a city program officer is a later phase.
Credentialing, billing and payment handling for outreach workers operating as reimbursable providers is an add-on after v1.0.
Clinical staff working alongside a CVI+ site get access through the outreach worker view in v1.0. A purpose-built clinical portal comes later.
The Digital Therapeutic Outreach Worker and Community Digital Mental Health Practitioner tracks are in development. See Workforce Pathways for what exists now.
Talk to a person, not a form
Tell us how your program is built
How many outreach workers, how many young people they carry, and who funds you today. We will walk your team through what a CVI+ launch actually looks like, including the first year.
Talk to us about your programNotes. mySHO Inc. is a Delaware C-Corporation founded in 2019 in Shaker Heights, Ohio, minority and veteran owned. CVI+ and SEL360 are programs delivered on the mySHO Scalable Care platform, which runs on Scalable Care's digital care infrastructure. Clinicians author every exercise first; the platform selects, sequences and personalizes, and does not generate clinical content. Curriculum developed in partnership with the UCSF Langley Porter Psychiatric Institute. The exercise count, the seven-year partnership length and the 92-language coverage describe the mySHO Scalable Care platform and come from mySHO's platform capabilities documentation. The SEL360 suspension figure is from the Innovation Academy West End of Pilot Report and Phase 2 board materials and describes SEL360, not CVI+. Lee Davis's participant record is from the Woodland Hills Violence Prevention ROI Report (Lee Davis and Associates Consulting with mySHO, December 2025). The New York City Cure Violence network is administered through the city's Crisis Management System; it is referenced here as a deployment model under consideration for 2027 and no New York City site is running CVI+. Public and private insurance billing is performed by the licensed provider partner in each market, not by mySHO or Scalable Care.