Measurement-Based Care for Manitoba Care Teams
For psychologists, social workers, therapists and clinics in Winnipeg, Brandon, Thompson and the communities between. Send the PHQ-9, GAD-7 and other validated scales by email or QR code, get the score when the client submits, and see each person's progress over the course of care. Canadian customer data is hosted in Google Cloud Canada regions.
How mental health care is organized in Manitoba
Manitoba's public system works in two layers. Shared Health, the provincial health authority, runs provincially coordinated services, among them mental health and addictions programs and the Selkirk Mental Health Centre. Five regional health authorities, whose boards are accountable to the Minister of Health, deliver care in their own areas.
Manitoba Health does not insure services by psychologists outside a hospital or institution, so sessions in private practice are paid by the client or a benefits plan, while physicians' services are insured. The province's five-year roadmap, A Pathway to Mental Health and Community Wellness (2022), named quality and innovation among its five areas of focus. Measuring change session by session is one practical way a care team can show quality.
What HiBoop Does for Manitoba Care Teams
PHIA, two official languages in provincial services and a province where many clients live far from a clinic all shape how outcome data is gathered. HiBoop takes care of the measurement and leaves the clinical call to you.
An Information Manager Agreement, in Writing
Section 25 of PHIA lets a trustee bring in an outside information manager only with a signed agreement in place. HiBoop's published BAA policy sets out its standard terms as an information manager under provincial health information acts, supported by our trust page and security documentation.
The Minimum Amount Necessary
Section 20 of PHIA keeps each use and disclosure to what the purpose actually needs. With role-based access in HiBoop, a receptionist, a clinician and a clinical lead each see what their role requires and no more.
The Scales Behind CBTm
The province lists CBTm, a five-class program, among its mental health services, and a Winnipeg evaluation of the classes measured change with the PHQ-9 and GAD-7. Both scales are in HiBoop, scored on submission and graphed per client, so the numbers inform your clinical judgement.
Built for Distance
A client in Flin Flon or on a farm near Dauphin answers on their own phone from an email link or QR code, so measurement between sessions does not depend on a trip to the clinic.
Addictions and Recovery Scales
Teams working with substance use can send the ASSIST-3, CAGE-AID and BARC-10 alongside mood and anxiety scales, and follow recovery capital over time.
A French-Language Page for Francophone Teams
This page is in French as well as English, so staff at a designated bilingual authority such as Southern Health-Santé Sud, or a clinic in Saint-Boniface, can read about HiBoop in their language of work.
Mental health in Manitoba
Research data
Each figure below links to the source it comes from.
27.3%
of Manitoba adults rated their mental health as poor or fair in 2021 (Canada: 26.1%)
10.5%
of Manitobans aged 15 and over met criteria for a mood or anxiety disorder in the past 12 months (2022; Canada: 10.6%)
5.6%
of Manitoba's health budget went to mental health in 2023-24, about $439 million
Research from Manitoba
PHQ-9 and GAD-7 in group CBT
In a chart review of 523 adult outpatients who attended large CBT-with-mindfulness classes at a Winnipeg tertiary mental health clinic in 2015 and 2016, scores fell by 0.52 GAD-7 points and 0.65 PHQ-9 points per class; effect sizes were small and dropout was 37.5%.
Thakur et al., BMC Psychiatry, 2019 PMID 31053070
Depression screening in primary care
In three Manitoba primary care practices with Shared Mental Health Care, where 32 of 36 physicians answered a survey and 15 providers were interviewed, uptake of Manitoba Health's depression screening indicators varied across sites and providers and rose over time.
Beaulac et al., Primary Health Care Research & Development, 2017 PMID 27609318
PHQ-9 validity
In a University of Manitoba study of 253 people with multiple sclerosis, checked against structured diagnostic interviews, the PHQ-9 had the highest sensitivity of the depression measures tested, at 84%.
Marrie et al., Multiple Sclerosis and Related Disorders, 2018 PMID 29274564
PHQ-9 and GAD-7 reliability
Among 150 people with rheumatoid arthritis in a University of Manitoba study, the PHQ-9 showed 87% sensitivity and 77% specificity for interview-confirmed depression, and the screening measures had test-retest reliability of 0.69 to 0.88.
Hitchon et al., Arthritis Care & Research, 2020 PMID 31199570
Where Measurement Fits in Manitoba
HiBoop is independent of these bodies and programs. They are the context your clients, referrers and regulator work within.
Shared Health and the Regions
Public systemShared Health's Adult Crisis Response Centre and mobile crisis services serve Winnipeg. Rapid Access to Addictions Medicine (RAAM) clinics see adults for substance use on a drop-in basis, with no referral needed.
