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Head-to-head · Mental Health EHR Software

Foothold AWARDS vs Sessions Health

  • Updated Oct 2026
  • Both researched from official sources
  • 1 check side by side
Higher score Foothold AWARDS #4 in Mental Health EHR Software 8.6/10 Pricing on request ✓ 0 of 6 features Visit Foothold
Sessions Health #7 in Mental Health EHR Software 8.3/10 Free plan · 30-day trial Free planFree trial✓ 0 of 6 features Try Sessions Health

Foothold AWARDS leads on 0 checks, Sessions Health on 0, and 1 is even. Who comes out ahead on the 1 yes/no, price and count check where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreFoothold AWARDS · 8.6/10
  • Free planonly Sessions Health
  • Free trialonly Sessions Health

Foothold AWARDS scores higher on our rubric for mental health ehr software: 8.6 against 8.3 out of 10; our editors rank them #4 and #7.

Foothold AWARDS is the better fit for mid-size and enterprise behavioral-health providers. Sessions Health is the better fit for solo practitioners seeking a free starting plan.

  • Foothold AWARDS fits best

    Mid-size and enterprise behavioral-health providers

  • Sessions Health fits best

    Solo practitioners seeking a free starting plan

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature Foothold AWARDS 8.6/10 Visit ↗ Sessions Health 8.3/10 Visit ↗
At a glance
Editor score 8.6 8.3
Ranking #4 in Mental Health EHR Software #7 in Mental Health EHR Software
Best for Mid-size and enterprise behavioral-health providers Solo practitioners seeking a free starting plan
Pricing model Paid Free plan + paid
Starting price Pricing on request $39/user/mo
Free plan Not checked yet ✓ (best)
Free trial — 30 days
Deployment Cloud Cloud
Platforms Web Web
Support Email, Live chat, Phone, Tickets, Docs Email, Docs
Compliance HIPAA, 2FA HIPAA, 2FA
Integrations 3 integrations 5 integrations
Built for Mid-market, Enterprise Solo, Small business, Mid-market
Features Foothold AWARDS 0/6 · Sessions Health 0/6
Telehealth included Not checked yet Not checked yet
E-prescribing Not checked yet Not checked yet
Insurance billing Not checked yet Not checked yet
Client portal Not checked yet Not checked yet
Mobile app Not checked yet Not checked yet
Mental health templates Not checked yet Not checked yet
Our review
Pros
  • Configurable intake, assessments, service plans, and referral tracking
  • Combines outcome reporting, scheduling, billing, and electronic claims
  • HIE interoperability plus role-based permissions, audit trails, and adaptive MFA
  • Free plan includes core EHR and practice-management features for one practitioner.
  • Clinical notes, assessments, treatment plans, intake forms, and e-signatures.
  • Scheduling, optional telehealth, payments, and insurance claim workflows.
Cons
  • Pricing requires contacting Foothold Technology
  • Designed for multi-program agencies, not a narrow clinical workflow
  • Browser-based access; no native mobile app is verified
  • The free plan is limited to three clients.
  • Professional costs $39 per month; each additional practitioner costs $29 monthly.
  • Web-only platform; mobile access is through a browser, with no native app verified.
Our verdict

Foothold AWARDS combines electronic health records and case management for human services agencies, including behavioral-health providers and organizations serving people with developmental disabilities, supportive housing, or homelessness…

Read the review →

Sessions Health brings EHR and practice-management tools together for mental health professionals, including solo practitioners and group practices. Its web-based workspace covers scheduling, client communication, documentation, billing,…

Read the review →
  1. Foothold AWARDSMental Health EHR Software 8.6Pricing on request
  2. Sessions HealthMental Health EHR Software 8.3Free plan · 30-day trial

Strengths and trade-offs

  • Foothold AWARDS — where it wins

    • Configurable intake, assessments, service plans, and referral tracking
    • Combines outcome reporting, scheduling, billing, and electronic claims
    • HIE interoperability plus role-based permissions, audit trails, and adaptive MFA

    Where it doesn't

    • Pricing requires contacting Foothold Technology
    • Designed for multi-program agencies, not a narrow clinical workflow
    • Browser-based access; no native mobile app is verified
  • Sessions Health — where it wins

    • Free plan includes core EHR and practice-management features for one practitioner.
    • Clinical notes, assessments, treatment plans, intake forms, and e-signatures.
    • Scheduling, optional telehealth, payments, and insurance claim workflows.

    Where it doesn't

    • The free plan is limited to three clients.
    • Professional costs $39 per month; each additional practitioner costs $29 monthly.
    • Web-only platform; mobile access is through a browser, with no native app verified.
  • Foothold AWARDS8.6/10 · Pricing on request

    A configurable EHR for behavioral-health agencies coordinating services, outcomes, and billing.

    Visit FootholdFull verdict →
  • Sessions Health8.3/10 · Free plan · 30-day trial

    A web-based mental health EHR with a free three-client plan and a $39 monthly tier.

    Try Sessions HealthFull verdict →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update