SOC 2 Type II certified

Follow-Up with Rating Scales for Swedish Care Teams

Sweden's national care pathway for adult depression asks services to measure change over time with a self-rating scale such as the PHQ-9. HiBoop gives a regional clinic, a private provider or a psychologist in practice 100+ validated scales, scored on submission and charted visit by visit.

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SOC 2 Type II certified
GDPR compliant
Stockholm region on request
Prices on the website
CSV export
100+
validated assessments
2 weeks
suggested first follow-up, adult depression pathway
9.0%
of government health spending on mental health (OECD 2021)
$25
a month to start (USD)

Measurement written into the care pathway

  • The person-centred care pathway for depression in adults, approved by the national program area for mental health (NPO psykisk hälsa) in September 2023, tells services to use the MADRS-S or PHQ-9 to judge severity and to measure change over time and treatment outcome. It suggests a first follow-up about two weeks after treatment starts, continuous evaluation with the patient after that, and tracks the share of patients whose MADRS-S has improved after three months.

    Sweden already collects patient-reported measures. In the OECD's 2021 benchmark it was, as of 2018, one of five of the 12 countries surveyed that reported regular collection of patient-reported outcomes and experiences in mental health settings, and its national quality registers follow ECT and internet treatment with patient-reported scales. HiBoop puts that routine in reach of any clinic or private practice.

  • Early first check

    Schedule a PHQ-9 for two weeks after treatment starts, as the pathway suggests, and every few weeks after.

  • Answered by the patient

    Self-rating scales go out by email or QR, so clients fill them in at home before the visit.

  • Change you can show

    Scores build a line per client, ready for the evaluation the pathway asks you to do together.

Follow-up without the paperwork

  • Rating scales sent, scored and charted, so a clinic can follow every patient the pathway's way.

  • Self-rating at home

    Send the PHQ-9, GAD-7, PCL-5 or another scale by email or QR, timed to the follow-ups you plan.

  • Scored when submitted

    Each total and severity band is ready as soon as the client presses send.

  • One line per client

    Start, two-week, three-month and six-month scores sit on the same chart for the follow-up conversation.

  • Clinic or private practice

    A psychologist on their own, or a whole clinic with shared scales and access set by role.

  • Published prices

    Care is $25 USD/month for one clinician, month to month. Team starts at $200 USD/month with unlimited clinicians. Network is custom. Published prices in US dollars.

  • Export for the record

    Download a PDF for the patient record or a CSV when you review a caseload.

Mental health in Sweden

Research data

Research from Sweden

  • Routine care, MADRS-S

    In all 1,203 patients who received guided internet CBT for depression at an outpatient psychiatric clinic providing internet-based treatment between 2007 and 2013, MADRS-S scores improved from before to after treatment with an effect size of d = 1.27, and the gains held at six months.

    Hedman et al., Journal of Affective Disorders, 2014 PMID 24238951

  • MADRS-S

    Among 1,286 patients with major depressive disorder at Sweden's largest outpatient internet psychiatry unit, the MADRS-S showed acceptable reliability but weak scalability, and a seven-item version performed better.

    Johansson et al., Journal of Affective Disorders, 2025 PMID 40482678

  • PHQ-9

    In 737 Swedish primary care patients and psychiatric outpatients reporting depressive symptoms, the PHQ-9 and the HADS both had high internal consistency (alpha 0.9), though agreement between them at recommended cut-offs was low to moderate.

    Hansson et al., British Journal of General Practice, 2009 PMID 19761655

  • PCL-5

    In 248 trauma-exposed adults assessed with the CAPS-5, the Swedish PCL-5 was a reliable and valid PTSD screening tool, with threshold scores of 31 to 33 giving the best balance of sensitivity and specificity in this preliminary estimate.

    Bondjers et al., European Journal of Psychotraumatology, 2026 PMID 42635035

  • Quality register, MADRS-S

    Using the Swedish National Quality Register for ECT (2011 to 2018), 75.6% of the 1,178 patients with suicidal ideation on the MADRS-S before ECT no longer showed it at the end of treatment.

    Sienaert et al., Acta Psychiatrica Scandinavica, 2022 PMID 35279825

Where follow-up is built into Swedish care

  • National knowledge support, the regions' digital services and the quality registers all point the same way.

  • Care pathway: depression in adults

    NPO psykisk hälsa

    Approved on 15 September 2023 by the national program area for mental health (NPO psykisk hälsa). Services use the MADRS-S or PHQ-9 to judge severity and measure treatment outcome, plan a first follow-up about two weeks into treatment, and repeat the rating at relapse prevention and at six months.