Provincial health authorityFive regionsRAAM clinicsA Pathway to Mental Health and Community Wellness
Roadmap, 2022Manitoba's five-year roadmap focuses on five areas: equitable access and co-ordination, mental well-being and chronic disease prevention, quality and innovation, Indigenous partnership and wellness, and governance and accountability. More than 3,000 Manitobans helped shape it.
Equitable accessQuality and innovationIndigenous partnershipHealth Care in French
Designated bilingualManitoba's French Language Services Policy applies to designated health facilities, social services agencies and regional health authorities. Southern Health-Santé Sud is a designated bilingual health authority, and Shared Health's list of designated bilingual sites includes St. Boniface Hospital and its Winnipeg crisis services.
Designated sitesSanté en françaisSaint-BonifaceRegulated Professions
PracticePsychology and social work in Manitoba each have a statutory regulator: the Psychological Association of Manitoba under The Psychologists Registration Act, and the Manitoba College of Social Workers under The Social Work Profession Act.
PsychologistsSocial workersProtected titles
Care Teams in Every Manitoba Region
HiBoop runs in a web browser, so a Winnipeg group practice and a therapist covering the north use the same check-ins.
Winnipeg
The Winnipeg Regional Health Authority serves the city, the rural municipalities of East and West St. Paul, and the northern community of Churchill.
Southern Health-Santé Sud
A designated bilingual health authority covering more than 27,000 square kilometres south of Winnipeg.
Prairie Mountain Health
The western region, around 67,000 square kilometres, takes in the cities of Brandon and Dauphin.
Interlake-Eastern
An area of about 61,000 square kilometres that includes 17 First Nation communities.
Northern Health Region
More than 60 per cent of Manitoba's land mass, with hubs in Thompson, The Pas and Flin Flon.
Selkirk
Home to the Selkirk Mental Health Centre, one of the provincial services Shared Health runs.
Data sovereignty
Regions hereOther regionsLow CO₂ (Google)Local guides
Hosted in Canada
HiBoop runs on Google Cloud, and Canadian customers' data is hosted in Canada. These are Google's regions in Canada. Google Cloud locations
Google Cloud regions
- Montréal, Québec Low CO₂ · 97% carbon-free
northamerica-northeast1 - Toronto, Ontario Low CO₂ · 80% carbon-free
northamerica-northeast2
Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures
- Montréal, Québec Low CO₂ · 97% carbon-free
Why Manitoba clinics choose HiBoop
Measurement a PHIA Trustee Can Assess
- Canadian customer data in Google Cloud Canada regions, encrypted both in transit and at rest
- PIPEDA compliance and SOC 2 Type II certification
- Every view and export of client data is logged for your review
- Plans billed month to month, from one published price list
- No app for clients to install: they answer in the browser on their own phone
CAD pricing & support
Transparent pricing in CAD with flexible payment options for clinics of every size.
CareOne clinician, month to month$35CAD/monthTeamStarting price, unlimited clinicians$280CAD/monthNetworkMulti-site organizationsCustomEnterprise pricing
100+ validated scales for Manitoba clinics
Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.
Mood, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Anxiety)
- C-SSRS Screener (Suicide Risk)
Addictions and Recovery
- ASSIST-3 (Substance Involvement)
- CAGE-AID (Alcohol and Drug Screen)
- BARC-10 (Recovery Capital)
Trauma and Young People
- PCL-5 (PTSD)
- PC-PTSD-5 (PTSD Screen)
- PHQ-A (Adolescent Depression)
- SCARED (Child Anxiety)
PHIA and Your Clients' Health Information
The Personal Health Information Act (PHIA) applies to trustees: health professionals, health care facilities, public bodies and health services agencies. The Manitoba Ombudsman oversees it. The duties are yours as trustee; HiBoop's job is to give you what you need to carry them out.
What PHIA asks of a trustee
- Collect only as much personal health information as is reasonably necessary for the purpose (s. 13)
- Adopt reasonable administrative, technical and physical safeguards for confidentiality, security, accuracy and integrity, scaled to the sensitivity of the information (ss. 18 and 19)
- Limit use and disclosure to the minimum amount of information necessary (s. 20)
- Have a written agreement with any information manager that protects the information against risks such as unauthorized access (s. 25)
- Notify the individual and the Ombudsman of a breach that could reasonably be expected to create a real risk of significant harm (s. 19.0.1)
What HiBoop provides
- Published standard terms as an information manager (our BAA policy) and the security documentation behind them, starting with our trust page
- Hosting in Google Cloud Canada regions for Canadian customers, with encryption in transit and at rest
- Access set by role, and a log of each view and export to support your review of any incident
- Only the scales you choose to send, so you collect what the client's care needs
- Score histories exported as CSV or PDF when a client asks to see their information
Setting up an information manager agreement?
