2026 Annual Clinical Report
Mental healthcare works better when quality is measurable, outcomes are transparent, and care continuously evolves.
In our first-ever Annual Clinical Report, we’re sharing a behind-the-scenes look at the clinical systems, data, and care models that help patients improve faster — and help us continuously raise the standard of care.
Our year by the numbers.
We take immense pride in the positive changes we've brought to patients and providers.
~40%
better mental health outcomes than industry benchmarks
10M+
sessions facilitated to date — one of the largest longitudinal clinical datasets in outpatient mental health
78%
of visits include a completed clinical measure — industry routine outpatient practice often falls <20%
71%
of patients reach meaningful improvement within 3 months
The four pillars behind Rula’s clinical outcomes
Our clinical quality system is built on four interconnected pillars that help us improve quality at scale.
Inside the 2026 Annual Clinical Report
Better mental healthcare starts with understanding what actually helps people improve.
In this report, we share what we’re learning from millions of care experiences across the Rula network — shaping how we improve behavioral healthcare at scale.
Learn how we:
Measure outcomes at scale
Learn from millions of sessions across our network
Help patients find the right provider for them
Support providers in delivering high-quality care
Identify gaps, improve systems, and raise the standard over time
The Rula Wellbeing Scale™
Developed with researchers at the University of Denver, our scale is a functioning and well-being assessment administered alongside the PHQ-9 and GAD-7. It captures what symptom scores alone can miss — measuring how patients function, connect, and engage in daily life.
This helps us measure not just whether symptoms are improving, but whether patients are truly getting better.
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