FAQs

Yes. Greenspace is compliant with Canadian federal and provincial privacy legislation, including the Personal Information Protection and Electronic Documents Act, the Personal Health Information Protection Act, 2004 (Ontario), the Personal Information Protection Act (Alberta), the Personal Information Protection Act (British Columbia), and An Act respecting the protection of personal information in the private sector (Quebec).

No. The Greenspace administrator does not have the ability to identify any patients that are using the platform. A patient’s identity and results can only be accessed and viewed by their therapist.

Yes. For all assessments that are added to the platform, we ensure that we have secured the appropriate licence for their use.

Yes. We love hearing suggestions from therapists actively using the platform of other assessments that would be beneficial to their patients. As a result, we are always adding to the assessments that are available on the platform.

We determine whether to add an assessment to the platform based on the following criteria:

• Psychometric properties
• How widely the assessment is used and validated
• Length of assessment (all available assessments are between 5 and 20 questions)
• Cost
• Therapist feedback

Consistent progress monitoring throughout treatment has many benefits. It provides both the client and therapist with insight into treatment progress which increases client engagement, reduces symptom deterioration, and improves client outcomes(Lambert et al., 2005). MBC can also be used as a guide to adjust clinical plans based on how a person is responding to treatment. When symptoms are consistently measured, it is easier for both the client and clinician to recognize when treatment plans are not effective, and outcomes are not being met (UBC Department of Psychiatry, 2020).

Greenspace is designed to support Measurement-Based Care across a wide range of behavioral health and care settings, including community mental health centers, hospitals, private practices, school-based services, substance use treatment programs, inpatient and residential care, and integrated care environments.

The platform is highly flexible and configurable to support implementation that aligns with unique workflows and populations. Whether supporting a single clinic, multiple locations, or an entire health system, Greenspace helps clinicians and leaders consistently measure outcomes, track engagement, and improve quality of care across programs.

While EHRs serve as the central system for patient records, Greenspace’s Measurement-Based Care platform supports collecting, scoring, and interpreting outcome measures to support clinical decision-making and program evaluation.

The Greenspace platform integrates with more than 85 EHR and EMR systems and is adaptable to every clinical workflow. Through secure, bi-directional integrations, assessment data collected in Greenspace can flow automatically into the EHR, eliminating duplicate data entry and reducing administrative burden for clinicians and staff.

This approach allows providers to continue working within their primary system of record while benefiting from Greenspace’s purpose-built tools for outcome measurement, visualization, and clinical insight. Integrations are flexible and configurable, supporting workflows across outpatient, community-based, and integrated care settings while helping organizations maintain accurate documentation and use data more effectively to inform care.

Yes. Greenspace is designed to support both in-person and virtual care. Clinicians can administer assessments via email or SMS, and clients can complete measures on their own devices directly within the platform, making it easy to collect outcomes data regardless of how care is delivered.

Greenspace supports both individual and group-based care. Organizations can assign assessments to clients participating in group therapy or structured programs, allowing clinicians and program leaders to track progress and outcomes across participants and programs, while still maintaining individual progress monitoring.

This allows care teams to:

• Measure the effectiveness of group programs
• Monitor each participant’s progress over time
• Identify individuals who may need additional support
• Evaluate outcomes across cohorts or program cycles.

In the video below, Dr. Amber Childs from the Yale MBC Collaborative shares a powerful example of how MBC can empower others in group therapy.

Yes. Greenspace allows organizations to export aggregated or de-identified outcomes data to support research, program evaluation, and demonstrating value. Greenspace Analytics offers PHI-free dashboards that surface outcomes at the clinic or organization level.

Many organizations use this data to:

• Evaluate the effectiveness of specific programs or interventions
• Demonstrate outcomes to funders, stakeholders, and accrediting organizations
• Support grant applications or funding proposals
• Contribute to research on evidence-informed behavioral health care.

Greenspace is designed to support both short-term and long-term care models.

