Measurement-Based Care for Northwest Territories Care Teams
For community counsellors, psychologists, social workers and clinics from Yellowknife to Inuvik, Hay River and the fly-in communities. Send the PHQ-9, GAD-7 and other validated scales by email or QR code, read the score the moment a client finishes, and watch change build over a course of care. Canadian customer data is held in Google Cloud Canada regions.
How mental health care is organized in the Northwest Territories
Public health and social services in the NWT come from three bodies: the territorial authority, set up on 1 August 2016, which covers five regions and runs the Yellowknife hospital, plus separate bodies for Hay River and the Tłı̨chǫ region. The Community Counselling Program is open to every resident at no charge, with counsellors living in 20 communities and reaching the rest by phone and fly-in visits.
In 2022 the Auditor General of Canada reviewed addictions prevention and recovery services and recommended that the department and the authorities, working with Indigenous governments and communities, set short-, medium- and long-term outcomes with indicators to measure them, then use those indicators to monitor results. Short validated scales, scored the same way every time, give a counsellor one way to see change in a single client's care.
What HiBoop Does for NWT Care Teams
The Health Information Act, counselling that often happens by phone or on a fly-in schedule, and an audit that asked for outcome indicators all shape how results are gathered in the NWT. HiBoop does the scoring and graphing; clinical decisions remain yours.
An Information Management Agreement First
HiBoop publishes its standard terms as an information manager and backs them with the security documentation on our trust page, so a custodian has the material to draft the agreement the Act expects, including the manager's commitment to follow the Act and the custodian's own policies.
Safeguards for Information Held Outside the NWT
Section 85 asks custodians to protect information that is stored or used outside the territory. HiBoop's servers for Canadian customers sit in Google Cloud Canada regions, outside the NWT, and access to records is limited by role.
Indicators You Can Track Per Client
The Auditor General asked for outcome indicators. The PHQ-9 and GAD-7 are scored on submission and charted session by session, so a counsellor sees each client's trend, and that trend informs clinical judgement rather than replacing it.
Between Fly-in Visits
In communities served by phone and fly-in counselling, a client can answer a check-in on their own phone from an email link or QR code between visits, without installing anything.
Scales for Recovery Work
Addictions and recovery teams can send the ASSIST-3, CAGE-AID and BARC-10 next to mood and anxiety scales, and see recovery capital alongside symptom change.
English and French
The Health Information Act is published in English and French, and so is this page. Francophone staff can read about HiBoop in French; ask us which scales have French versions before sending them to clients.
Mental health in Northwest Territories
Research data
Each figure below links to the source it comes from.
46.1%
of NWT adults described their mental health as excellent or very good in 2023/2024, compared with 62.0% in 2017/2018
18.1%
of NWT adults rated their mental health as fair or poor in 2023/2024 (8.6% in 2017/2018)
24.1%
of NWT adults reported a conversation with a health professional about their emotional or mental health in the past year (2023/2024), compared with 16.3% in 2015/2016
Research from Northwest Territories
PHQ-9 with adolescents
In a survey of 399 adolescents aged 13 to 18 in 17 NWT communities that measured depression with the PHQ-9, 47% scored minimal or no symptoms, 25% mild and 28% moderate to severe; food insecurity and, among those dating, dating violence were each linked to about double the odds of more severe scores.
Logie et al., Global Mental Health, 2021 PMID 34249369
Addictions recovery services
In surveys completed by 439 people about recovery services in the Northwest Territories, barriers and supports differed by ethnicity, gender and sex, and written answers pointed to cultural incongruity and the importance of social support in recovery.
Denning et al., International Journal of Circumpolar Health, 2025 PMID 40492355
Mapping mental health services
A scoping review mapped 68 mental health services in the NWT, drawn from 23 sources, against the First Nations Mental Wellness Continuum's essential services to show what exists and where the gaps are.
Elman et al., International Journal of Circumpolar Health, 2019 PMID 31219779
Land and youth wellbeing
At a 2016 on-the-land health leadership camp, 15 Yellowknives Dene First Nation youth, working with the Nation's Wellness Division, identified connection to the land as a central determinant of their community's health.
