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Treatment Outcomes

Sandstone Care pairs clinical excellence with measurable progress. Our clinicians incorporate Measurement-Based Care (MBC) as part of the therapeutic approach to track patient progress and refine treatment in real-time; this strengthens patient engagement, therapeutic alliance, and produces results you can trust.

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Treatment Outcomes

Our approach to outcomes

Measurement-Based Care

Patient progress is routinely tracked using patient-reported data from validated clinical measures. This monitors treatment progress and guides collaborative care decisions in real time.

Quality Assurance Feedback

When patient data are combined into a dataset, we rely on that information to enhance program effectiveness and continue optimizing our care.

Rigorous Statistical Methods

Sandstone uses a prospective single-cohort approach with repeated measures analysis to track the exact same clinical markers over time, ensuring our patients are making measurable, continuous progress throughout treatment.

Clinical & Statistical Significance

Results are evaluated not just for statistical significance, but for clinical significance. This means we evaluate patients’ data to confirm that the changes are meaningful enough to have a lasting impact on their mental health and quality of life.

2025 Outcomes Results

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How we measure progress

We guard the integrity of our data with the same fierce ethical responsibility we use to guard the safety of our patients.

Sandstone Care tracks patient-report symptoms and treatment engagement using four psychometrically validated scales, administered weekly or every other week. Scores are automatically charted in real time within each patient’s medical record. This allows staff to monitor progress, adjust care as needed, and review findings alongside patients to strengthen their trust and collaboration with their treatment team.

Psychiatric Distress

Depression and anxiety are the most common co-occurring conditions among people seeking treatment for substance use and mental health disorders. Routinely tracking these symptoms gives clinicians actionable insights into treatment progress and helps guide treatment decisions. 

Depressive Symptoms

Depressive Symptoms

PHQ-9

The Patient Health Questionnaire-9 measures depressive symptom severity across five levels (Kroenke et al., 2001).

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 (Spitzer et al., 2006).

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

Therapeutic Alliance

Therapeutic alliance, or therapeutic rapport, is the relationship patients develop with their treatment team, encompassing trust, connection, and unconditional positive regard to reinforce healing and recovery. Therapeutic alliance is strongly associated with treatment engagement and success, making it a critical component in routine treatment tracking.

Therapeutic Alliance Between Patients and their Clinical Team

WAI-SR

At all levels of care, the impact of therapeutic relationships on treatment success is crucial. That’s why patients 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.

Bond

Patients feel:

  • Connected
  • Trust
  • Respected
Goal

Patients work towards:

  • Treatment Goals
  • Collaboration
  • Goal Importance
Task

Patients are clear on:

  • Steps towards Success
  • Understanding Change
  • Deeper Insight

Therapeutic Alliance Between Patients and their Nursing Team

During Medical Detox and Residential Care

STAR-P

Detox and Residential inpatient treatment include the 24-7, hands-on, therapeutic support of nursing and behavioral health professionals (BHT) who play significant roles in our patients’ healing. Patients complete the Scale to Assess Therapeutic Relationships (STAR—P; McGuire et al., 2007) on a weekly basis so that nurses and BHTs can gauge the progress of each patients’ therapeutic alliance.

Collaboration

Patients feel:

  • Connected
  • Trust
  • Hopeful
Resistance (to be lowered)

Patients experience staff as:

  • Inauthentic
  • Lacking Empathy
  • Disregarding
Support

Patients feel:

  • Encouraged
  • Supported
  • Understood

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