For short-term or brief interventions, Measurement-Based Care helps clinicians see baseline presenting symptoms, quickly identify early changes in symptoms or functioning and adjust treatments accordingly.

For longer-term or ongoing care, consistent measurement provides a longitudinal view of progress, helping clinicians monitor symptom patterns over time and evaluate the effectiveness of care plans.

Greenspace offers a comprehensive assessments library featuring over 500 validated, evidence-based behavioral health assessments. These assessments cover a wide range of domains including depression, anxiety, trauma and PTSD, substance use, functioning and quality of life, youth and families, and more.

In addition, our team can support the addition of new or custom assessments when needed, subject to licensing requirements and permissions.

Yes. Greenspace can automate assessment delivery and reminders based on predefined schedules or clinical milestones.

For example, measures can be automatically sent:

• Prior to scheduled appointments
• At regular intervals during treatment
• At program milestones such as intake, midpoint, or discharge
• Following care transitions.

Automating this process reduces administrative burden for clinicians and helps ensure assessments are delivered consistently across clients and programs. Clients can complete assessments on their own device before sessions, allowing clinicians to review results in advance and focus session time on discussing progress and treatment decisions.

Yes. Our MBC Benchmarking feature allows clinical leaders to assess their performance across key MBC metrics and identify improvement areas by comparing their organization’s usage and outcome data against industry benchmarks, established across more than 750 MBC implementations. The feature provides our clinical partners with a comparison of their results against the industry average (median), high performing clinic (75th percentile), and treatment specific, apples-to-apples comparisons. This context helps leaders identify strengths, pinpoint improvement opportunities, and prioritize investments that support both care quality and operational performance.

Greenspace is designed to make it easy to communicate impact to funders, payers, boards, and regulators:

• Dashboards & Analytics: Real‑time views of adoption, engagement, and outcomes, with filters by program, site, clinician, population, assessment, and more.
• Industry Benchmarking: Treatment‑category benchmarks against median and top‑quartile peers to bring powerful context to your results in grant applications and value‑based care discussions.
• Aggregated Data: CSV exports of de‑identified data to support custom program evaluations, research partnerships, and internal quality improvement work.
• Severity-Adjusted Metrics: Accounting for baseline symptom severity to create true “apples-to-apples” outcome comparisons across diverse populations and settings.

These tools help you move beyond activity reporting to clear, outcomes‑focused stories about the difference your services are making.

Yes. Greenspace is widely used in child and youth behavioral health, including school systems, youth-serving communities, and pediatric programs. Our assessment library includes validated assessments for children, adolescents, young adults, and their caregivers.

Greenspace was built with accessibility and equity in mind, and offers client-facing tools and validated assessments in multiple languages.

The platform includes a multilingual client-facing dashboard, so clients can complete assessments and view their results in the language they’re most comfortable using, and many validated, translated assessments, including commonly used tools in Spanish and other languages, configured based on the populations you serve.

All patient information and data is stored in Canada. Greenspace works with a secure cloud hosting provider called Aptible, which is specifically designed to securely manage and store confidential and highly sensitive healthcare information. Aptible has been tested and certified by security professionals from Kaiser Permanente, MD Anderson, UnitedHealth Group, Johns Hopkins, Stanford, and many others. In addition, Aptible is certified for compliance with ISO 27001, SOC 2, and HITRUST CSF.

No. The only people that can see patient information or results are the patient and their care team. Patient information or results are not shared with or sold to any third parties (such as a pharmaceutical or insurance company).

Yes. Any assessments that are not currently available on the platform can be added to your account.

Yes. You can create your intake form to gather and record information about patients. You can specify which elements should be completed by clients, and those that should only be visible to therapists and administrators.

Yes. The platform can be branded to reflect the digital image of your organization. Custom branding includes, (i) a custom web address; (ii) inclusion of your organization’s logo and colour scheme; (iii) custom patient resources; (iii) removal of all references to Greenspace; and (iv) custom terms of use and privacy policies.

No. There is no limit on the number of therapists that can be part of a Clinic Account.

