Peer support that improves outcomes and reduces cost

We partner with providers, health homes, and payers to deliver certified peer support when traditional care is offline — nights and weekends.

30%
Reduction in AMA discharges
35%
Fewer crisis services used
4.9/5
Average session rating

Outcomes from our partner sites

30%
Reduction in discharges against medical advice (AMA)
35%
Reduction in crisis services utilized month over month
50%+
Patients return for multiple sessions
4.9
Out of 5 stars average rating
45 min
Average session length
41%
Sessions reveal novel information not previously known to the care team
Easterseals Blake Foundation — One Small Step partner Polara Health — One Small Step partner Spectrum Healthcare — One Small Step partner The Guidance Center — One Small Step partner

Two models, one mission

Flexible integration for inpatient and outpatient settings. Both are designed to launch fast and scale with your team.

Inpatient

Reduce AMA discharges and stabilize transitions

Extend your team's reach nights and weekends with certified peers who keep patients engaged and connected to care.

  • Augment staff with peer support technology on off-hours
  • Weekly certified peer group sessions to introduce the program
  • Warm handoffs and structured escalation protocols
  • Subscription-based pricing
Outpatient

Reduce avoidable crisis and emergency utilization

Keep members engaged between visits with a certified peer layer that supports continuity of care and quality measures.

  • Fully integrated with your EMR and care team
  • Supports FUH, FUM, and FUA quality measures
  • Session insights shared with care coordinators
  • Medicaid reimbursable

Launch in weeks, not quarters

Week 1

Discovery

Align on populations, handoffs, and reporting requirements with your team.

Weeks 2–3

Workflow mapping

Define escalation paths, coverage hours, and stakeholder roles.

Week 4

Pilot launch

Onboard first cohorts, monitor sessions, and refine with your team.

Month 2+

Scale

Expand hours, integrate reporting, and share outcome insights.

Why One Small Step

Warm handoffs, not cold referrals

Peers receive context from clinicians and follow up with members after high-risk moments. No one falls through the cracks.

Clear escalation protocols

Structured routing sends urgent needs back to your team with context. Safety is built into every session.

Outcome visibility

Session insights, engagement metrics, and novel clinical information are shared with stakeholders — not locked in a silo.

Off-hours coverage

Weeknights and weekends — the exact hours when crisis risk spikes and clinical teams are offline.

AI-augmented safety

Our AI Guide triages and prepares members before peer sessions, with real-time safety routing for crisis moments.

Research-backed

Founded on peer-reviewed research with an independent HITLAB evaluation confirming strong usability and emotional safety.

Built by engineers, product experts, and people with lived experience of mental health recovery.

One Small Step combines lived-experience trust with the rigor of user-centric design and enterprise-grade infrastructure — making peer support scalable, measurable, and reliable for providers and payers. Built by alumni of Facebook and Wayfair.

Meet the team

Ready to explore a partnership?

We'll walk you through outcomes, integration, and pricing in a 30-minute call.

Schedule a discovery call Learn more about us