Background SANE’s guided service is designed to bridge the gaps between primary care and access to recovery focused, peer-to-peer and e-mental health services for adults with complex mental health needs and carers. This personalised service delivers counselling, peer support and access to recovery groups and a community of support, to empower individuals to build skills that improve recovery and quality of life. Key service features include: • Access via self-referral or referral by GP, health or other service provider, family or carer. • Rapid access to a structured, 14-week program offering the choice of free counselling, peer support, mutual self-help peer support groups, online community Forums and guidance to access online and other mental health services • Choice between counselling and peer support depending on individual needs and preferences. Methods Quantitative data from several sources were analysed to understand patterns of utilisation of supports offered through the Guided Service and impacts on recovery, quality of life and psychological distress. Data sources included (1) Guided Service routine data; and (2) Pre-post data collected via the online participant portal, assessing General recovery, using the Recovery Assessment Scale (RAS-R), Quality of life, using the Recovering Quality of Life (ReQoL) Questionnaire and Psychological distress and role functioning, using the Kessler 10+ or K5 where appropriate. Results Between May 2022 and October 2024, 9,603 people were referred or self-referred to the service, with 5,663 actively engaging—an engagement rate of 60% that rose to 63% for the July-September quarter of Financial Year 2024. Of those who engaged, 4,372 continued to participate in personalised peer or counselling sessions, averaging five sessions each. Of 329 respondents who had completed at least 4 sessions, and had at least partial responses to the baseline survey and Time 2 surveys, the mean age was 42.7 years (SD = 13.5, range 18-81 years), and 69% (n=227) identified as female, 24% (n=78) as male and the remainder preferred other terms. The majority 93%; n=305) identified as a person with a complex mental health issue. Comparison of baseline scores to follow up scores on the Recovery Assessment Scale (RAS) show statistically significant improvements over time. Scores on all subscales also showed statistically significant improvements over time. Effect sizes were mostly in the medium or large range. Comparison of baseline scores to follow up scores on the Kessler 10 psychological distress scale (K10) show statistically significant improvements over time. Effect size was medium. Comparison of baseline scores to follow up scores on the Recovering Quality of Life Scale (ReQoL) also showed statistically significant changes over time. While the majority of people did not experience clinically significant changes, a greater proportion of people improved than deterioriated on the RAS. A ‘dose-response’ effect was observed in the Guided Recovery service, showing that individuals who participated in more sessions experienced greater improvements in outcomes. Conclusions The link between the number of sessions and positive outcomes suggests that consistent engagement with SANE’s services enhances recovery, reinforcing the value of a multi-session model compared to single session helpline services.