No. Therapists that are part of an organization that subscribes to a Clinic Account do not have to pay a monthly fee to access the platform. A single monthly fee is paid by the organization on behalf of all its therapists.

Yes. You are able to configure multiple Clinic Accounts within the same Organization. This allows each program or clinic to manage its own progress measurement initiatives, while providing the Organization with a view of all Clinic Accounts within its Organization structure.

Yes. Each time you create and permission an Admin Account, you can specifically select the permissions applicable to that specific person. This means that each Admin Account can be granted the exact permissions and visibility to match the administrator’s day to day role.

Yes. Administrators, intake workers and support staff can create Admin Accounts, which provide access to the key administrative functions and views on the platform. Admin Accounts can be used to support a range of different activities, including creating new patients, assigning therapists, assigning assessments, reviewing aggregate outcomes and supervising therapists.

Yes. Directors and supervisors are able to see a real time display of the aggregate outcomes across their organization. The information presented is updated in real time and presents a clear view into the impact the organization and its therapists are having on patient outcomes. Clinic directors can modify and curate the information across a range of different factors, including by assessment type, patient tags and by therapist.

The two most commonly assigned assessments are the PHQ-9 (Depression) and the BR-WAI (Therapeutic Alliance).

Yes. Both therapists and clients can access the results through their Greenspace accounts. Clients being able to access and view their own results is important because it increases their engagement, and progress measurement has been demonstrated by a number of studies to have a much larger impact when results are displayed to both the therapist and the client.

No. You can complete an assessment with a new client instantly, without requiring the patient to sign up for an account. If the client is interested in receiving assessments outside of their session and viewing their own results, they will need to sign up for an account. This can be done at any time and doesn’t need to be done when they complete their first assessment.

Yes. Greenspace gives therapists the option to have their clients complete their assessments in their office during a session. This can be done on a device being used by the therapist (tablet or computer) or can be done using the Kiosk, which facilitates simple completion of assessments in a waiting room or during session.

Therapists select the appropriate clinical, functional, addictions and therapeutic alliance assessments for each client. The therapist then has a choice as to whether they would like the assigned assessments to be automatically delivered to the client by email or sms on a recurring schedule or if they would like the patient to complete the assessment during their visit to the office. Clients don’t need to download an app and can easily complete the assessments on any device (phone, tablet, computer).

“Therapists” are individuals who are licensed to provide psychotherapy services and include, psychiatrists, psychologists, social workers, MD psychotherapists, occupational therapists and registered psychotherapists.

It is up to you as to whether you prefer to meet with a therapist in person or online, and you will be matched accordingly.

There is no fee to use Greenspace to find a therapist suitable for you. However, the therapist you are matched with will charge a fee for their services, as psychotherapy is not publicly funded by Provincial health plans. Session fees are determined by the therapist and range from $100 to $250 (depending on the type of therapist – e.g social worker, psychotherapist or psychologist). Many insurance plans cover therapy services, but patients are responsible for determining their level of coverage.

You do. Greenspace securely stores and presents your progress to you and your therapist. If you stop using Greenspace, you can take your data with you.

No. Greenspace is a clinical tool that does not replace sessions with your therapist. Measuring your progress using Greenspace supplements and supports the therapy process with additional objective information.

Assessments can be completed in-office during a session with your therapist or can be delivered to you remotely via email or sms. When it is time to complete an assessment, you will receive an email or sms (depending on what you select when you sign up) containing a button, which opens the assessment selected for you by your therapist. The assessments are short and can be easily completed on any device (phone, tablet, computer).

If you have a therapist, your therapist will send you an email invitation that contains a button to sign up for an account. If you do not receive an invitation from your therapist, you can also sign up here. When creating your account, you will be asked to enter some basic personal information and select whether you want to receive assessments by email or sms (text message).

Yes. Progress Measurement is a clinical tool (rather than a self-help app) that requires a pre-existing clinical relationship between a therapist and patient.

No. There is no fee for you (the client) to participate.