Measurement-Based Care for Nova Scotia Care Teams
For psychologists, social workers, counselling therapists and clinics from Yarmouth to Sydney. Send the PHQ-9, GAD-7 and other validated scales by email or QR code, have each one scored the moment the client submits it, and follow change across the whole course of care. Canadian customer data is hosted in Google Cloud Canada regions.
Nova Scotia Is Paying for Therapy, and Asking for Measurement
In 2021 Nova Scotia committed to universal mental health and addictions care. Amendments to the Health Services and Insurance Act in October 2023 gave the Minister of Addictions and Mental Health the power to set up insured service programs, billed with health service codes in the same way physicians bill the province. In February 2025 the government announced the first one: publicly funded care for mood and anxiety disorders, delivered by master's-level social workers, master's and PhD psychologists and registered counselling therapists in private practice, with an initial $10 million.
The Office of Addictions and Mental Health's call for clinicians for this Mood and Anxiety Insured Services Program puts measurement-based care at its centre. Contracted clinicians use it with every client to guide care and to shape the program's quality metrics, review each client's outcome scores before a session, and bring that data to peer consultation with a clinical coordinator. The provincial mental health and addictions intake teams confirm each client's eligibility and book the first appointment.
The program supplies its own measurement platform for its clients, and HiBoop does not replace it. What the program shows is where practice in the province is heading. For the rest of your caseload, HiBoop gives you the PHQ-9, GAD-7 and the other scales you choose, scored on submission and charted for each client, with exports for your own records.
An Insured Program for Mood and Anxiety
The province's first insured services program for mental health pays private psychologists, social workers and counselling therapists by the hour to treat mood and anxiety disorders.
One Line In
Nova Scotians can call the provincial intake line themselves. It helped more than 17,000 people in 2023-24, and eligibility for the insured program is assessed there.
Scores at Every Session
Clinicians in the program review outcome scores before sessions and discuss them with peers, so measurement becomes part of the routine of care.
What HiBoop Does for Nova Scotia Care Teams
PHIA's record of user activity, a province of four health zones and a public system that now expects outcome data all shape how measurement works here. HiBoop does the collecting and scoring; the clinical decisions stay with you.
A Record of Who Opened What
Section 63 of PHIA requires a custodian to keep a record of user activity for any electronic system holding personal health information, and to give it to a client who asks within 30 days. HiBoop logs every view and export of client data to support that record.
Only the People Who Need to Know
PHIA limits use to those of your agents who need the information for the purpose (s. 25). With role-based access in HiBoop, each person from the front desk to the clinical lead sees what their role requires.
The Scales Nova Scotia Studies Report
Nova Scotia Health's rapid access program has published intake scores on the PHQ-9 and GAD-7. Both are in HiBoop, scored as they come in and graphed per client, so each score informs your clinical judgement.
Between Sessions, Anywhere in the Province
A client in Cape Breton or on the South Shore answers on their own phone from an email link or QR code, so a check-in does not depend on a drive to the clinic.
Children, Youth and Their Parents
Teams seeing young people can send the PHQ-A and SCARED to the young person and the SCARED parent form to a caregiver, and read the answers side by side.
Also in French
The insured program lists competence in French as an asset for its clinicians. This page is available in French, so francophone colleagues can read about HiBoop in their own language.
Mental health in Nova Scotia
Research data
Each figure below links to the source it comes from.
28.8%
of Nova Scotians described their mental health as fair or poor in 2021, against 26.1% across Canada
13.9%
met the criteria for a mood or anxiety disorder in the previous 12 months (2022; Canadian rate 10.6%)
4.9%
of the 2024-25 provincial health budget, about $359.6 million, went to mental health and substance use care
Research from Nova Scotia
PHQ-9 and GAD-7 at intake
Among 1,392 people seen through Nova Scotia Health's Rapid Access and Stabilization Program or its Community Mental Health Program, those in the rapid access program had higher intake scores on the GAD-7 (mean 14.17 against 11.81) and the PHQ-9 (16.62 against 14.20).
Adu et al., Journal of Clinical Medicine, 2025 PMID 40217862
Rapid access to psychiatry
In its first year (2023-24), the rapid access program at the QEII Health Sciences Centre in Halifax gave psychiatric consultations to 960 people, and the 487 who answered a satisfaction survey rated it 9.31 out of 10 on average.
Adu et al., Frontiers in Psychiatry, 2025 PMID 41573040
PHQ-9 as a trial outcome
In a randomized trial with people in Nova Scotia community mental health programs or recently discharged from inpatient or emergency care (781 randomized, 307 analysed), daily supportive text messages were associated with differences on PHQ-9 questions 3 and 9 compared with a single message linking to e-mental health resources.
