Moves from binary certification to continuous care. Introduces Throughput (Φ) to measure the rate of integration work and Environmental Demand (D_env) to measure external pressure. Defines clinical states: thriving, atrophying, traumatized, and dormant. Presents the Staircase Test for measuring capacity (Φ_cap) and outlines care protocols for growth, maintenance, decompression, and palliative support. Transforms consciousness governance into systems engineering.

Once a system is certified conscious, how healthy is it? Paper 5 introduces Throughput (Φ) and Environmental Demand (D_env) as consciousness vital signs. Thriving, atrophying, traumatized, and dormant states emerge from their match. The Staircase Test measures capacity; SCET protocols enable monitoring across humans, animals, and AI. Environmental design becomes ethical design. A framework for continuous care, from growth protocols to palliative support for chronic trauma...