The Attention Institute
ADHD care shouldn't depend on who manages the group chat. We built the coordination layer it's always been missing.
threaded.care was built by clinicians and parents who watched the same failure repeat — a child treated in isolation by every provider, while the parent spent more time on handoffs than anyone spent on actual care.
Why We Exist
The system wasn't built for coordination
A child with ADHD is seen by a pediatrician who manages medication, a therapist who works on behavior, a teacher who observes the classroom, and a parent who carries all of it. Each professional makes decisions in isolation. The parent is the only one who talks to everyone — and they’re doing it through emails, phone tag, and appointment notes that arrive too late to matter.
Providers make medication decisions based on a 20-minute appointment. Teachers observe 30 hours a week of behavior that never makes it into the chart. Parents re-explain the same history at every visit. The information exists. It just never reaches the right person at the right time.
The Attention Institute was founded on a specific claim: that coordinated care produces measurably better outcomes than siloed care — and that we could build the technology to prove it.
threaded.care is that technology — a platform connecting families, providers, and teachers in a shared care network, powered by the patent-pending ACCS™ framework developed through The Attention Institute’s clinical research.
Documented Outcomes
71%
Improvement in emotional regulation in children participating in Unlockt programs under coordinated care
Documented Outcomes
56%
Decrease in inattentiveness documented across participants in coordinated attention care programs
Scale of the Problem
~1 in 9
U.S. children has ever received an ADHD diagnosis, per CDC data — the majority without coordinated care between school and clinical teams
The ACCS™ Framework
Attention Care Coordination System
threaded.care was built by clinicians and parents who watched the same failure repeat — a child treated in isolation by every provider, while the parent spent more time on handoffs than anyone spent on actual care.
A
Assessment Coordination
Multi-rater Vanderbilt assessments from parents, teachers, and clinicians combined into a single score that tracks over time — not a snapshot, but a trend.
C
Care Team Integration
Every member of the care team — pediatrician, therapist, educator, parent — receives role-appropriate access to a shared clinical-educational data bridge.
C
Clinical Billing Intelligence
Integrated CCM/RPM billing automation with 2026 CMS rates, transforming care coordination into a sustainable revenue stream for providers.
S
Score & Response Tracking
The ACCS™ score is a dynamic, composite metric reflecting coordination quality, treatment response, and behavioral progress — visible to the whole team.
Scale of the Problem
The ACCS™ system including multi-rater Vanderbilt coordination, CCM/RPM billing integration, clinical-educational data bridge, and treatment response tracking is covered under provisional patent filing by The Attention Institute.
The Team
Built by people who lived this problem.
RM
Raghu Misra
Founder CEO
Founder of The Attention Institute and CEO of threaded.care. Raghu built the ACCS™ framework after years of watching children with ADHD fall through the gaps between clinical and educational care — and deciding that a platform-first approach was the only scalable fix.
Eva Luther
Clinical Lead
Eva leads clinical operations at threaded.care, overseeing how the ACCS™ framework translates into provider-facing workflows. Her work ensures that what clinicians see in the platform reflects how they actually practice — not how a product team imagines they do.
RM
Emily Connor
Clinical Team
Emily works directly with families and providers using threaded.care, translating real-world care coordination challenges into the platform’s assessment and communication tools. Her clinical perspective shapes how the product handles the hardest edge cases.
Publishing Partnership
Dr. Elizabeth Winnings is a publishing and clinical research partner who co-authored the ACCS™ white paper with Raghu Misra, establishing the evidentiary foundation for threaded.care’s approach to coordinated attention care.
Evidence Base
Outcomes we can measure. Results families feel.
Unlockt Program Outcomes
The Unlockt programs — developed under The Attention Institute — are the documented foundation that threaded.care’s care coordination model is built on.
The 71% and 56% outcomes above come from families in structured, coordinated ADHD support programs where providers, educators, and parents were working from shared data. threaded.care is the platform that makes that coordination scalable — accessible to every family, not just those enrolled in a specific program.
71%
Improvement in emotional regulation reported by families in the Unlockt coordinated care program
Unlockt Program Outcomes
56%
Decrease in inattentiveness documented across coordinated care participants
Unlockt Program Outcomes
$759
Annual family plan — covered in full for Step Up For Students families
Pricing · Step Up Approved
$0
Cost to schools and school districts — free as part of our Business for Good commitment
School Access Model
Our Journey
From insight to infrastructure.
Get Involved
Start coordinating your child's care this week.
Families enroll through the Step Up scholarship. Schools access the platform at no cost. Providers and payors — reach out to discuss a partnership.
The First Step
Start with clinical screening & baseline data-
Secure Child Profile (HIPAA-compliant)
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Vanderbilt ADHD Assessment (Baseline)
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Downloadable PDF Report for Doctors
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ADHD Provider Directory Access
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ADHD Resource Library
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Community Forum Access
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Live Learning Events
The Care Coordinator
Unite parents, teachers & doctors with real-time data-
Teacher Assessments — Coordinate and compare data
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Bi-Annual Vanderbilt Reassessments — Track progress over time
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Medication & Side Effect Tracker — Document what's working
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Behavior & Lifestyle Logs — Catch patterns early
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Behavior Data Visualizations — Charts teachers & doctors respect
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Expert Strategies — Evidence-based techniques for ADHD