SOC 2 Type II certified

Routine Outcome Monitoring for Dutch Mental Health Care

The OECD's 2021 mental health benchmark names the Netherlands as one of three countries that collect and routinely report both patient-reported outcomes and experiences. HiBoop brings routine outcome monitoring to a single practice or a whole team: 100+ validated scales sent by email or QR, scored on submission, and charted session by session.

Schedule a WalkthroughBrowse assessments
SOC 2 Type II certified
GDPR compliant
Google Cloud hosting, region on request
Published prices in euros
Export your data anytime
100+
validated assessments
ROM
between every session
PROMs
reported routinely in NL (OECD 2021)
€23
a month to start (EUR)

ROM in the Netherlands: from research clinic to consulting room

  • By 2010, Leiden University Medical Centre was running web-based ROM in its psychiatry department: patients completed rating scales and self-report measures at intake and again at fixed intervals, so therapists and patients could see symptoms rise and fall over the course of treatment.

    ROM also works as information for the conversation itself. A Dutch cluster randomized trial in specialist teams tested ROM as the basis for shared decisions about treatment, and at the level of organizations Akwa GGZ, the quality institute for ggz, runs the GGZ Dataportaal, which turns practice data into mirror information for services.

  • Measure at fixed intervals

    The Dutch ROM model repeats the same scales at set points, so a score is read against the last one, not on its own.

  • Use the scores together

    In a Dutch trial, teams that used ROM well in shared decisions had clients who reported less decisional conflict.

  • Scores stay with the practice

    In HiBoop, results belong to your practice. They export as PDF or CSV when you need them and are not sent to any national dataset.

ROM without the research department

  • What Leiden built with assistants and dedicated software, a small practice can now run from a browser.

  • Scales sent before the session

    Schedule the PHQ-9, GAD-7 or any of the app's scales by email or QR. Clients answer at home; the score is ready when you open the file.

  • One timeline per client

    Every score lands on the same chart, so change between intake, mid-treatment and discharge is visible without a spreadsheet.

  • Built for shared decisions

    Show the chart in session and decide together whether to continue, adjust or step up. Your clinical judgement stays in charge; the scores keep it informed.

  • Across basic and specialist ggz

    The same scales work in a generalist basic practice and in a specialist team, so a client's history travels with the export when they are referred.

  • Published prices in euros

    Care is €23 EUR/month for one clinician, month to month. Team starts at €180 EUR/month with unlimited clinicians. Network is custom. Published prices in euros.

  • Your data, exportable

    Download scores as PDF reports or CSV for your own records, audits or research, whenever you need them.

Mental health in Netherlands

Research data

Research from Netherlands

  • Routine outcome monitoring

    At Leiden University Medical Centre's psychiatry department, web-based ROM with baseline and repeated assessments at fixed intervals proved feasible, and after initial reservations most therapists came to see it as a necessary adjunct to treatment.

    de Beurs et al., Clinical Psychology & Psychotherapy, 2011 PMID 20238371

  • Routine outcome monitoring (shared decision-making)

    In a cluster randomized trial in 14 Dutch specialist mental health teams (186 patients at baseline), shared decision-making using ROM did not lower decisional conflict overall, but patients with mood disorders, and patients whose teams applied it well, reported less decisional conflict.

    Metz et al., Social Psychiatry and Psychiatric Epidemiology, 2019 PMID 30151651

  • Measurement-based care

    In a large Amsterdam mental health service where measurement-based care is routine, pre- and post-treatment outcomes for 1,392 basic and 1,040 specialized care patients did not differ between in-person treatment before COVID-19 and treatment delivered by video during lockdown.

    de Beurs et al., Clinical Psychology & Psychotherapy, 2022 PMID 35068003

  • PHQ-9

    Among 23,182 Amsterdam residents of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish and Moroccan origin in the HELIUS study, the PHQ-9 showed strict measurement invariance across ethnic groups, with no ethnicity-related differential item functioning.

