Case Studies  |   May 5, 2022  |   < 1

GreeneStone: Using MBC to Empower Clients and Build Recovery Capital

GreeneStone Centre for Recovery demonstrates the profound impact that MBC can have on mental health and addiction recovery when used as a "self-empowerement" tool.

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Number of Clinicians: 8

Number of Clients: 110

Population Served: Adults (18+)

Program Type: Inpatient Alcohol & Addictions Detox, Recovery and Aftercare

Org Type: Addiction Treatment Centre

Greenspace Platform: Measurement-Based Care

Key Assessment(s): GAD-7, PHQ-9, DAST-10, BR-WAI


Naomi Richter is the Director of Care at the GreeneStone Alcohol and Drug Inpatient Treatment Centre in Bala, Ontario. Naomi was first introduced to Greenspace during her own mental health journey, while recovering from addiction and alcoholism, co-occuring with Borderline Personality and Major Depressive Disorder. Greenspace completely changed her journey by helping Naomi and her clinician understand, monitor and respond to her cycling symptoms.

“With the help of Greenspace and my counsellor, I was finally able to visually understand the cycling I was experiencing. My doctor was able to utilize the data Greenspace provided to assist in making the appropriate medication changes that were right for me and we were able to see from the data that my functioning was improving, even when I felt it wasn’t.”

Naomi’s experience using daily assessments and seeing her results visualized through the Greenspace Measurement-Based Care (MBC) platform was a key factor in her successful recovery. She saw a gap at GreeneStone, in that without a MBC solution in place, clients didn’t have access to the same insights or agency in their care that helped her build recovery capital during her journey. Naomi felt that providing clients with a way to understand their own symptoms would enhance engagement in their care process and improve outcomes. This was her initial motivation to implement Greenspace at GreeneStone, in order to help others become empowered in their treatment process.


2,000+ Completed assessments in six months.

87% Therapeutic Alliance (BR-WAI) Score.

44% Average symptom improvement.



Prior to implementing Greenspace, GreeneStone clients had to rely on their memory of past symptoms in order to reflect on their progress. Because of the regular fluctuations that occur throughout addictions recovery, it is very challenging for clients to reflect on and remember the progress they have made, especially on more difficult days.

Without insights from their client dashboard and the ability to visualize the patterns of their changing symptoms, it made it difficult for clients or clinicians to identify triggers and work to build appropriate coping mechanisms they could utilize during treatment, and carry with them post discharge. Naomi wanted to implement Measurement-Based Care with the hope that it would act as a“self-empowerment tool,” which clients would use to gain control over their addiction and build recovery capital. In doing so, clients would be provided with the tools they needed to better understand their symptoms, challenges, and overall progress.


GreeneStone believes that the most significant value of implementing Measurement-Based Care has been improving the treatment experience for clients. As a result, the platform is managed by GreeneStone Recovery Coaches, who are responsible for encouraging clients to engage with Greenspace as a “self-empowerment tool”.

Each person in treatment now has daily assessments automatically delivered to them, which translate to an easy to understand dashboard that helps them visualize their changes and understand the impact treatment is having on them. Clients feel like they have more control over their own care process when they understand their own symptoms, see an improved therapeutic alliance and are able to engage in conversations around the ups or downs they’re experiencing with their Recovery Coach or clinician in a transparent way.

When clients exit the facility, they continue to have access to the platform and assessments. This allows GreeneStone to understand the impact of treatment post discharge and, more importantly, allows clients to self monitor their symptoms, learn about past and new triggers and feel empowered to take ownership over their continued progress.

View the PDF version of this case study here

“After introducing Greenspace to our clients, we found that the clients were empowered by the ability to track their own progress, instead of just being told if they were progressing or not. I’ve learned that encouraging clients to participate in their own tracking provides additional self-awareness which is key in the recovery process.”

Naomi Richter

Director of Care

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Data used to monitor symptoms over time