Expanding Access, Improving Outcomes: Charlie Health’s 2025 Annual Outcomes Report

Discover the impact of virtual high-acuity care in Charlie Health’s 2025 Outcomes Report.

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Across the United States, people of all ages are struggling with their mental health. From rising rates of depression in older adults to the continued prevalence of death-by-suicide among young people, the need for serious behavioral healthcare has never been higher. Yet, as needs surge, our national infrastructure is buckling. Over 129 million people live in mental health provider shortage areas, meaning the available options are often emergency rooms or waitlists. 

At Charlie Health, we are working to close the gap between needs and services — and in 2025, we made continued strides in our mission to connect those in crisis to life-saving behavioral healthcare. These findings were published in our latest Annual Outcomes Report. It details how we scaled our industry-leading virtual Intensive Outpatient Program (IOP) and continued to improve our clients’ well-being over the past year. Read on to learn more about Charlie Health’s impact in 2025, and how we can support your community.

How we scaled impact in 2025 

The findings in our Annual Outcomes Report reflect a year of intentional growth. To address the deepening mental health crisis, Charlie Health evolved its service model to reach people of different ages, clinical profiles, and geographic locations. 

In 2025, Charlie Health:

• Expanded care to ages 8–64 
• Launched a dedicated Substance Use Disorder Program 
• Grew to serve clients in 40 states 
• Worked with 300+ health insurance plans, including Medicaid for about one in three clients (35%) 

Key findings: 6 key data points from 2025

Our 2025 data confirms a powerful reality: virtual high-acuity care is not just a viable alternative to traditional settings — it is setting a new benchmark for clinical excellence. Across age groups and identities, our clients achieved life-changing improvements in safety and symptom management.

1. Depression and anxiety symptoms decreased by half

Across all age groups, clients saw an average 50% decrease in both anxiety and depression symptoms by the time of discharge. Improvements were at the high end of published industry benchmarks: Up to 90% of clients saw improvements in depression, and up to 89% in anxiety symptoms.

2. Our identity-based cohorts saw equal (or better) improvements

Depression and anxiety Improvement rates in our identity-specific cohorts were as equal or higher to clients overall — particularly meaningful results given that marginalized groups are historically underserved.

• 92% of clients in our maternal mental health track saw a reduction in anxiety
• Up to 89% of LGBTQIA+ clients experienced anxiety and depression symptom improvement through affirming, specialized care

3. High-risk behaviors improved for about 8 in 10 clients

Working with high-acuity populations means that safety is one of our primary metrics of success. Roughly 8 in 10 clients reporting suicidal ideation at intake reported remission by discharge — ranging from 79% of young adult clients to 83% of adult clients. Also, 85% or more of all clients reporting self-harm at intake showed measurable improvement.

4. Integrated SUD care drove significant behavioral change

The formal launch of our Substance Use Disorder (SUD) Program proved that treating the underlying drivers of substance use is the key to sustainable recovery. Key findings across both our abstinence-based and harm-reduction programs are as follows:

• 3 in 4 clients (75%) reported improved control over their drug and alcohol use
• Alcohol use decreased by 74% on average
• Clients in the SUD Program saw an 87% reduction in self-harm behaviors
• Nearly 7 in 10 SUD clients (69%) saw remission in suicidal ideation

5. More than half of clients saw functional improvements

Mental health conditions often disrupt functional aspects of day-to-day life: sleep, hygiene, productivity, and more. More than half of our clients who entered treatment struggling with daily activities saw measurable gains in their hygiene, appetite, and sleep by discharge. This progress translates directly to real-world engagement: 73% of clients reported improved school or work attendance, and 83% achieved significant gains in overall energy and life engagement.

6. Breaking the cycle of readmission 

The “revolving door” of psychiatric care is an ongoing challenge we are actively solving. While national readmission rates for psychiatric hospitalization often exceed 20% within six months of discharge, Charlie Health clients remain stable in their communities: Up to 96% of routinely discharged clients did not require a higher level of care after discharge.

Why these findings matter: A look beyond metrics

At its core, the data in this report represents much more than clinical metrics: each number is a moment of growth, support, and relief for clients and their families. These outcomes prove that when people with serious behavioral health concerns can get the support they need, when they need it, they are able to see meaningful improvement that lasts. 

As we look toward 2026, our mission remains clear: to provide timely, high-acuity care that fits into the reality of their daily lives, and ensures they stay supported long after discharge. We are committed to a future where high-quality care is a right, not a privilege, and where every individual has the tools to move from crisis to connection.

Charlie Health is here to help

Charlie Health’s virtual Intensive Outpatient Program (IOP) provides more than once-weekly mental health treatment for dealing with serious behavioral health conditions. Our expert clinicians incorporate evidence-based therapies and data-driven outcomes into individual counseling, family therapy, and group sessions. With the right treatment, long-term healing is possible. Fill out this form to refer a client or give us a call to start healing today.