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Head-to-head · Mental Health EHR Software

ICANotes vs Foothold AWARDS

  • Updated Oct 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score ICANotes #1 in Mental Health EHR Software 8.9/10 Free plan · 30-day trial Free planFree trial✓ 1 of 6 features Visit ICANotes
Foothold AWARDS #4 in Mental Health EHR Software 8.6/10 Pricing on request ✓ 0 of 6 features Visit Foothold

ICANotes leads on 0 checks, Foothold AWARDS on 0, and 2 are even. Who comes out ahead on the 2 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreICANotes · 8.9/10
  • Free planonly ICANotes
  • Free trialonly ICANotes
  • Most featuresICANotes · 1 of 6

ICANotes scores higher on our rubric for mental health ehr software: 8.9 against 8.6 out of 10; our editors rank them #1 and #4.

ICANotes is the better fit for behavioral health clinicians needing broad EHR workflows. Foothold AWARDS is the better fit for mid-size and enterprise behavioral-health providers.

  • ICANotes fits best

    Behavioral health clinicians needing broad EHR workflows

  • Foothold AWARDS fits best

    Mid-size and enterprise behavioral-health providers

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 ICANotes 8.9/10 Visit ↗ Foothold AWARDS 8.6/10 Visit ↗
At a glance
Editor score 8.9 8.6
Ranking #1 in Mental Health EHR Software #4 in Mental Health EHR Software
Best for Behavioral health clinicians needing broad EHR workflows Mid-size and enterprise behavioral-health providers
Pricing model Free plan + paid Paid
Starting price $25/user/mo Pricing on request
Free plan ✓ (best) Not checked yet
Free trial 30 days —
Deployment Cloud Cloud
Platforms Web Web
Support Email, Live chat, Phone, Tickets, Docs · 24/7 Email, Live chat, Phone, Tickets, Docs
Compliance HIPAA HIPAA, 2FA
Integrations 4 integrations 3 integrations
Built for Solo, Small business, Mid-market, Enterprise Mid-market, Enterprise
Features ICANotes 1/6 · Foothold AWARDS 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 ✓ (best) Not checked yet
Mobile app Not checked yet Not checked yet
Mental health templates Not checked yet Not checked yet
Our review
Pros
  • Behavioral health templates, treatment planning, and rating scales
  • Combines scheduling, portal, telehealth, billing, and claims
  • Prescribing plans include e-prescribing and medication management
  • 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
Cons
  • Prescribing plans cost substantially more than notes-only options
  • No mobile apps
  • Plan choices split by role, schedule, and prescribing needs
  • Pricing requires contacting Foothold Technology
  • Designed for multi-program agencies, not a narrow clinical workflow
  • Browser-based access; no native mobile app is verified
Our verdict

ICANotes is a cloud-based EHR and practice-management platform for behavioral health professionals, including therapists, psychiatrists, social workers, and group practices. It brings clinical documentation, treatment planning, scheduling,…

Read the review →

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 →
  1. ICANotesMental Health EHR Software 8.9Free plan · 30-day trial
  2. Foothold AWARDSMental Health EHR Software 8.6Pricing on request

Strengths and trade-offs

  • ICANotes — where it wins

    • Behavioral health templates, treatment planning, and rating scales
    • Combines scheduling, portal, telehealth, billing, and claims
    • Prescribing plans include e-prescribing and medication management

    Where it doesn't

    • Prescribing plans cost substantially more than notes-only options
    • No mobile apps
    • Plan choices split by role, schedule, and prescribing needs
  • 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
  • ICANotes8.9/10 · Free plan · 30-day trial

    Broad behavioral health workflows, with plans from $25 per user monthly.

    Visit ICANotesFull verdict →
  • Foothold AWARDS8.6/10 · Pricing on request

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

    Visit FootholdFull verdict →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update