Our trust page sets out hosting, encryption, access controls and our SOC 2 Type II report. Get in touch and we will walk through your agreement and your questions.
Grants & funding for Manitoba mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
Shared Health Manitoba / Manitoba Health
Shared Health Manitoba — Digital Health Program
Manitoba’s Shared Health oversees digital health transformation province-wide, including funding for electronic records, outcome measurement, and care integration technology. Mental health and addictions providers can access technology adoption support through regional health authorities.
VariesLearn more - Tech eligible
Canada Health Infoway
Connected Care Innovation Grant
Canada Health Infoway’s Connected Care Innovation Grant provides up to $40K per award to health organizations adopting digital tools — including outcome measurement platforms, electronic records, and patient engagement solutions. With 18 awards per cycle, it’s one of the most accessible Infoway programs for smaller mental health practices.
Up to $40KLearn more - Tech eligible
Health Canada
Working Together to Improve Health Care — Digital Health Stream
Canada committed $25B over 10 years in bilateral agreements with provinces with digital health as a core priority. Each province has discretion over how funds flow; some channel them directly to practices through digital health transformation programs.
Varies by provinceLearn more - Tech eligible
Public Health Agency of Canada (PHAC)
Mental Health Promotion Innovation Fund
Supports proactive mental health promotion strategies, including digital and technology-enabled interventions. Organizations delivering community-based mental health programs can include measurement technology in their proposals.
$50K–$1MLearn more - Tech eligible
Canadian Institutes of Health Research
CIHR — Health Research Operating Grants
CIHR funds health research including implementation science, digital health, and measurement-based care studies. Practices partnering with universities for MBC research or e-mental health implementation can access significant funding.
$100K–$1M+Learn more - Tech eligible
Indigenous Services Canada (ISC)
First Nations & Inuit Health Branch - Mental Wellness
Indigenous Services Canada’s FNIHB funds community-based mental wellness programs for First Nations and Inuit communities, including technology for culturally adapted outcome measurement, digital mental health tools, and telemental health infrastructure. Organizations serving Indigenous communities should contact their ISC regional office for community-specific funding streams.
Community-based allocationsLearn more
Resources for Manitoba practitioners
Billing guides, compliance documentation, and clinical practice resources.
- BillingMental Health Billing in Canada
How provincial insurance and private benefits pay for mental health care, province by province
- CanadaHiBoop for Canadian Care Teams
Federal privacy law, where data is hosted and the other provincial pages
- DepressionThe PHQ-9
How the nine items are scored and how to read change over time
- AnxietyThe GAD-7
Scoring, severity bands and follow-up across a course of care
- LibraryBrowse Every Assessment
The full set of scales HiBoop describes, each with its references
Manitoba Privacy, Coverage and Service Resources
Official bodies, clinical guidelines, and regulatory references. Manitoba.
- The Personal Health Information Act
Government of Manitoba (Manitoba Laws, unofficial version)
The act itself: trustees, safeguards, the minimum-necessary rule, information managers and breach notification.
- Mental health and addictions services
Shared Health
Provincially coordinated mental health and addictions services, crisis services in Winnipeg and RAAM clinics.
- Mental health and community wellness roadmap
Government of Manitoba
The province's roadmap for an integrated system of wellness, mental health, substance use and recovery services.
- Health coverage: what is and is not insured
Manitoba Health
Insured services, including the rule on psychologists' services outside a hospital or institution.
- Regional health authorities
Government of Manitoba
The five regional health authorities and how their boards answer to the Minister of Health.
- French Language Services Policy
Francophone Affairs Secretariat
Which public bodies, including designated health facilities and regional health authorities, offer services in French.
- About Shared Health
Shared Health
Shared Health's role as the provincial health authority and the provincial services it runs, including the Selkirk Mental Health Centre.
- Rapid Access to Addictions Medicine (RAAM) Clinics
Shared Health
The drop-in RAAM clinics for adults, with no appointment or referral needed.
- About the WRHA
Winnipeg Regional Health Authority
The area the Winnipeg region serves, including East and West St. Paul and Churchill.
- About Us
Southern Health-Santé Sud
The size of the southern region and its designation as a bilingual health authority.
- About Us
Prairie Mountain Health
The size of the western region and the cities it takes in.
- About Us
Interlake-Eastern Regional Health Authority
The size of the Interlake-Eastern region and its 17 First Nation communities.
