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Questions worth answering.
The same question lands differently depending on where you sit at the table. Start with the general section, then jump to your seat.
About · Court · Caseworker · Rehab · Family · Partners
About Threshold
The general questions
What is Threshold?
Threshold is a coordination concept for people moving through alcohol and other drug (AOD) treatment — court-ordered or voluntary. One portable record, governed by the client’s consent, that the four people in the room (judicial officer, case worker, rehab intake, family member) can each see the right slice of.
Is this a live system?
No. The site at threshold.rehab is a clickable prototype. It is not connected to any clinical record, court database, or corrections system. The footer on every screen carries the “CONCEPT · NOT A LIVE SYSTEM” disclosure. Do not enter real personal or health information into the demo. See the Terms for the full rule.
What problem is Threshold trying to solve?
Ten assessments in a year, same questions on different clipboards. Rehabs can’t see prior treatment. Caseworkers chase phone calls. Courts wait weeks for a progress note. Families are told nothing. Threshold proposes a single record where the assessment is done once, progress is visible to those who need to see it, and family is kept in the loop with the client’s say-so.
How does consent actually work?
Every disclosure is bound to a consent scope(e.g. “rehab intake can see treatment history”, “mum can see attendance”), a grantee, a timestamp, and an immutable revocation history. When a client revokes, the downstream service loses access on the next request — there is no “stale copy” sitting in another agency’s spreadsheet.
What about disclosures that happen without consent?
Some disclosures are permitted by law without consent — for example under the Mental Health and Wellbeing Act 2022 (Vic) Part 7.4 / s730. In a production Threshold these are flagged in the record with the legal basis, and (where lawful) the client is notified. They are the exception, never the default.
Where will data be stored?
For the production system: an IRAP-assessed Australian environment, onshore, with tamper-evident audit logs retained for at least seven years. The current demo runs on standard Vercel infrastructure and is not suitable for real client data — that is why we ask you not to enter any.
Who built this and who is it for?
Threshold Rehab is a Melbourne-based concept being shown to clinicians, courts, corrections, families with lived experience, and funders. The source code is published openly on GitHub.
Will I need a Digital ID (myID) to use the production system?
Yes. Real production access will be backed by a verified Digital ID (myID or VIC Gov Entra) under the Digital ID Act 2024 (Cth). The cookie-based role login on the demo is a stub for evaluation only.
How is this funded? Is there advertising?
Threshold can sell professional visibility — labelled sponsor placements aimed at services and providers, not at clients in vulnerable moments. Crisis, court, and public information always appear before paid placements. No ad targeting uses relapse, court, screening, clinical, or family-conflict data. See the “Services / Support” tab inside the demo for the boundary in plain language.
How can I give feedback?
Email contact@threshold.rehab. Lived-experience input from families and clients carries particular weight in how the consent model evolves.
For Judicial Officers
Magistrate / Court
What does Threshold give the bench that a paper progress report does not?
A live, single source of truth: attendance, screen results, treatment engagement, and missed sessions, refreshed as services update them — instead of a four-week-old PDF read on the morning of the listing.
Can the court see a full clinical note?
No. The court view is shaped to what is relevant for judicial monitoring of a CCO or DATO — engagement, compliance, key flags. Detailed clinical content stays with the treating service unless explicitly subpoenaed and lawfully disclosed.
How are breaches and red flags surfaced?
Threshold proposes structured signals (missed appointments, positive screens, withdrawal from program) raised to the case worker first, with court visibility on the cadence the magistrate has set for that order. The court is not paged on every clinical event.
Does this replace CISP or the Drug Court?
No. Threshold is plumbing — it carries the record between programs that already exist (CISP, Drug Court, CCO supervision, Drug and Alcohol Treatment Orders). It does not replace assessment, supervision, or judicial discretion.
For Case Workers
CCO / Corrections
Will I be entering data into yet another system?
The intent is the opposite: rehab intake captures the assessment once, and you read the same record. Where you do enter data — supervision contacts, breach considerations, referrals — it stays inside your view of the record by default, with court visibility only at the cadence the order requires.
What about clients who are voluntary, not court-ordered?
Same record, different doors. A voluntary client controls all consent. There is no court grantee unless and until they are sentenced to a CCO or DATO and the order itself creates the lawful basis.
Coercion risk — can a CCO client really “refuse consent” meaningfully?
This is a known live risk. The production design includes a coercion-risk screen at consent points, and audit logging that distinguishes consent-based disclosure from MHWA s730 / order-based disclosure. We do not pretend the dynamic is symmetric.
For Rehab Intake
AOD Service Provider
Will Threshold replace our clinical record?
No. Your CIMS, KMS, or in-house clinical system stays. Threshold is a coordination layer above it that exposes the slices other parties need (engagement, attendance, summary outcomes) under client consent.
How do referrals come in?
With the assessment already attached. The client arrives with a portable record — court order if any, prior treatment episodes, current medications declared, family support contacts they have consented to. Your intake clinician adds, never re-asks from zero.
What integration work would we need to do?
Production integration is via standard health-data APIs (FHIR-shaped endpoints) plus an inter-agency MOU. The demo skips this entirely — it is a self-contained illustration of the workflow.
For Family Members
Approved loved ones
Will I see clinical notes about my loved one?
Only what they have explicitly consented to share with you. The default family view is supportive and high-level: are they engaging, what are the next appointments, who is the case contact in a crisis. Nothing else.
Can my loved one revoke my access?
Yes, immediately, at any time, without explanation. Revocation is an explicit feature, not a workaround.
What if I’m worried about safety and they have not consented?
Threshold does not replace crisis services. If you are concerned right now, call 000 in an emergency, or contact DirectLine Victoria or Family Drug Support. The treating service may still be permitted by law to disclose certain information without consent in narrow circumstances (e.g. MHWA s730).
For Service Partners
Court-linked reporting
How does a service partner appear inside Threshold?
As a labelled placement in the “Services / Support” tab. Crisis, court, and public information always appear above sponsor placements, and clinical governance can remove a placement before commercial review. There is no targeting against client risk data.
Can we receive referrals through Threshold?
In production, yes — under a written agreement and on the same consent terms as any other grantee. Sponsorship and clinical referrals are kept on separate ledgers so a paid relationship cannot bias a clinical pathway.