    Galenkamp et al., BMC Psychiatry, 2017 PMID 29065874

  • PHQ-9

    In 197 patients at Dutch specialized diabetes outpatient clinics, a PHQ-9 cut-off of 12 gave 75.7% sensitivity and 80.0% specificity for major depressive disorder against a structured interview.

    van Steenbergen-Weijenburg et al., BMC Health Services Research, 2010 PMID 20704720

How Dutch ggz is organized and paid

  • The pieces of the system a ROM workflow has to fit around, from the GP practice to specialist care.

  • Zorgverzekeringswet: the basic package

    Funding

    Curative mental health care (geneeskundige ggz) is covered by the mandatory basic health insurance under the Zorgverzekeringswet. The GP is the usual entry point, many GP practices employ a mental health worker (POH-GGZ), and a referral is needed for basic or specialist ggz.

    ZvwHuisartsPOH-GGZ

  • Generalistische basis-ggz and gespecialiseerde ggz

    Care levels

    The generalist basic tier treats mild to moderate, non-complex problems and stable chronic ones; specialist ggz diagnoses and treats complex psychiatric disorders. A practice that measures at both levels can show a client's course across a referral instead of starting from a blank page.

    Basis-ggzSpecialistische ggzMatched care

  • Zorgprestatiemodel (2022)

    Since 2022

    From 2022 the zorgprestatiemodel replaced the DBC system and the other funding products in basic ggz, specialist ggz and forensic care with one model, plus a new way of typing the client's care need. It changes how care is billed; it does not itself prescribe outcome measures.

    NZaZorgvraagtyperingFunding reform

  • Waiting lists for severe conditions

    Pressure

    The Netherlands Court of Audit reported in 2020 that long waits fall hardest on people with severe conditions, compared with those whose problems are mild to moderate; the figure is in the statistics below. Measuring between sessions helps a team see who is stalling while others wait.

    Algemene RekenkamerAccess2020

Care teams across the Netherlands

  • HiBoop runs in the browser, so it works the same in a Randstad group practice and a rural basic-ggz practice.

  • Randstad

    Amsterdam, Rotterdam, The Hague and Utrecht | Amsterdam was home to the HELIUS PHQ-9 study and the Arkin measurement-based care research

  • North

    Groningen, Friesland and Drenthe | university psychiatry in Groningen and practices serving rural areas

  • East

    Gelderland and Overijssel | Nijmegen, Arnhem, Enschede and Zwolle

  • South

    North Brabant and Limburg | Eindhoven, Tilburg, 's-Hertogenbosch and Maastricht

  • Online and blended care

    Practices that treat by video across provinces, using between-session measures to keep contact

Data sovereignty

  • Regions hereOther regionsLow CO₂ (Google)

  • Local hosting on request

    HiBoop runs on Google Cloud and is hosted in the US or Canada by default. On request, we can deploy in Google's regions here. Google Cloud locations

  • Google Cloud regions

    • Eemshaven, Netherlands Low CO₂ · 82% carbon-freeeurope-west4

    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

Why Netherlands clinics choose HiBoop

  • Why Dutch practices choose HiBoop

    • ROM between sessions, without hiring a measurement assistant
    • Scores on one chart, ready for a shared decision with the client
    • SOC 2 Type II certified, with the security report available for your review
    • Care is €23 EUR/month, month to month, with no credit card to start
    • A boop is a short check-in between sessions: the client answers at home, you see the trend first

  • EUR pricing & support

    Transparent pricing in EUR with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    €23
    EUR/month
    Team
    Starting price, unlimited clinicians
    €180
    EUR/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Netherlands 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 and anxiety

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • DASS-21 (Depression, Anxiety, Stress)
    • PSWQ (Worry)

  • Trauma

    • PCL-5 (PTSD)
    • ITQ (Complex PTSD)
    • PC-PTSD-5 (PTSD Screen)
    • C-SSRS Screener (Suicide Risk)

  • Youth

    • PHQ-A (Adolescent Depression)
    • SCARED (Anxiety)
    • CRAFFT-2.1 (Substance Use)
    • SNAP-IV (ADHD)

  • Substance use and wider functioning

    • ASSIST-3 (Substance Involvement)
    • BARC-10 (Recovery Capital)
    • OCI-R (OCD)
    • SWLS (Life Satisfaction)
Browse all assessments

GDPR and NEN 7510: what they ask of your practice

  • As the care provider you are the controller of your clients' health data. These are the questions to put to any outcome-monitoring tool; HiBoop's answers are on the right.

