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Two Months Into Early Access: What the First Families Have Taught Us

Two months into InclusiCare's early access cohort, the first families taught us the handoff — not daily logging — is where the product earns its place. Here's what we changed.

By William Kreitzer

When we opened InclusiCare’s first early access cohort in April, I wrote that we’d be listening for signs of harm as much as signs of delight. Two months in, here’s what we actually heard. The families in that first cohort have already changed the product in ways I didn’t see coming — and the biggest change started with a question we’d answered backwards.

We thought logging was the point. It turned out to be the handoff.

We built CARLA, our conversational documentation layer, around the ninety-second note — the observation a tired parent types from the hallway floor before it evaporates. I assumed the logging was where the value lived. It turned out the logging was only the deposit. The withdrawal — the moment families told us InclusiCare earned its place — was the handoff.

Summer made that obvious. School-year routines dissolved almost overnight into extended-school-year staff, camp counselors, new respite workers, a grandparent covering a week. One mom in the cohort handed her son’s profile to a summer respite worker and told us the briefing that normally eats an entire evening took about ten minutes. A dad said the first thing a new behavior tech did was thank him for not making her guess.

That reframed our roadmap. We had shipped what we called a “shareable child profile.” What families actually needed was a handoff — a view built for the person receiving a child, not just the parent maintaining the record.

We’re not the only ones hitting this wall. Researchers studying family-school-health care collaboration for children with neurodevelopmental disorders keep finding the same thing: the partnership between parents, schools, and clinicians is consistently reported as limited and hard to sustain. The information exists. What’s missing is the structure to move it from one person to the next without a caregiver re-narrating their child from scratch every time.

What we changed, and what comes next

So we spent most of the last six weeks rebuilding the profile around that first hour with a new caregiver. The handoff view now leads with what someone needs before they’re alone with your kid — how they communicate, what calms them, what sets them off — instead of a reverse-chronological feed nobody has time to read.

We also built something a cohort dad asked for directly: the ability to mark a strategy as working or not working. Knowing what already failed, he pointed out, is as valuable as knowing what works — it keeps the next aide from spending three weeks rediscovering a dead end. CARLA now captures the why behind a strategy, not only the what.

And we cut friction where families told us daily logging still cost more than it saved. That’s the feedback that’s easiest to flinch from and most important to honor. A caregiver tool that adds to the load has failed at the one job it exists to do. The weekly voice memos and Sydney’s standing office hour — the unglamorous listening machinery we set up in April — are what surfaced all of it.

We’re keeping the cohort small a little while longer. I’d rather get the handoff right for fifty families than half-right for five hundred. Toward the end of summer we’ll open a second wave, timed deliberately ahead of fall IEP season, when handoffs spike and the cost of starting over runs highest. If you’re a caregiver, therapist, or educator who wants to shape what comes next, email me directly. I read every note.

A year ago I was the parent losing observations somewhere between the hallway and the next morning. This spring, fifty families started leaving those crumbs behind on purpose — and then handing them, intact, to the next person who loves their kid. That’s the quiet thing we set out to build. We’re finally getting to the part that matters.

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