SOC 2 Type II certified

Measurement-Based Care for Finnish Mental Health Teams

In Helsinki and Uusimaa, a public quality register collected validated questionnaires from more than 7,000 psychotherapy patients between 2018 and 2021. HiBoop gives a psychotherapist, a wellbeing services county team or an occupational health service 100+ validated scales, scored on submission and charted over the course of treatment.

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SOC 2 Type II certified
GDPR compliant
EU hosting region on request
Priced in euros
Reports to share
100+
validated assessments
85 to 98%
questionnaire response rate, HUS psychotherapy register
21 + Helsinki
wellbeing services counties since 2023
€23
a month to start (EUR)

Outcomes measured in routine care

  • In Helsinki and Uusimaa, the Finnish Psychotherapy Quality Register collected baseline data for 7,274 patients of outsourced psychotherapists between 2018 and 2021. Its use was mandatory for those therapists, and patients answered validated measures of symptoms and functioning, including the PHQ-9, OASIS, CORE-OM and AUDIT, with response rates of 85 to 98%.

    HUS also runs nationwide, therapist-supported internet CBT on a physician's referral, and studies of that routine care tracked anxiety with the GAD-7 and depression with the PHQ-9. HiBoop brings that kind of repeat measurement to a single practice or a county team without building a register of its own.

  • Questionnaires at intake

    A baseline PHQ-9 or GAD-7 arrives before the first appointment, completed on the client's own phone.

  • Repeated through therapy

    The same scale goes out again at the interval you choose, so midterm and final scores can be set against the baseline.

  • Ready for review

    When therapy is reviewed or continued, the chart shows how symptoms have moved since intake.

Built for therapy that is followed up

  • What a psychotherapist or a county team needs to show how treatment is going.

  • Scales by email or QR

    Send the PHQ-9, GAD-7, PSWQ or another scale before an appointment; the client answers on any phone browser.

  • Scores the moment they arrive

    Totals and severity bands are worked out on submission, so there is nothing to add up by hand.

  • Baseline, midterm, final

    Every score joins the client's chart, which makes a midterm or end-of-therapy comparison quick to read.

  • Solo practice or county team

    Begin as one psychotherapist and add colleagues later, each with access only to their own clients.

  • 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.

  • Reports you can file

    Export a client's scores as a PDF report or the whole caseload as CSV.

Mental health in Finland

Research data

Research from Finland

  • Routine outcome monitoring

    The Finnish Psychotherapy Quality Register held baseline data for 7,274 patients and 336 psychotherapists in Helsinki and Uusimaa between 2018 and 2021, with questionnaire response rates of 85 to 98%; its use was mandatory for the hospital district's outsourced therapists.

    Saarni et al., Nordic Journal of Psychiatry, 2023 PMID 36541920

  • GAD-7 in routine care

    In 1,099 physician-referred patients treated with HUS internet-delivered CBT for generalized anxiety disorder in nationwide routine care, the GAD-7 effect size was large (Cohen d = 0.97), and 47.1% of the 894 patients starting at 10 or above reached reliable recovery.

    Ritola et al., Journal of Medical Internet Research, 2022 PMID 35323119

  • PHQ-9 in routine care

    In a register cohort of 5,834 HUS patients with depression, PHQ-9 scores fell 0.745 points more with therapist-guided internet CBT than with face-to-face CBT.

    Rosenström et al., Lancet Psychiatry, 2025 PMID 39954684

  • GAD-7

    Among 150 high utilizers of care at four municipal health centres in Northern Finland, the Finnish GAD-7 had 100% sensitivity and 82.6% specificity for generalized anxiety disorder at a cut-off of 7 or more.

    Kujanpää et al., Scandinavian Journal of Primary Health Care, 2014 PMID 24920316

  • GAD-7 in adolescents

    In survey data from 111,171 Finnish adolescents aged 14 to 18, the GAD-7 showed good internal consistency (Cronbach's alpha 0.91) and a one-factor structure.

    Tiirikainen et al., Psychiatry Research, 2019 PMID 30579178

How Finnish mental health care is organized

  • Four parts of the system where clients are referred, treated and followed up.

  • Wellbeing services counties (hyvinvointialueet)

    Public care

    Since January 2023, primary and specialist health care and social services have been organized by 21 wellbeing services counties and the City of Helsinki. The counties are financed from the state budget and governed by elected councils, which moved the main source of health funding from municipalities to the national budget.

    2023 reform21 countiesCity of Helsinki

  • Kela rehabilitative psychotherapy

    Kela

    Kela reimburses psychotherapy for people aged 16 to 67 whose ability to work or study is at risk from a mental disorder treated for at least three months. It is granted a year at a time for up to three years, with at most 80 sessions a year and 200 in total; to continue, the client also needs therapy feedback (terapiapalaute) from the therapist.

    Ages 16 to 67Up to 3 yearsTherapy feedback

  • Mielenterveystalo internet therapies

    Nationwide

    Mielenterveystalo's internet therapies are produced by public health care at no charge to the client. Any doctor in Finland can refer, and the client works through the program weekly for about two to four months with support from a trained internet therapist.

    Doctor's referral2 to 4 monthsWeekly

  • National Mental Health Strategy 2020 to 2030

    Strategy

    The ten-year National Mental Health Strategy and Programme for Suicide Prevention was launched in 2020. Its five goals include broad-based mental health services and proper management with regular monitoring of progress, and it aims to put more resources into mental health in primary care.