Lines et al., BMC Public Health, 2019 PMID 30744592
Where Measurement Fits in the NWT
HiBoop has no affiliation with these bodies or programs. They are the setting your clients, referral partners and regulators work in.
Community Counselling Program
Territorial programThe program supports individuals and families with mental wellness, addictions recovery and family violence, and is available to every NWT resident at no charge. Counsellors live in 20 communities; elsewhere they offer phone support and in-person counselling on a fly-in basis.
All residents20 communitiesFly-in counsellingThe 2022 Audit of Addictions Services
Auditor GeneralTabled on 31 May 2022, the audit found services such as counselling varied over time and by location, and recommended outcome indicators set with Indigenous governments and communities. As of September 2020, 6 of 7 health and social services regions had no wait for a first appointment with a counsellor.
Outcome indicatorsIndigenous partnersTabled 2022Mental Wellness and Addictions Recovery Fund
Community fundingThis territorial fund, which replaced the On The Land Healing Fund and two addictions recovery funds, puts $3,055,000 a year into culturally relevant, community-based programs led by Indigenous governments, community governing authorities and partnered organizations.
On-the-land programsIndigenous governmentsAnnual intakeFederal-Territorial Agreements
Funding, 2024The February 2024 Working Together agreement brings more than $24 million for a three-year action plan, including a Territorial Addictions Medicine Team and culturally appropriate mental wellness and suicide prevention programming, with three positions focused on Indigenous communities. The NWT reports on its targets publicly each year.
Working TogetherAddictions medicineAnnual reporting
Care Teams Across the NWT
HiBoop needs only a web browser, so a Yellowknife clinic and a counsellor who flies in to the communities send the same check-ins.
Yellowknife
Home to Stanton Territorial Hospital, which the Northwest Territories Health and Social Services Authority operates.
Tłı̨chǫ region
The Tłı̨chǫ Community Services Agency serves Behchokǫ̀, Gamètì, Whatì and Wekweètì.
Hay River
The Hay River Health and Social Services Authority provides services in the town, separately from the territorial authority.
Beaufort Delta, Sahtu, Dehcho and Fort Smith
These four regions and Yellowknife are served by the territorial health and social services authority.
Communities with a resident counsellor
Community Counselling Program counsellors live in 20 NWT communities.
Fly-in communities
Where no counsellor lives locally, the program offers phone support and in-person counselling on a fly-in basis.
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 Northwest Territories clinics choose HiBoop
Measurement an HIA Custodian Can Review
- Canadian customer records held in Google Cloud Canada regions, with encryption on the wire and on disk
- PIPEDA compliance with SOC 2 Type II certification
- Each view and export of client information is logged so you can audit it
- Monthly billing from a single published price list
- Clients use the browser on their own phone, with no download
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 Northwest Territories 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.
Depression, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Anxiety)
- SIDAS (Suicidal Ideation)
Addictions and Recovery Capital
- ASSIST-3 (Substance Involvement)
- CAGE-AID (Alcohol and Drug Screen)
- BARC-10 (Recovery Capital)
Trauma
- PC-PTSD-5 (PTSD Screen)
- PCL-5 (PTSD)
Adolescents
- PHQ-A (Adolescent Depression)
- CRAFFT 2.1 (Adolescent Substance Use)
The Health Information Act and Your Clients
The NWT Health Information Act applies to health information custodians: the Department of Health and Social Services, medical practitioners, pharmacists, the health authorities and others named in the regulations. People working for a custodian act as its agents and must follow the Act too. The duties are the custodian's; HiBoop's role is to help you meet them.
What the Act asks of a custodian
- Collect, use or disclose no more personal health information than is reasonably necessary for the purpose (s. 28)
- Keep administrative, technical and physical safeguards, including for information stored or used outside the NWT, and limit use to authorized people (s. 85)
- Give notice to the individual as soon as reasonably possible when information about them is used or disclosed other than as permitted, lost or stolen, or altered or destroyed without authorization (s. 87)
- Sign an information management agreement before using an information manager's services (s. 13)
- For a client under 19, rely on them to exercise their own rights when they understand the nature and consequences of doing so; otherwise a parent or guardian acts (s. 25)
What HiBoop provides
- Our BAA policy, which sets out HiBoop's standard terms as an information manager, plus security documentation you can attach to your agreement
- Data for Canadian customers kept in Google Cloud Canada regions and protected by encryption
- Access by role, with every view and export recorded to support any notice you must give
- You decide which scales to send, so you gather what the client's care needs and nothing extra
- Score history exported as CSV or PDF when a client asks for their information
Preparing an information management agreement?
