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Business Models in Mental Health Tech #Vol2
(#1) D2C Markets π; π Activity in the MH space; π‘moment; π Curated MH resources
π₯ A D2C Model refers to a business directly bringing its products/services to the public.
I will start with the generic landscape of Healthcare to give you a quick peek into the Digital Health Market. After which we will move to the Mental Health D2C landscape.
π‘ Direct-to-Consumer Model in Healthcare
The healthcare market has a value of trillion-dollars, allowing startups to disrupt the slow-paced, broken, and impartial system. With an ever-evolving landscape and COVID-19 pushing the conformity of telehealth, weβve entered into a new era of digital health.
The D2C model has more bandwidth to grow as more physicians, consumers and founders take to social media to spread the message of health & wellness. With fluid funding in the form of subscription models on the rise, when we can have Music, Entertainment, and Gym memberships β why canβt we have healthcare at our fingertips with auto-pay?
π± Quick-takeaway:
All of the above companies have had a MASSIVE y-o-y growth of over 200% due to the pandemic. Linking - if youβre curious about learning their profit margins.
π§ D2C model in Mental Health
An average mind today consumes over 34GB of data per day. With about 3B people expected on social media, consumption is a given. The D2C scaling makes use of this content curation to reach the struggling minds.
The following are the different verticals that were mapped by Stephen Hays, a recovering addict now turned VC who spent over a year talking to several founders and mapped this space out :

Itβs categorized into several different verticals based on the value, business model, and services it provides. Iβm going to pick the ones that follow the D2C model from each lateral and provide some basic context on them along with their D2C scaling. Thanks to Gabe Strauss, PM at Limbix who mapped this out in 2019 out here.
I will cover other models in the next volumes.
π§ Sum Analysis of D2C initiativesΒ
β PROS:
Easy to scaleΒ
Iterative feedback loopΒ
De-stigmatize conditions, publicly
Flexibility and 24*7 availabilityΒ
Less profitability, higher investments and valuationΒ
Faster growthΒ
β CONS:
Efficacy and clinical backing get overlookedΒ
Encourage consumers to buy products they donβt needΒ
Privacy and data protection
π§π½ββοΈ Meditation & Wellness :
Wellness startups focus on prevention/precautionary strategies to provide care to manage stress/life events & mild mental illnesses. These usually do not fall within the βmedicalβ category, providing leeway to the startup to not be regulated by the FDA.
The ultimate goal of these companies is to get categorized under the insurance provider so users donβt have to pay out of pocket. Some of them nonetheless have established enough credibility within the market which might not need a provider backing. (The rationale [My thought]: If I can pay 5$ to entertain myself, I can definitely pay 5$ to meditate & track my moods)
Like everything in the world today sells on content, these brands are masters at conquering this in the wellness space.
β¨ Calm
I was so inspired by the vision of Calmβs co-founder, Michael Acton Smith - to build a Disneyland for Wellness: a luxury meditation retreat of sorts in the following decade or so.
With a valuation of $250M in 2018, it has currently jumped to over $2B. The paid subscriber base has more than doubled since 2019 to ~4M today, with over 40M downloads.
It started out as a D2C brand targetting a stressed-out population (that has tripled over the years), by providing mindfulness lessons using meditation, with a very βcalmingβ UI. Sleep stories are their most popular asset with over 70% of the American population struggling to sleep.
Today theyβve partnered with Kaiser Permanente (free for members) to move into the health provider market and have a new B2B employer segment.
β¨ Headspace
Andy Puddicombeβs voice is something you cannot miss, itβs what makes Headspace run. A practiced Buddhist monk for over 8 years, Andy came back into the twisted world to spread the message of mindfulness, things he picked up from masters who taught him philosophies of the Eastern world.
Starting with in-person events to spread the joy of meditation in the UK, the duo founders moved the content into an app by recording Andyβs voice into several lessons. With over 62M downloads today, a Netflix documentary and with over 4M paid subscribers.
Theyβre targeting an FDA approval to get onboard with insurance and already have a ton of B2B workshops.
