Treatment Outcomes

At Sandstone Care, we back our mental health promises with real data. Our clinicians use Measurement-Based Care (MBC)—the gold standard in behavioral health—to objectively track client progress and ensure our treatment produces results you can trust.

Download 2025 Outcomes Report
Treatment Outcomes

Our approach
to outcomes

Measurement-Based Care

Client progress is tracked continuously using objective, client-reported data—forming the foundation of every treatment decision.

Quality Assurance Feedback

Aggregated client data drives ongoing program improvements and helps Sandstone identify what's working and what isn't in real time.

Rigorous Statistical Methods

Sandstone uses a prospective single-cohort approach with repeated measures analysis to accurately assess how much therapeutic change occurs throughout treatment.

Clinical & Statistical Significance

Results are evaluated not just for statistical significance, but for whether changes are meaningful enough to have a lasting impact on clients' mental health and quality of life.

Third-Party Verification

All data and analyses are independently verified by a neutral biostatistician, ensuring the integrity and trustworthiness of reported outcomes.

Transparent Reporting

Sandstone commits to full transparency—always including sample sizes, statistical methods, graph interpretations, and key takeaways in every outcomes report.

2025 Outcomes Results

Download the Full Report

Measurement-Based Care

Sandstone Care tracks client-reported symptoms and treatment engagement using four psychometrically validated scales, administered weekly or every other week. Scores are automatically charted in real time within each client's medical record—allowing staff to monitor progress, adjust care as needed, and review data alongside clients to strengthen trust and therapeutic alliance.

Depressive Symptoms

Depressive Symptoms

PHQ-9

The Patient Health Questionnaire-9 measures depressive symptom severity across five levels.

None Mild Moderate Mod.- Sev. Severe
0-4 5-9 10-14 15-19 20-27
Anxiety Symptoms

Anxiety Symptoms

GAD-7

The Generalized Anxiety Disorder-7 Scale measures anxiety severity across four levels.

None Mild Moderate Severe
0-4 5-9 10-14 15-21

Therapeutic Alliance

A strong client-clinician bond is linked to better engagement, greater sense of safety, and improved long-term recovery outcomes. Since Q4 2024, Sandstone has assessed therapeutic alliance weekly across all levels of care using two validated tools, WAI-SR and STAR-P.

Therapeutic Alliance Between Clients and their Clinical Team

WAI-SR

The impact that psychotherapy has on all levels of care at Sandstone is paramount to success. Clients at every level of care complete the Working Alliance Scale, Revised (WAI-SR; Munder et al., 2010) on a weekly basis to monitor the developing strength of their therapeutic relationships with the clinical psychotherapy team.

1
Bond

Clients feel:

Connected · Trust · Respected

2
Goal

Client work towards:

Treatment Goals · Collaboration · Goal Importance

3
Task

Clients are clear on:

Steps towards Success · Understanding Change · Deeper Insight

Therapeutic Alliance Between Clients and their Nursing Team

STAR-P

Clients also complete the Scale To Assess the Therapeutic Relationship–Patient version (STAR-P) to monitor alliance with their nursing team, capturing hopefulness, authenticity, and encouragement that support engagement in care.

1
Bond

Clients feel:

Hopeful · Authentic · Encouraging

2
Goal

Client work towards:

Shared Goals · Mutual Respect · Clear Expectations

3
Task

Clients are clear on:

Daily Support · Care Coordination · Next Steps