- About Us
Northern Health Region
The northern region's share of Manitoba's land mass and its hubs in Thompson, The Pas and Flin Flon.
- Manitoba Unveils Mental Health and Community Wellness Roadmap
Government of Manitoba, news release (2022)
The roadmap's launch and the consultation with more than 3,000 Manitobans behind it.
- Mental Health and Addictions
Government of Manitoba
The province's list of supports, including the five-class CBTm program.
- Designated Bilingual Health Authorities, Programs, and Sites in Manitoba
Shared Health
The designated bilingual sites, including St. Boniface Hospital and the Crisis Response Centre.
- French Language Services
Southern Health-Santé Sud
Southern Health-Santé Sud's status as a designated bilingual health authority.
- The Psychologists Registration Act
Government of Manitoba (Manitoba Laws, unofficial version)
The Psychological Association of Manitoba as the regulator of psychologists, and the protected title.
- The Social Work Profession Act
Government of Manitoba (Manitoba Laws, unofficial version)
The Manitoba College of Social Workers as the regulator of social work, and the protected titles.
- About Legislation
Manitoba College of Social Workers
The date the College began regulating social work, 1 April 2015.
Latest in mental health in Canada
Recent news, research, and policy from trusted sources.
- ResearchCare under attack: a qualitative study of healthcare system disruption and health worker resilience during airstrikes on Lebanon.
Al-Hajj S, Nassereldine R, Srour N — BMJ global health
BMJ global health
- ResearchPharmacological interventions for acute major depression and bipolar depression with mixed features: A systematic review and dose-related network meta-analysis across different age groups.
Fornaro M, Di Lorenzo C, Nunez N — Journal of affective disorders
Journal of affective disorders
- ResearchUltrasonic Vocalizations as Markers of Anxiety and Depression in Rodent Models of Neurotrauma.
Scatterty KR, Taylor AMW, Fouad K — Behavioural brain research
Behavioural brain research
- ResearchAssociation of plasmatic lipids and suicidal ideation in bipolar disorders: a FACE-BD cohort study.
Frajerman A, Dansou Y, Lengvenyte A — European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology
- ResearchADHD diagnosis, symptom severity, and WAIS-IV working memory profiles in an adult clinical sample.
Cha YJ, Lee K — Applied neuropsychology. Adult
Applied neuropsychology. Adult
- IndustryDilkens, Francis weigh in on call for review of Ontario mental health, consent laws
Dilkens, Francis weigh in on call for review of Ontario mental health, consent laws CBC
CBC
Crisis and urgent help lines
If someone is in immediate danger, call 911. HiBoop is not a crisis service.
Emergency
For a life-threatening emergency, call emergency services first.
Suicide Crisis Helpline (9-8-8)
24/7/365
Kids Help Phone
24/7
Hope for Wellness Helpline
24/7
Health Links - Info Santé
Klinic Crisis Line
24/7
Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
Frequently Asked Questions
Does HiBoop meet PHIA for my practice?
PHIA's duties belong to the trustee, so the question that matters is whether HiBoop supports you in meeting them. It does that with published standard terms as an information manager, documented safeguards, access set by role and a log of every view and export.
What does PHIA require if there is a privacy breach?
PHIA has a breach section, 19.0.1: where a breach could create a real risk of significant harm, the trustee tells both the person affected and the Ombudsman. HiBoop's record of who opened or exported client data helps you piece together what happened and whose information was involved.
Does Manitoba Health cover sessions with a psychologist?
No, not for private sessions. Outside a hospital or institution, psychologists' services are on Manitoba Health's list of services it does not insure, so the client pays directly or claims through a benefits plan.
Can our francophone team read about HiBoop in French?
Yes. This page and much of hiboop.com are in French. If your clients would rather answer in French, ask us which scales have French versions before you send them.
Official sources for Manitoba
Billing and payment routes
- 1.Manitoba Physician's Manual · fee schedule
- 2.WCB Manitoba · workers' compensation
- 3.Indigenous Services Canada: NIHB mental health counselling · public program
- 4.Veterans Affairs Canada: mental health services · public program
- 5.IRCC: Interim Federal Health Program · public program
Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.
Regulators and licensing
- 1.College of Physicians and Surgeons of Manitoba · physicians
- 2.College of Psychologists of Manitoba · psychologists
- 3.Federation of Medical Regulatory Authorities of Canada (FMRAC) · physicians
- 4.Association of Canadian Psychology Regulatory Organizations (ACPRO) · psychologists
- 5.Canadian Council of Social Work Regulators · social workers
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.