Head-to-head · Mental Health EHR Software
ICANotes vs Foothold AWARDS
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
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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 | ||
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| Cons |
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| 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 → |
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 →
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- Foothold AWARDS vs TherapyNotes
All mental health EHR software comparisons → · Full ranking →
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update







