{
  "dataset": "California therapist practice-demand signals",
  "version": "2026-08-24",
  "published_on": "2026-08-24",
  "coverage": {
    "from": "2026-04-24",
    "through": "2026-08-22"
  },
  "privacy": {
    "contains_personal_information": false,
    "contains_source_text": false,
    "contains_source_identifiers": false,
    "contains_names_or_contact_details": false,
    "contains_cross_dimension_records": false,
    "suppression_threshold": 10,
    "allowed_use": "Aggregate planning, content prioritization, product design, and future comparison",
    "prohibited_use": "Identifying, contacting, quoting, or profiling individuals, clients, or providers"
  },
  "methodology": {
    "unit": "matching research observations",
    "categories_overlap": true,
    "interpretation": "The values are relative research signals, not unique people, clients, providers, provider supply, service availability, or population prevalence.",
    "location_method": "Location signals are deliberately conservative, directional, and not a geographic market estimate.",
    "publication_boundary": "Only one-dimensional aggregate patterns are public. No source text, individual records, or payer-by-location-by-specialty combinations are published.",
    "scope_limit": "This is a Bay Area-centered professional sample, not a representative sample of all California therapists, clients, or communities."
  },
  "views": [
    {
      "id": "work",
      "label": "Recurring practice needs",
      "short_label": "Work asked for",
      "description": "The broad operating questions and coordination work that appeared most prominently in the sample.",
      "items": [
        {
          "label": "Referral or provider search",
          "percent": 74.8,
          "detail": "How prominently referral coordination appeared in the research sample. This does not estimate clients or open providers.",
          "suppressed": false
        },
        {
          "label": "Payment constraint in a referral",
          "percent": 28.2,
          "detail": "How often payment constraints appeared within the referral pattern.",
          "suppressed": false
        },
        {
          "label": "Training or continuing education",
          "percent": 22.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Named payer in a referral",
          "percent": 21.4,
          "detail": "How often a payer appeared within the referral pattern. More than one payer can appear in an observation.",
          "suppressed": false
        },
        {
          "label": "Consultation or supervision",
          "percent": 11.6,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Groups or programs",
          "percent": 10.4,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Legal or ethics question",
          "percent": 8.8,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Provider availability",
          "percent": 4.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Office space",
          "percent": 2.4,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Billing or credentialing",
          "percent": 1.7,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Jobs or hiring",
          "percent": 1.6,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Marketing or growth",
          "percent": 1.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Practice software",
          "percent": 1.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        }
      ]
    },
    {
      "id": "needs",
      "label": "Needs inside referrals",
      "short_label": "Referral needs",
      "description": "Modalities, populations, clinical needs, and language constraints found inside the referral subset.",
      "items": [
        {
          "label": "Telehealth",
          "percent": 55.9,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Couples or family",
          "percent": 42.7,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "In person",
          "percent": 38.8,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Trauma or PTSD",
          "percent": 15.8,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Neurodivergence, autism, or ADHD",
          "percent": 14.3,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Anxiety or panic",
          "percent": 14.1,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Child",
          "percent": 10.7,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Teen or adolescent",
          "percent": 7.3,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Grief or loss",
          "percent": 5.3,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "LGBTQ+ or gender-affirming",
          "percent": 5.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "OCD",
          "percent": 4.5,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Substance use or addiction",
          "percent": 4.1,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Perinatal, postpartum, or fertility",
          "percent": 4.0,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Chronic medical or caregiver",
          "percent": 3.1,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Spanish or bilingual",
          "percent": 1.4,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Asian-language cluster",
          "percent": 1.1,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        },
        {
          "label": "Eating disorder",
          "percent": 0.9,
          "detail": "This category is directional and may overlap with other categories in this view.",
          "suppressed": false
        }
      ]
    },
    {
      "id": "payers",
      "label": "Payers named in referrals",
      "short_label": "Named payers",
      "description": "The relative prominence of each payer within payer-constrained referrals. Categories can overlap.",
      "items": [
        {
          "label": "Anthem / Blue Cross",
          "percent": 26.5,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Aetna",
          "percent": 20.3,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Blue Shield",
          "percent": 16.8,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Kaiser",
          "percent": 14.6,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Medicare",
          "percent": 11.5,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Cigna",
          "percent": 9.3,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "UnitedHealthcare / Optum",
          "percent": 8.2,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Medi-Cal",
          "percent": 6.7,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Sutter",
          "percent": 2.0,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": false
        },
        {
          "label": "Health Net",
          "percent": null,
          "detail": "How prominently this payer appeared within payer-constrained referrals. This is not a reimbursement rate, panel-size estimate, or coverage determination.",
          "suppressed": true
        }
      ]
    },
    {
      "id": "places",
      "label": "Geographic signals",
      "short_label": "Locations",
      "description": "A conservative geography view. It is directional, incomplete, and intentionally not joined to payer or specialty.",
      "items": [
        {
          "label": "San Francisco",
          "percent": 4.7,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "Peninsula cluster",
          "percent": 2.3,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "South Bay city cluster",
          "percent": 1.7,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "Oakland",
          "percent": 1.4,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "Berkeley",
          "percent": 1.4,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "San Jose",
          "percent": 1.2,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "Marin / San Rafael",
          "percent": 1.0,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        },
        {
          "label": "Palo Alto",
          "percent": 0.6,
          "detail": "A deliberately conservative location signal. Geography is kept separate because incidental place references can distort location patterns.",
          "suppressed": false
        }
      ]
    }
  ]
}