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How Google Health Enterprise and Amae Health Are Bringing Continuous Measurement to Psychiatry

From Reactive to Proactive Mental Health Care

Google Health Enterprise Team

Over the past decade, healthcare has increasingly shifted from episodic snapshots to continuous understanding. Clinicians today can monitor glucose levels, cardiac rhythms, physical activity, and other health metrics over time, helping identify meaningful changes before they become medical emergencies.

Mental healthcare, however, has largely remained an exception. Despite significant advances in neuroscience and psychiatric treatment, clinicians often still rely on subjective reports in conversations that occur every few weeks or months, without objective visibility into what happens between visits.1 This creates an important opportunity. Many of the earliest signs of worsening mental health emerge gradually in everyday life, long before they are visible during an office appointment or require hospitalization.2 For individuals living with severe mental illnesses such as schizophrenia or bipolar disorder, some of the earliest indicators of clinical change may first appear as subtle disruptions in sleep, physical activity, or daily routines.3 These behavioral shifts may emerge before symptoms become severe enough to prompt emergency care.1,3 While no single data point can predict a mental health episode, longitudinal trends across multiple behavioral signals may provide valuable context that helps clinicians better understand how a patient is doing between visits.1,2

At Google Health Enterprise, we believe connected health and wellness technologies have the potential to help bridge this gap by bringing meaningful, real-world health information.4 Our collaboration with Amae Health represents an exciting step toward that vision.

Individuals living with a variety of mental illnesses often experience cycles of stability interrupted by periods of worsening symptoms that can lead to hospitalization or crisis.1,3 Historically, clinicians have had relatively few objective tools to monitor these conditions between appointments, making it difficult to identify subtle changes before symptoms become more severe.3

Amae Health has built an innovative outpatient model specifically designed for people living with complex mental health conditions, combining psychiatry, therapy, primary care, nutrition, peer support, and social services into one integrated care team. As Amae Health has expanded, it has partnered with leading health systems across the country including NewYork-Presbyterian, Mass General Brigham, Novant Health, and Cedars-Sinai to help extend access to high-quality outpatient care for people living with severe mental illness. These collaborations reflect a shared commitment to improving continuity of care and reducing unnecessary hospitalizations. Amae Health’s emphasis on longitudinal relationships, whole-person care, measurement-based treatment, and demonstrated clinical outcomes made them an ideal partner to explore how wearable-derived insights can become part of routine psychiatric care.

Throughout our collaboration, both organizations have shared a common goal: equipping clinicians with richer information that complements their clinical expertise. Together, we're exploring how longitudinal signals from Google Fitbit devices, including changes in sleep, activity, and other behavioral patterns, can be integrated alongside patient-reported outcomes and clinical information to give Amae care teams a richer understanding of patient health between visits. This collaboration with Amae Health reflects a broader evolution in how wearable-derived information can be responsibly integrated into healthcare delivery; not simply as consumer insights, but as part of evidence-informed clinical workflows. Both Amae Health and Google Health Enterprise have remained focused on ensuring wearable-derived insights can become a tool to support clinician decision-making while respecting the central role of provider judgment and individualized patient care. By making longitudinal behavioral information available to care teams through this partnership, we hope to help providers move beyond isolated snapshots toward a more complete understanding of patient health.

Healthcare is increasingly moving from reactive treatment toward proactive, continuous care. Mental health deserves to benefit from that same transformation. Moving forward, mental health care providers will likely have the ability to combine multiple sources of information—including clinical expertise, patient-reported outcomes, behavioral data, and emerging digital biomarkers—to provide a more comprehensive understanding of mental health.

For more details about the partnership, read the official press release.

Data is only as powerful as the care model behind it. By bringing data from the Google Health app and Fitbit devices into our multidisciplinary clinical workflows, we are building a deeply connected, proactive decision support layer for our patients with complex mental health conditions that turns raw data into real-time intervention.


Stas Sokolin, Chief Executive Officer & Co-Founder, Amae Health

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Our partnership with Google Health Enterprise reflects a fundamental shift in how we understand and measure severe mental illness. Unlike other areas of medicine, psychiatry has historically lacked objective tools for measuring disease progression and treatment response. By integrating wearable-derived behavioral signals into our care model, we are capturing measurable patterns of illness in real-world settings, including sleep and activity disruptions that often precede clinical decline. This represents an important step toward establishing objective, continuous measurement as a foundational component of psychiatric care.


Dr. Scott Fears, Chief Medical Officer, Amae Health

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  1. Faulkner, S. M., Bee, P. E., Meyer, N., Dijk, D. J., & Drake, R. J. (2018). Capturing rest-activity profiles in schizophrenia using wearable and mobile technologies: Development, implementation, feasibility, and acceptability of a remote monitoring platform (Sleepsight). JMIR mHealth and uHealth, 6(10), e188. https://pubmed.ncbi.nlm.nih.gov/30377146/

  2. Geoffroy, P. A., Scott, J., Boudebesse, C., Lajnef, M., Henry, C., Leboyer, M., Bellivier, F., & Etain, B. (2022). Which actigraphy dimensions predict longitudinal outcomes in bipolar disorders? Journal of Clinical Medicine, 11(8), 2204. https://doi.org/10.3390/jcm11082204

  3. Tseng, C. H., Yang, A. C., Chen, M. H., Hsu, J. W., Huang, K. L., Su, T. P., Tu, P. C., & Lin, W. C. (2025). Using wearable device and machine learning to predict mood symptoms in bipolar disorder: Development and usability study. JMIR Medical Informatics, 13, e66277. 
https://doi.org/10.2196/66277

  4. Fitbit devices and algorithms are intended for general wellness purposes and are not intended to diagnose, cure, mitigate, treat, or prevent any disease or medical condition.