Journaling and optional sharing
Private by default, shared only with the patient's opt-in, with a separate optional AI reflection.
The journal is private by default. Patients can write without sharing their entries with the care team. Sharing their ordinary care data does not automatically share their journal.
Requesting access
In Customizations, the care-approach controls include Ask to share journal. Turning it on asks the patient; it does not grant you access. The status shows whether the patient has opted in.
In their app's Settings, the patient controls share my journal with my care team. They can turn it on themselves or decline your request. Explain what you hope to discuss from the journal before asking them to share.
What opting in does
With sharing enabled, the app uploads a shared copy of its journal entries. Authorized clinicians with the patient's granted consent can read them under Patient's Notes in Clinical Notes. This is journal sharing, not a one-entry send button: help the patient understand the scope before switching it on.
The patient can turn sharing off at any time. Once that change syncs, the shared copy is removed and the dashboard stops returning entries. Their local journal remains available in the app. Family access does not include the journal, even when it is shared with clinicians.
Reflect with Pippa is a separate choice
The optional Reflect with Pippa action sends the selected entry text for an AI-generated reflection. It is not on-device AI. The reflection flow does not add the entry to AI chat history or memory; the returned reflection is saved locally with the entry.
Choosing a reflection does not opt the patient into care-team journal sharing. Conversely, sharing with the care team does not require asking for an AI reflection.
Journaling methods
The care-approach controls also let you pin journaling methods for the patient. A pinned method helps them find an exercise; it does not grant access to what they write. See Clinical Notes and Engagement for the clinician view.