The trust page lists where data is hosted, how it is encrypted, who can reach it and how to request our SOC 2 Type II report. Write to us to work through your agreement or a privacy impact assessment together.
Grants & funding for Northwest Territories mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- 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 - Tech eligible
Women and Gender Equality Canada (WAGE)
Women’s Program - Gender-Based Mental Health
Women and Gender Equality Canada’s Women’s Program funds projects addressing systemic barriers in women’s mental health, including technology-enabled access for underserved women. Digital mental health tools and outcome measurement platforms that improve access for women facing barriers are explicitly eligible uses.
$200K–$1MLearn more
Resources for Northwest Territories practitioners
Billing guides, compliance documentation, and clinical practice resources.
- BillingPaying for Mental Health Care in Canada
Territorial programs, federal benefits and private coverage explained
- CanadaHiBoop in Canada
Federal privacy law, Canadian hosting and every provincial and territorial page
- DepressionScoring the PHQ-9
Nine items, five severity bands and how to read change across sessions
- AnxietyScoring the GAD-7
Cut-off scores and following anxiety over a course of care
- LibraryThe Assessment Library
Each scale HiBoop covers, with its sources
NWT Privacy, Services and Funding Resources
Official bodies, clinical guidelines, and regulatory references. Northwest Territories.
- Health Information Act, office consolidation (amended to 2020)
Government of the Northwest Territories
Custodians and agents, information management agreements, safeguards, breach notice and the rights of young people. The Department of Justice notes an office consolidation is not the official statement of the law.
- Addictions Prevention and Recovery Services in the NWT (2022)
Auditor General of Canada
The audit and its recommendation to set outcome indicators with Indigenous governments and communities.
- Community Counselling Program
NWT Department of Health and Social Services
Counselling for every resident at no charge, in person, by phone or on a fly-in basis.
- Mental Wellness and Addictions Recovery Fund
NWT Department of Health and Social Services
Annual funding for community-based mental wellness and addictions recovery programs.
- Federal agreements with the NWT (2024)
Health Canada
Over $24 million for a three-year NWT action plan, an aging agreement and the renewed Territorial Health Investment Fund.
- Mental health in the territories, 2023/2024
Statistics Canada
The NWT figures on self-rated mental health and on consultations with a health professional.
- About the Authority
Northwest Territories Health and Social Services Authority
The territorial authority, its regions, and the separate Hay River and Tłı̨chǫ authorities.
- Community-based mental wellness and addictions recovery supports
NWT Department of Health and Social Services
The territory's community supports for mental wellness, addictions recovery and family violence.
- NIHB mental health counselling benefits
Indigenous Services Canada
Counselling coverage for registered First Nations and recognized Inuit, and which providers can bill it.
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
NWT 811
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 the Health Information Act for my program?
The Act places its duties on custodians and their agents. HiBoop's part is to support them: standard information manager terms, documented safeguards, role-based access and a record of who viewed or exported what.
Can a teenager give their own consent in the NWT?
Under section 25, a person aged 19 or older exercises their own rights under the Act. A younger client can do so when they understand the nature and the consequences of what they are deciding; if the custodian reasonably doubts that, a parent or person with lawful authority acts for them.
What does the Act require after a privacy breach?
Under section 87, the person whose information was misused, lost, stolen or altered must hear about it as soon as reasonably possible. HiBoop's view and export log helps you pin down which records were touched and when.
Can NIHB pay a counsellor for First Nations and Inuit clients?
Yes, when the service is not covered elsewhere. The Non-Insured Health Benefits program funds up to 22 hours of counselling a calendar year for registered First Nations and recognized Inuit, with extra hours possible case by case, delivered by a provider in good standing with a legislated regulator who can practise independently in the NWT.
Official sources for Northwest Territories
Billing and payment routes
- 1.NWT Health Care Plan · public program
- 2.Veterans Affairs Canada: mental health services · public program
- 3.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
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.