Here is what I would do...contact Gateway/Trizetto, and see what EMR/Practice Management software they collaborate/contract with. Once you have that list, eliminate the cloud based/online software since you don't want that, and look at what is left. Focus on those that offer both EMR/PM in one software, and go from there, based on price, support, etc. Don't worry so much about it being geared towards mental health...most decent programs can handle any specialty.