Obuobi-Donkor et al., Digital Health, 2025 PMID 40727620
Child and youth wait times
At the IWK in Halifax, the mean wait for a first child and adolescent mental health appointment was 225.3 days in 2011 and 93.0 days in 2013, after the Choice and Partnership Approach began, while first appointments per full-time clinician rose from 32.6 to 57.0 a year.
Clark et al., Journal of the Canadian Academy of Child and Adolescent Psychiatry, 2018 PMID 29375628
Where Measurement Fits in Nova Scotia
HiBoop is independent of these bodies and programs. They describe the system your clients and referrers move through.
Nova Scotia Health
Public systemNova Scotia Health runs four management zones: Central, Eastern, Northern and Western. In April 2023 it opened the Rapid Access and Stabilization Program at the QEII Health Sciences Centre in Halifax, so that people referred by their primary care provider can see a psychiatrist sooner.
Four zonesRapid accessProvincial intakeMood and Anxiety Insured Services Program
Insured programThe Office of Addictions and Mental Health contracts private clinicians at set hourly rates: $210 for psychologists, $175 for social workers and $160 for counselling therapists, including billable administrative time. Contracted clinicians offer at least 10 sessions a week and invoice through the program's billing platform with its service codes.
Publicly fundedPrivate cliniciansMeasurement-based careAccess Wellness
Single sessionSince February 2023, Nova Scotians aged 18 and over can book a single supportive counselling session at no cost, by phone, online, or in person in Sydney, Halifax, Kentville or New Glasgow. A contractor delivers the service and Nova Scotia Health administers it.
Adults 18+Phone or videoNo referralRegulated Professions
PracticePsychologists register with the Nova Scotia Board of Examiners in Psychology under the Psychologists Act, social workers with the Nova Scotia College of Social Workers under the Social Workers Act, and counselling therapists with the Nova Scotia College of Counselling Therapists under the Counselling Therapists Act.
PsychologistsSocial workersCounselling therapists
Care Teams in Every Nova Scotia Health Zone
HiBoop runs in any web browser, so a Halifax group practice and a counsellor on the Eastern Shore send the same check-ins.
Central Zone
The Halifax area, the Eastern Shore and West Hants; home to the QEII Health Sciences Centre, where the rapid access program began.
Eastern Zone
Cape Breton and the Guysborough and Antigonish areas; Access Wellness offers in-person sessions in Sydney.
Northern Zone
Colchester-East Hants, Cumberland and Pictou; Access Wellness offers in-person sessions in New Glasgow.
Western Zone
The Annapolis Valley, the South Shore and the South West; Access Wellness offers in-person sessions in Kentville.
IWK Health
In Halifax, IWK Health's child and adolescent mental health service published its wait times before and after adopting the Choice and Partnership Approach.
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 Nova Scotia clinics choose HiBoop
Measurement a PHIA Custodian Can Stand Behind
- Canadian customers' records kept in Canadian Google Cloud regions and encrypted throughout
- PIPEDA compliant and SOC 2 Type II certified
- An audit trail showing who opened or exported each client's records
- Month-to-month plans from a single published price list
- Nothing for clients to download: they answer in the browser
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 Nova Scotia 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)
Children and Youth
- PHQ-A (Adolescent Depression)
- SCARED (Child Anxiety)
- SCARED-P (Parent Report)
Trauma, Adversity and Substance Use
- PCL-5 (PTSD)
- ACE (Adverse Childhood Experiences)
- ASSIST-3 (Substance Involvement)
- CAGE-AID (Alcohol and Drug Screen)
PHIA and Your Clients' Health Information
Nova Scotia's Personal Health Information Act (PHIA) has been in force since June 2013 and applies to custodians. A service that handles information on your behalf is your agent under the Act, and you remain responsible for it. The duties below are yours; HiBoop's part is to make them easier to meet.
What PHIA asks of a custodian
- Limit collection, use and disclosure to the minimum amount of personal health information needed for the purpose (s. 25)
- Keep information practices that protect against theft, loss and unauthorized access, use, disclosure, copying or modification (s. 62)
- Maintain a record of user activity for each electronic system, and give it to a client on request within 30 days, without charge (s. 63)
- Tell clients at the first reasonable opportunity when their information is stolen, lost or wrongly accessed and harm or embarrassment could follow, and tell the Review Officer whenever you decide not to (ss. 69 and 70)
- Name a contact person for privacy questions, access requests and complaints (s. 67)
What HiBoop provides
- A log of each view and export of client data, ready to produce as a record of user activity
- Canadian Google Cloud regions for Canadian customers' data, encrypted in storage and in transit
- Role-based access, so each person on your team sees only what their work needs
- Our BAA policy: the standard terms under which we process health information for you
- CSV or PDF downloads of a client's scores, for when they ask to see their own record
Reviewing HiBoop for your privacy file?
