Mission Prep Healthcare Outcomes Report | 2024
Adolescent Residential Treatment
Mission Prep aims to provide support and sustainable change for adolescents and their families. We utilize a blend of time-tested therapeutic approaches as well as innovative interventions to address a diverse range of clinical concerns. Every element of our care is conducted with attention and purpose, from the sessions with our board-certified psychiatrist to the beautiful, home-like environment cultivated to bring a sense of belonging and connection for our clients.

Data Collection
We collect data through our Outcome Tools portal, integrated with our EHR, with inputs from staff or clients. Assessments are completed at intake, weekly, and at discharge to track progress and outcomes. Additionally, we provide surveys to our clients monthly to track overall satisfaction with our program.
Mission Prep continues to uphold its commitment to data-driven quality improvement through the diligent maintenance of our intake and discharge surveys, utilizing rigorously validated instruments. Our dedication to excellence is exemplified by our ongoing measurement of critical indicators, including depression, anxiety, suicidal ideation, and self-harm behaviors via the Gad-7 and the PHQ-9. By consistently monitoring these key metrics, we ensure the effectiveness and responsiveness of our interventions, enabling us to provide the highest standard of care to our clients.
The PHQ-9 and GAD-7 are validated screening tools used to assess the severity of depression and generalized anxiety disorder, respectively. The PHQ-9 consists of nine questions aligned with DSM-5 criteria, measuring depressive symptoms over the past two weeks, while the GAD-7 includes seven questions evaluating core anxiety symptoms. Both tools are widely used in clinical and research settings to track symptom progression, guide treatment planning, and support diagnosis. Research has consistently shown their reliability, validity, and effectiveness in detecting and monitoring depression and anxiety-related conditions.

Ted Guastello
Chef Executive Officer
“Together, we continue to strive for excellence and innovation in mental health care, advocating for those in need and making a meaningful difference in our community. Our ongoing commitment to research and clinical improvement positions us as leaders in the field, dedicated to the well-being and recovery of our clients.”
Diagnostic Profile
Client Diagnosis
At Mission Prep, understanding our clients’ diagnoses is fundamental to addressing the wide spectrum of mental health challenges they face. With 75% of our teen clients experiencing depressive disorders alongside issues such as trauma, stress-related conditions, adjustment difficulties, and anxiety, the complexity of their needs is clear. By deeply understanding these diagnoses, we can better personalize our treatment approaches, ensuring each client receives the care and support they need to thrive.
Our clinical team conducts a comprehensive assessment within 24 hours of admission, establishing an initial diagnosis based on gathered information. This diagnosis is reviewed weekly in advocacy meetings, refining it as we observe and collaborate across medical, operations, academics, and clinical teams.
84%
Of clients would recommend Mission Prep if their friend needed treatment
Stated Gender Identity
Gender Considerations
We are committed to creating a safe, affirming environment that honors each adolescent’s gender identity. By tailoring our interventions to address the unique mental health challenges related to gender identity—including gender dysphoria, trauma, family rejection, bullying, and discrimination—we help our clients feel seen, valued, and supported. Our approach integrates gender-affirming therapies when appropriate, ensuring that care is both inclusive and personalized. This dedication underscores our mission to provide compassionate, identity-affirming mental health care that fosters healing and acceptance for every individual we serve.
84%
SAID YES
Depression
Our approach empowers clients to manage depressive symptoms. Despite 75% of teens entering our program with depressive symptoms, our clients experience a 47% improvement by program completion. This shift from moderate to mild symptoms at discharge underscores the effectiveness of our tailored interventions.
Anxiety
We empower teens to develop effective coping strategies for managing anxiety through a comprehensive, whole-person approach. This year, our efforts led to remarkable clinical advancements, with significant reductions in anxiety symptoms. By the time of discharge, clients achieved an impressive 42% overall improvement, showcasing our commitment to fostering resilience, mental wellness, and lasting change for the teens in our care.
Client Satisfaction
Mission Prep earned outstanding client satisfaction, with 81% and above rating across all survey metrics this year. Clients typically spend 45-60 days with us, benefiting from tailored care grounded in the latest research and best practices. The client outcomes report highlights that exceptional quality of care we provide, with overwhelmingly positive feedback from adolescent clients underscoring the effectiveness and relevance of our program in addressing mental health concerns.
Survey Results
I feel safe here
My clinical team listens to me and cares about my goals
I felt welcomed and comfortable when I arrived during the intake process
The skills I am learning feel applicable to life after treatment
I feel that the clinicians and house staff care about me and my needs being met
I feel that the treatment offered will allow me to improve areas of my life
My clinical team has encouraged me to include my support system in treatment
The medical team listens to my concerns and can answer any questions about meds
The food provided by the chef is enjoyable and enough for me to feel full
Our client satisfaction survey results are a testament to the exceptional quality of care provided by Mission Prep. Committed to upholding rigorous clinical standards, we ensure that our treatment methodologies are firmly grounded in the latest research and best practices within the field. This steadfast dedication enables us to cultivate our clients’ resilience through evidence-based therapeutic interventions, and tailored individualized care for lasting healing.
The overwhelmingly positive feedback from our clients and their families speaks volumes about their experience with us. We embrace the belief in the nature of our therapeutic process; our clients aren’t viewed as treatment-resistant. Instead, we champion treatment-persistence, helping our clients on a healing journey toward lasting, positive change.