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Horizon Recovery Treatment Outcomes
What Changed for the Young People in Our Care
Real changes in symptoms, coping skills, and brain activity from teens in Horizon’sprogram.
Clinically reviewed by Koren Hudson, MA, LPC, NCC on July 24, 2026. These are real results from our own clinical records — not a research study, and no outcome is guaranteed.
Download a summary (PDF)
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One teen’s brain map before and after 40 Neuro sessions
‍Warm colors show areas with more activity than expected for their age; cool colors show less. After 40 sessions, this teen’s brain activity moved closer to the healthy range (white/green) in key areas.

How to Read the Brain Map You Just Saw

A brain map is a painless recording of brain activity using sensors that rest on the scalp. There are no needles and no radiation.
  • White and green mark the healthy range.
  • Warm colors mark areas with more activity than expected.
  • Cool colors mark areas with less activity than expected.
  • In the example above, the warm “hot spots” shrink toward green after 40 sessions, meaning this teen’s brain activity moved closer to the healthy range.
This is one real teen’s data, shared with all identifying details removed. It shows what a change in brain activity can look like, notwhat will happen for every young person.

At A Glance: What Changed During Treatment

For the young people we measured at both intake anddischarge:
On a standard youth mental health scale where 60 or higher is elevated, average emotional symptom scores moved from the mid 60s down into the mid 50s by discharge.
Anxiety     and depression scores also moved out of the elevated range, and coping     and adaptive skills increased, not just symptoms decreasing.
Among     teens who started in the elevated range, about one in three moved     all the way back into the typical range by discharge. Many others     still made meaningful moves in the right direction even if they did not     land exactly at “typical” yet.
You can see the full graphs and numbers below or download asummary to share with your child’s providers.
Download a summary (PDF)
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Symptoms Eased,
Measurably (BASC-3)

We track client progress using the Behavior Assessment System for Children (BASC-3), a standard clinical tool that measures emotional distress and adaptive coping skills.

✓ Emotional symptoms fell from an average of 64.0 to 55.4
Close to typical for their age at discharge.
✓ Anxiety and depression fell from 62.7 to 54.9
Moving out of the clinically elevated range.
✓ Coping and adaptive skills rose from 38.9 to 43.9
Building resilience for long-term health.

Scores of 60+ indicate elevated symptoms, while 70+ indicates clinically significant distress. A score of 50 represents the typical age average.

BASC-3 averages, intake to discharge (20 young people)
Scale At intake At discharge Change Direction that's better
Emotional symptoms 64.0 55.4 −8.6 Lower is better
Anxiety & depression 62.7 54.9 −7.8 Lower is better
Coping & adaptive skills 38.9 43.9 +5.0 Higher is better
These are averages from our own clinical records. Results vary from person to person.

How to read this as a parent

1
A drop of 7–8 points on symptom scales represents a meaningful reduction in day-to-day distress.
2
An increase in adaptive skills shows that teens are gaining real tools to manage stress moving forward.
3
Among those who arrived in the elevated range, about one in three returned to the typical range by discharge.
Aftercare

Most young people Stayed Well

Getting better in the building matters less than staying better at home. About 5.8% of
young people returned to care within 90 days of discharge.
N = 798 discharges. We count a return more than a week after discharge as a new episode, and a return inside a week
as a continuation of the same one. Measured a second way — any return, to any level of care, at any time — the figure is about 9% (N = 574 young people).
Figures cover all levels of care and are current through July 2026.
Returned within 90 days
Did not return

Each dot is 1 in 100 discharges.

How Long A Young Person Stays Makes A Difference

Read the two right-hand pairs separately — they rest on different groups.

READMISSION AND IMPROVEMENT BY LENGTH OF STAY
LENGTH OF STAY RETURNED WITHIN 90 DAYS REACHED MEANINGFUL IMPROVEMENT
Under 30 days 5.9% 9.7%
30–59 days 3.2% 44.7%
60–89 days 3.8% 35.0%
90+ days 0.0% 25.0%

Young people who stayed longer aren't a random group. Families who can sustain a longer stay differ from families who can't, and young people who struggle badly sometimes leave early. So this is what happened for the young people who stayed — not proof that the extra time alone caused it. The 60+ day groups are small; read those rows with that in mind.

Improvement is lowest among young people who left in the first month, and rises sharply after four weeks. Whether that is the time itself, or the difference between families who could stay and families who couldn't, these numbers can't separate — so we show both and let you weigh it.

Wondering what length of stay would make sense for your child? Ask our team
THE NEURO PROGRAM

Young People In The Neuro Program Improved More

Among our residential clients, those who took part in the Neuro Program reached meaningful improvement at a higher rate than those who didn't — even though they arrived with higher symptom scores.

By meaningful improvement we mean a clinically significant change: at least a 5-point drop on the PHQ-9, or a 4-point drop on the GAD-7, for a young person who arrived in the elevated range.

Took part in the Neuro Program N = 214
40.0%
Average symptom score at Intake:
Did not take part N = 117
14.3%
Average symptom score at Intake:
0% 25% 50% 75% 100%

Families chose the Neuro Program — we didn't assign young people to it — and that group also stayed in care longer. Longer stays track with better improvement on their own, as the section above shows, so some of this gap is likely time in care rather than the program. This is what happened for the young people who took part, not proof that the program alone caused it.

A brain map is a painless recording of brain activity, taken with sensors that rest on the scalp — no needles, no radiation. White and green mark the healthy range; warm colors mark too much activity, cool colors too little.

This is one young person's data. It shows what the measurement looks like — not a typical result, and not the 331 young people in the figures above. All identifying information has been removed.

Before Brain Map

Before

At the start of the program. Large warm areas across the front and centre mark activity above the healthy range.

After 40 sessions Brain Map

After 40 sessions

The warm areas have shrunk toward green — the measure has moved closer to the healthy range for this young person.

Before you weigh these

How to read these numbers

This Isn't A Research Study

These are our own clinical records, rebuilt from the source each time we report them. No control group, no peer review, and no outcome is guaranteed. Where we can test a change, we say so: the symptom changes above clear statistical significance at p = 0.003, with a medium-to-large effect, and 40% met the reliable-change threshold.

We Don't Claim Cause

We report what happened for the young people we served. We don't claim we're the only reason it happened. Where another explanation is just as likely — a longer stay, a family who chose a program — we name it next to the figure.

Every Figure Carries Its Count

The number of young people behind a figure is on the figure. Ask us for the count behind any number here, or on any program's website. If we can't give you the N, we won't put the number in front of you.

Some Groups Are Small

The intake-to-discharge figures rest on 20 complete before-and-after tests. That's enough to show a real change, and small enough that the averages will move as more come in.

Nobody Is Left Out

Young people who didn't improve are inside every average on this page. We don't remove them, and we don't show a strong figure without the ones that run the other way.

Questions parents ask

Ask us anything here — and ask every
program you’re considering

Is 20 young people enough to trust?

What about the young people who didn’t improve?

What is the BASC-3, and why do you lead with it?

Do you guarantee my child will improve?

Those are averages — what about my child?

What happens to the diagnoses my child arrives with?

How do I know these numbers are current?

Ask us the hard question

Every figure here comes with someone who can walk you through how it was built. If you’re weighing a decision about your child, start there.
Talk with our team I’m a referring clinician Read the full guide