  • What the rules ask of the care provider

    • GDPR Article 9: health data is special category data, processed only on a lawful basis such as the provision of care
    • A processing agreement with every processor that handles client data
    • Transfers outside the EEA need a transfer mechanism; ask every vendor where data is hosted
    • The Besluit elektronische gegevensverwerking door zorgaanbieders asks providers to secure their information systems in line with NEN 7510 and NEN 7512
    • Clients can ask to see, correct or receive their data; the Autoriteit Persoonsgegevens supervises

  • What HiBoop provides

    • SOC 2 Type II certified, with encryption in transit and at rest
    • GDPR compliant; your practice remains the controller and HiBoop acts as its processor
    • Hosted on Google Cloud in the US or Canada, with other regions on request
    • Access by role, so each clinician sees their own clients
    • PDF and CSV exports, so your records stay in your own file
    • HiBoop makes no NEN 7510 claim; ask us for our security documentation for your own assessment

Resources for Netherlands practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and how to read change between two administrations

  • AnxietyGAD-7 Clinical Guide

    The seven-item anxiety measure, its cut-offs and its use over time

  • TraumaPCL-5 Clinical Guide

    The DSM-5 PTSD checklist used to track trauma-focused treatment

  • PracticeMeasurement-Based Care Guide

    How to make outcome measurement part of every session, not a quarterly chore

Dutch mental health policy and data resources

Crisis and urgent help lines

  • If someone is in immediate danger, call 112. HiBoop is not a crisis service.

  • Emergency

    For a life-threatening emergency, call emergency services first.

    Call 112

  • 113 Zelfmoordpreventie

    Call 113
More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Is HiBoop a ROM tool for Dutch ggz?

    Yes, for practices and teams that want to run routine outcome monitoring themselves. You schedule validated scales, clients complete them by email or QR, each score is calculated on submission, and every result sits on one timeline per client. HiBoop does not submit data to a national benchmark or to Akwa GGZ.

  • Does HiBoop offer the SQ-48 or the BSI used in Dutch ROM?

    Not today. Dutch ROM research has used instruments such as the SQ-48 and the Brief Symptom Inventory, and those are not in the HiBoop app. HiBoop offers 100+ validated scales, including the PHQ-9, GAD-7, DASS-21 and PCL-5. If your service's ROM set depends on a specific instrument, keep your current route for that one.

  • Where is client data hosted, and what about GDPR?

    Client data sits on Google Cloud infrastructure, in US or Canadian regions by default; ask if your practice needs another region. HiBoop is SOC 2 Type II certified, and HiBoop is GDPR compliant. Under the GDPR your practice is the controller of client health data and HiBoop is its processor, so check the hosting region, the processing agreement and the transfer basis against your own obligations before you start. We can share our security documentation to help.

  • Is HiBoop NEN 7510 certified?

    No. HiBoop makes no NEN 7510 claim. NEN 7510 is the Dutch standard for information security in health care, and Dutch rules on electronic data processing ask care providers to secure their systems in line with it. HiBoop is SOC 2 Type II certified, and we can share our controls for your own assessment.

Official sources for Netherlands

  • Health authorities

    1. 1.Zorginstituut Nederland · benefits package assessment

    Billing and payment routes

    1. 1.NZa: ggz (zorgprestatiemodel, tarieven) · fee schedule

    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. 1.BIG-register · regulated health professions
    2. 2.Inspectie Gezondheidszorg en Jeugd (IGJ) · care providers (inspection)

    Data and statistics

    1. 1.CBS Statistics Netherlands
    2. 2.Trimbos-instituut

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.