π€ AI Chatbots:
With neural models taking over different industry segments it was time something was created to help you ease the struggles in the mind. These can be used by those who have mild anxiety, depression symptoms & mainly those who want to take the route of self-help. Using the D2C model so far, these apps are trying to get their hands onto early beta consumers to shape their neural models.
Ethical challenges with trusting the bot : Trusting the machine learning model, selling of data to third parties and transparency
β¨Woebot
A self-care bot helping you cope, by using evidence-based stories with a lot of clinical backing. Alison Darcy, the founder and psychologist behind this start-up has a vision of using tech to help you cope in your darkest 2 AM moments. Her vulnerability (attended a HackMentalHealth event) of combining academic research with real industry experience was what made me believe in her vision.
Currently available on the AppStore for free, this team hopes to be a part of the digital therapeutic system as well.
β¨Youper
Similar to Woebot, this is an upcoming AI chatbot focused on therapy, emotions, and the provision of everyday check-ins.
β¨Shine
This started as an inspiring-text-message system that gained immediate traction among millennials. They now have a self-help app to guide you into a safe space filled with meditation prompts and self-reflection using journaling.
The founders are two women of color who scaled this startup and had no formal business training, which to me is extremely motivating.
π¦Ύ Digital Teletherapy:
COVID has bolstered tele-everything and it just helped the following apps to scale even further. Consumers have painfully experienced the lack of supply for in-network therapists, long waitlists, extended hold-ups, or even out of pocket insurance which has prompted the following startup to succeed. (Will cover this in depth in them future)
β¨Talkspace
This is the largest platform for teletherapy with a network of over 5000 licensed therapists delivering to you on a HIPAA compliant app. D2C scaling includes over a million people who have used this via video/text messaging system. You donβt need a referral to begin, but you do need a subscription. Review of the app components described here.
Like other D2C startups, theyβre moving into the B2B space as fast as they can.
β¨BetterHelp
Similar to the above, a teletherapy platform providing online counseling to consumers.
π₯ Peer-to-Peer :
This model, according to me, is the future: the ratio in the supply of therapists is minimal compared to the demand and rise in mental health illnesses among the population. To keep up, we have to delve into the peer-who-has-experienced-an-issue helping another peer-who-is-suffering. Reading and learning from someone elseβs experience always takes priority in our π§ over licensed personnel giving you opinions.
β¨ForLikeMinds
Peer-based support group for mental illness/substance abuse / stressful life events using web-based profiles. Create a profile, add a tag and join like-minded groups to find a safe space.
A couple founded start-up according to Crunchbase. I wish there were published stories about how they scaled this, I would love to learn and give them due credit.
β¨7Cups
Over 300K trained listeners and 25M people helped so far with this chat-based community platform. Only needs a sign-up and youβre free to ask for help and find comfort in others. Thereβs also professional therapy available based on a subscription.
π Ecosystem Activity:
First-Ever Consumer DNA Test to Unlock the Connection Between Genetics and Mental Wellness-Related
Looking for a Health care accelerator? Hereβs one opening SOON!
A blood test to detect Bipolar and Depression? In the works here
Pace - upcoming group therapy startup in MH
Decode you insurance for MH care - here
Psychologists are broadening their reach via social media - Launching research data early, reaching a diverse audience & using TikTok to reach the consumer
The Oprah-Prince Harry documentation is coming
π‘ My aha moment of the week:
I think the above would be an accurate visual of me - daydreaming with some noodles and having dreamy, bulb-y moments through the day. I had one such moment while listening to Atomic Habits: βοΈ70% of our Brain Neurons are wired up to ONLY WANT THINGS, and only <30% is set to feel thingsβοΈ
Do you blame yourself for not being able to focus at the moment while meditating?? Do you dream of something but feel nothing when you get it?
Thatβs the art of life, we gotta focus on the now to then visualize the future [The Secret coming to my aid].
π Resources:
Solome Tibebuβs RETHINK Behavioral Newsletter
Ness Labs Community and Anne-Laure Le Cunffβs newsletter/articles