Turning chat and messaging on or off
The Chat, messaging & moments card lets you turn the Pippa AI chat, care-team messaging, moment check-ins, and the daily plan on or off for a specific patient.
Some patients shouldn't be using the Pippa AI chat, and some shouldn't be messaging the care team between sessions. The Chat, messaging & moments card lets you turn either one off for an individual patient. It lives on the patient's Customizations tab. Chat and messaging are on by default. The same card also holds two opt-in surfaces, moment check-ins and the daily plan, which are off by default.

What each switch does
The change reaches the patient's app the next time it refreshes (within about a minute of a save, or immediately when they next foreground the app).
Turning a switch off removes the entry point in the app; it does not delete anything already sent. Turn it back on and the surface reappears with its history intact.
When to use it
- AI chat off — a patient for whom the companion isn't clinically appropriate, or who is using it in a way that isn't helping. Their safety protections (crisis routing) live in the app regardless; this simply removes the chat surface.
- Care-team messaging off — a caseload or boundary decision where between-session messaging isn't part of the plan for this patient.
Because chat and messaging default on, you never have to enable anything for a normal patient. You only reach for this card when a surface should come off for a specific person, or when you decide a patient would benefit from moment check-ins or the daily plan.