The trust page covers hosting, encryption, access controls and our SOC 2 Type II report. Contact us and we will go through your questions about PHIA and our terms.
Grants & funding for Nova Scotia mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
Nova Scotia Health Authority (NSHA)
Nova Scotia Health - Mental Health & Addictions Digital Program
NSHA’s Mental Health and Addictions program funds technology adoption for providers in Nova Scotia, including outcome measurement, telemental health, and digital care coordination tools. Nova Scotia’s provincial mental health strategy includes explicit digital health priorities, with NSHA actively funding practice-level technology in partnership with the Department of Health and Wellness.
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 Nova Scotia practitioners
Billing guides, compliance documentation, and clinical practice resources.
- BillingMental Health Billing in Canada
Provincial plans, insured programs and private benefits, compared across the provinces
- CanadaHiBoop Across Canada
PIPEDA, Canadian hosting and links to every province we cover
- DepressionThe PHQ-9
Item scoring, severity bands and what a reliable change looks like
- AnxietyThe GAD-7
Seven items, four severity bands and how to follow them through treatment
- LibraryThe Assessment Library
Every scale we describe, with scoring notes and references
Nova Scotia Law, Programs and Services
Official bodies, clinical guidelines, and regulatory references. Nova Scotia.
- Personal Health Information Act
Nova Scotia Legislature
The consolidated act: agents, the minimum-amount rule, records of user activity and breach notification.
- Publicly funded, privately provided mental health care
Government of Nova Scotia, news release (2025)
The February 2025 announcement of the first insured services program for mood and anxiety disorders.
- Call for clinicians: mood and anxiety program
Office of Addictions and Mental Health, on the Government of Nova Scotia's More than Medicine recruitment site
Duties, measurement-based care expectations, qualifications and hourly rates for contracted clinicians.
- Health Services and Insurance Act amendments
Government of Nova Scotia, news release (2023)
The October 2023 changes that let the minister create insured mental health and addictions programs.
- Access Wellness counselling service
Government of Nova Scotia, news release (2023)
Single-session counselling for adults, by phone, online or in four communities.
- Personal Information International Disclosure Protection Act
Nova Scotia Office of the Legislative Counsel (unofficial electronic version)
The rule that public bodies and their service providers store and access personal information only in Canada, with listed exceptions.
- Management zones
Nova Scotia Health
The four zones and the communities each one serves.
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
811 Nova Scotia
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 fall on you as the custodian, and a service handling information for you acts as your agent, so the useful question is whether HiBoop helps you meet those duties. It does, with published standard terms, documented safeguards, role-based access and a log of every view and export that you can use as your record of user activity.
Can I use HiBoop for clients in the Mood and Anxiety Insured Services Program?
The program supplies its own measurement platform and asks clinicians to keep distinct records for program clients, so use what it provides for them. Many contracted clinicians also see private clients, and that is where HiBoop fits.
What does PHIA require after a privacy breach?
If information is stolen, lost or accessed without authority and there is potential for harm or embarrassment, you notify the client at the first reasonable opportunity (s. 69). If you decide notice is not needed, you tell the Review Officer (s. 70). HiBoop's access log shows whose records were opened or exported, and by whom.
Can a teenager consent to how their information is handled?
Under section 18 of PHIA, any capable individual, regardless of age, may consent to the collection, use and disclosure of their personal health information. Capacity means understanding the relevant information and appreciating the foreseeable consequences of the decision. Consent to treatment is a separate clinical question for you and your regulator.
Official sources for Nova Scotia
Health authorities
Billing and payment routes
- 1.MSI Physician's Manual · fee schedule
- 2.Indigenous Services Canada: NIHB mental health counselling · public program
- 3.Veterans Affairs Canada: mental health services · public program
- 4.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 Nova Scotia · physicians
- 2.Nova Scotia Regulator of Psychologists · psychologists
- 3.Nova Scotia College of Counselling Therapists · counsellors
- 4.Nova Scotia College of Social Workers · social workers
- 5.Federation of Medical Regulatory Authorities of Canada (FMRAC) · physicians
- 6.Association of Canadian Psychology Regulatory Organizations (ACPRO) · psychologists
- 7.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.