LEGACY TREATMENT CENTER
- Located near Capitol Reef National Park, offering residential treatment for adults aged 18 to 40 facing mental health, addiction, and behavioral challenges.
- Accredited by the Joint Commission on Accreditation and the Outdoor Behavioral Healthcare Council, and licensed by
the state as a residential treatment center. - Treatment model integrates residential care, adventure therapy, and holistic approaches for personalized healing and growth.
- Treatment model integrates residential care, adventure therapy, and holistic approaches for personalized healing and growth.
- Focus on providing a safe environment where clients feel supported throughout their journey.
- Recognized as a Research Designated Program by NATSAP, actively collecting and analyzing client outcome data since
2013. - Legacy Treatment Center highlights significant benefits in mental health, social responsibilities, and relationships, including family functioning.
- Improvements are consistent across gender and age groups, indicating broad treatment efficacy
TREATMENT CHANGE
MENTAL HEALTH, RELATIONSHIPS, AND SOCIAL ROLE
- Legacy uses the Outcomes Questionnaire (OQ45) to understand the health and behavior of the clients they serve.
- The OQ45 is a 45-item questionnaire widely used, standardized, normed, validated, and reliable.
- The OQ45 measures:
- Mental Health Distress: anxiety, mood, adjustment problems, and stress-related illness.
Relationship Distress: loneliness, dysfunctional family and peer relationships. - Social Role Distress: difficulties meeting typical adult expectations at work and home.
- Mental Health Distress: anxiety, mood, adjustment problems, and stress-related illness.
- Scores decreasing on the symptom scale indicate reduced symptoms; aiming for scores to ‘go down’.
- Graphs have a red dotted line at 0, the benchmark separating healthy from clinically problematic.
- A difference of 1 unit or more between two scores is meaningful.
- Client scores were analyzed at the beginning (Admit) and end of treatment (Wk12), and 6-12 months after departure (Post).
- Week 12 was used instead of the day of departure to avoid potential bias from completion
celebrations. - Date of departure scores were ‘healthier’ than Week 12 scores on mental health, relationships, and social role.
- Results are ‘matched’ scores from the same clients across all three timepoints, totaling 242 clients in this matched group.
- Figures represent the average change of this group.
OQ45 HEALTH CHANGE SCORES FROM ADMISSION TO POST-TREATMENT 2013 - 2022
RESULTS
Scores on all three health domains decreased significantly from before to after Legacy. On Mental Health Distress, the average score at intake was 1.2, meaningfully higher than the healthy line, and this reduced to -1.1 at Week 12, and these treatment gains were sustained 6-12 Months Post-Treatment. On Relationship and Social Role Distress, clients begin the program at about a half point above the healthy line and improve to about a half point into the healthy range. For all three health domains, these changes are statistically and clinically significant.
GENDER DIFFERENCES
HEALTH CHANGES BY TIME AND GENDER
Legacy began working with female clients in 2018, at Juniper Canyon. Since then, 59 females (and 177 males) completed surveys at Admission, Week 12, and 6-12 Months Post-Treatment. Their results are shown here9. Notably, another 6 clients who identify as gender-diverse also completed all surveys, but 6 is not enough to include in these analyses. Future work hopes to include results across the spectrum of gender identity.
RESULTS
Males and females show similar trajectories of change in Mental Health and Social Role Distress. However, females tend to enter the program with higher distress levels and show an upward trend post-program, particularly in Mental Health Distress. This trend is not indicative of ineffectiveness but presents an opportunity for clinical discussion and professional development. In terms of Relationship Distress, females demonstrate greater improvement during the program and maintain these gains afterward, while males continue to improve post-program, resulting in similar levels between genders post-treatment, with small differences in magnitude.