    2020 to 2030Primary careMonitoring

Care teams across Finland

  • From Helsinki to Lapland, a client answers the same scale on the same phone browser.

  • Helsinki and Uusimaa

    Helsinki, Espoo and Vantaa | HUS Helsinki University Hospital | home of the Finnish Psychotherapy Quality Register and the nationwide internet therapies

  • Pirkanmaa

    Tampere and the surrounding municipalities | Wellbeing Services County of Pirkanmaa | Tampere University researchers worked on the register-based iCBT study

  • Southwest Finland

    Turku and the archipelago | a wellbeing services county where island clients can answer between appointments

  • Northern Finland

    Oulu and the north | University of Oulu researchers validated the Finnish GAD-7 in four municipal health centres

  • Eastern Finland and Lapland

    Kuopio, Joensuu and Rovaniemi | long distances, where internet therapies and between-session scales 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

    • Hamina, Finland Low CO₂ · 98% carbon-freeeurope-north1

    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 Finland clinics choose HiBoop

  • Why Finnish teams choose HiBoop

    • Intake, midterm and final scores on one chart, ready when therapy is reviewed
    • The PHQ-9 and GAD-7, both studied in Finnish care, alongside the rest of the HiBoop library
    • Works for a private psychotherapist, an occupational health service or a county team
    • Care is €23 EUR/month, month to month, with no credit card to start
    • Boops, our between-session check-ins, show how the week went before the next appointment

  • 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 Finland 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 and OCD

    • PCL-5 (PTSD)
    • PC-PTSD-5 (PTSD Screen)
    • ITQ (Complex PTSD)
    • OCI-R (Obsessive-Compulsive)

  • Substance use and risk

    • ASSIST-3 (Substance Involvement)
    • TAPS (Tobacco, Alcohol, Drugs)
    • C-SSRS Screener (Suicide Risk)
    • BARC-10 (Recovery Capital)

  • Young people

    • PHQ-A (Adolescent Depression)
    • SCARED (Anxiety)
    • SCOFF (Eating Disorders)
    • DERS-36 (Emotion Regulation)
Browse all assessments

GDPR, Kanta and secondary use: what applies to your service

  • Finland applies the GDPR, and national laws add Kanta, the shared patient data repository, and rules on the secondary use of health and social data. Your service is the one responsible for its clients' records; these are the points to raise with any vendor.

  • What the rules expect of your service

    • Health data is a special category under Article 9 of the GDPR; record the legal ground you rely on
    • A provider using an electronic patient information system must enable it in the Kanta Patient Data Repository
    • Sign a data processing agreement with each vendor that handles client data
    • Document the transfer mechanism if any vendor stores data outside the EU
    • Under Act 552/2019, Findata grants permits for the secondary use of social and health data

  • Where HiBoop helps

    • SOC 2 Type II certified, with encryption in transit and at rest
    • GDPR compliant; your service remains the controller and HiBoop acts as its processor
    • Hosted on Google Cloud in the US or Canada by default; Google's Hamina region in Finland on request
    • Each clinician sees only the clients assigned to them
    • Results export as PDF or CSV, ready to add to your own patient record
    • HiBoop is not a Kanta-connected record system and makes no Kanta claim

Resources for Finland practitioners

Where to read Finland's services, rules and figures

  • Official bodies, clinical guidelines, and regulatory references. Finland.

  • Rehabilitative psychotherapy

    Kela

    Who qualifies for Kela-reimbursed psychotherapy, how long it lasts and what continuing it requires.

  • Internet therapies

    Mielenterveystalo

    Public internet therapies, at no charge to the client, on referral from any doctor in Finland.

  • Patient Data Repository

    Kanta Services

    The national repository for patient records, and which providers must join it.

  • About Findata

    Findata

    The permit authority for secondary use of social and health data under Act 552/2019.

  • Finland: Country Health Profile 2023

    European Commission and OECD

    The 2023 reform, the national mental health strategy and mental health figures for Finland.

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

  • MIELI Kriisipuhelin

    Call 09 2525 0111
More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Can HiBoop help with Kela therapy feedback?

    It can give you the scores to draw on. When a client applies to continue Kela rehabilitative psychotherapy, Kela asks for therapy feedback (terapiapalaute) from the therapist. Kela's page names no questionnaire for it, but a chart of PHQ-9 or GAD-7 scores since intake is a clear record of how symptoms have changed. What you write in the feedback stays your clinical judgement.

  • Does HiBoop connect to Kanta?

    No. HiBoop is not a patient record system and does not send data to the Kanta Patient Data Repository. Clinicians export results as PDF or CSV and add them to their own record, which is where Kanta's rules apply.

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

    By default HiBoop runs on Google Cloud in the US or Canada; Google has a region in Hamina, Finland, and hosting there can be arranged on request. HiBoop is SOC 2 Type II certified, and HiBoop is GDPR compliant, acting as your processor. Your service is responsible for its clients' data under the GDPR as the controller, so check the hosting region, the data processing agreement and the transfer basis as part of your own assessment, and ask us for our security documentation.

  • Which scales have been studied in Finland?

    Finnish studies support the GAD-7 in primary care and in adolescents, and HUS studies of routine internet therapy used the GAD-7 and PHQ-9 to track change. HiBoop offers both. The research section on this page lists each study.