In this episode of Self Disclosed, we open up Somethings’ first clinical outcomes report from our statewide rollout in North Carolina and talk plainly about what changed for teens, how we measured it, and what it means for families, schools, payers, and states.What this episode covers - What Somethings is: a youth mental health app that pairs teens (13–26) with certified peer mentors for on-demand support and continuity of relationship- Why North Carolina partnered to offer the program free to ~1.2M teens across all 100 counties- How we evaluated impact (pre–post design; PHQ-8, GAD-7, WHO-5, ASQ-3)- Engagement at scale, rural access, and why human connection beats chatbots for this age group- What the data says about depression, anxiety, well-being, and suicidal ideation- Where this fits in the care ecosystem (ED diversion, continuity, cost, and appropriate utilization)Key findings (real-world, not a lab)- Average time from sign-up to first connection: ~6 hours- In about 2 months: 77% of teens improved in at least one domain; 52% showed clinically meaningful improvement; nearly 1 in 4 reached remission in at least one area- Teens who started with suicidal thoughts: prevalence dropped from ~40% at intake to ~27% at follow-up; median time to resolution = 16 days- Who we served: a high-need, diverse population with common moderate-to-severe symptoms, including many youth who struggle to access traditional careWho should watchParents and educators, Medicaid and health-plan leaders, state and county health officials, school mental-health teams, clinicians, and builders who need evidence on what actually engages teens and moves outcomes.Chapters00:00 Intro and why we recorded this00:50 Meet the team05:06 What Somethings does and why peers matter06:50 North Carolina partnership overview08:19 Study design and measures (PHQ-8, GAD-7, WHO-5, ASQ-3)11:01 Who we served and why access matters12:16 Engagement metrics and 6-hour time to first connection13:11 Baseline risk: depression, anxiety, suicidal ideation15:32 Outcomes at ~2 months: improvement, clinical change, remission16:45 Why rapport is the intervention19:51 Depression results, then anxiety and well-being22:58 Suicidal ideation: resolution timeline and impact26:38 “Teens are not little adults” and system navigation29:42 Why many teens drop out of treatment and how peers help33:31 ER boarding, cost, and appropriate utilization36:34 Rural access and continuity in the real world38:19 Case study from the field41:13 Making support more accessible for different learners41:58 What health plans and states can do right now42:55 Rapid-fire: one change we’d make for youth mental health45:59 Closing thoughtsThis is a real-world, pre–post outcomes evaluation, not medical advice. If you or someone you know is in crisis, call or text 988 in the U.S.

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