    MADRS-S or PHQ-92-week follow-upVårdförlopp

  • National care program for depression and anxiety

    Knowledge support

    The regions run a shared national system for knowledge management in health care. Its 2025 revision of the care program for depression and anxiety brought an increased focus on individual follow-up and measurement-based care.

    Vårdprogram2025 revisionRegions together

  • 1177 and online treatment

    1177

    1177 is a service from Inera, owned by SKR Företag and all of Sweden's regions and municipalities. Patients can get CBT online by logging in to 1177, and are sometimes asked to fill in forms about how they feel so the therapist can follow how it is going.

    IneraInternet CBTForms

  • National quality registers

    Registers

    Mental health registers include Q-bup for child and adolescent psychiatry, the bipolar and psychosis register, Bättre Beroendevård and SibeR for internet treatment. Every hospital that gives ECT records it in the ECT register, which uses the MADRS, MADRS-S and EQ-5D.

    SibeRKvalitetsregister ECTQ-bup

Care teams across Sweden

  • Whether a patient lives in Kiruna or Malmö, the scale arrives on the same phone browser.

  • Stockholm

    Region Stockholm | home of Sweden's largest outpatient internet psychiatry unit, where the routine-care iCBT and MADRS-S studies were run

  • Uppsala

    Region Uppsala | the National Centre for Disaster Psychiatry, which validated the Swedish PCL-5

  • Västerbotten and Norrbotten

    Umeå, Luleå and Kiruna | Umeå University compared the PHQ-9 with the HADS in primary care and psychiatric outpatients

  • Örebro and Östergötland

    Örebro and Linköping | university researchers behind ECT register and internet treatment studies

  • Gotland

    Visby | the one county where the municipality, not a region, carries the region's health care tasks

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

    • Stockholm, Sweden Low CO₂ · 100% carbon-freeeurope-north2

    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 Sweden clinics choose HiBoop

  • Why Swedish teams choose HiBoop

    • The PHQ-9 on the schedule the depression pathway suggests, from the first two-week check
    • Clients rate themselves at home, and the result is charted before the visit
    • Access by role for clinics, private providers and solo psychologists
    • Care is $25 USD/month, month to month, with no credit card to start
    • Boops, our between-session check-ins, bring the client's latest answers onto the chart before you meet

  • USD pricing & support

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

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Sweden 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

    • PHQ-9 (Depression)
    • PHQ-8 (Depression, 8-item)
    • PHQ-A (Adolescent Depression)
    • DASS-21 (Depression, Anxiety, Stress)

  • Anxiety and trauma

    • GAD-7 (Anxiety)
    • PSWQ (Worry)
    • PCL-5 (PTSD)
    • ITQ (Complex PTSD)

  • Substance use

    • ASSIST-3 (Substance Involvement)
    • CAGE-AID (Alcohol and Drugs)
    • TAPS (Tobacco, Alcohol, Drugs)
    • BARC-10 (Recovery Capital)

  • Risk and wellbeing

    • C-SSRS Screener (Suicide Risk)
    • SWLS (Life Satisfaction)
    • DERS-36 (Emotion Regulation)
    • SCARED (Child Anxiety)
Browse all assessments

GDPR and Patientdatalagen: what they ask of a care provider

  • Patientdatalagen (2008:355) applies to a care provider's processing of personal data in health care and complements the GDPR. IMY supervises. As the care provider (vårdgivare), you carry these duties; here is what to check with a vendor.

  • What the rules expect of your service

    • Keep a patient record for every patient, and keep record entries at least ten years after the last one
    • Set the conditions for staff access, limited to what each person needs for their work
    • Check systematically and regularly whether anyone has accessed patient data without authorization
    • Treat health data as a special category under Article 9 of the GDPR and sign a personuppgiftsbiträdesavtal with each processor
    • Document the transfer mechanism if a vendor stores data outside the EU

  • Where HiBoop helps

    • SOC 2 Type II certified; data is encrypted 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 Stockholm region on request
    • Access by role, so each clinician sees only their own clients
    • Scores export as PDF or CSV for your patient record
    • HiBoop makes no Patientdatalagen claim; ask for our security documentation for your own risk analysis

Resources for Sweden practitioners

Where to read Sweden's pathways, rules and figures

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

  • Vårdförlopp: depression hos vuxna

    Nationellt programområde psykisk hälsa

    The national care pathway for adult depression, with MADRS-S or PHQ-9 follow-up.

  • Depression and anxiety

    Nationellt system för kunskapsstyrning

    The program area's work on depression and anxiety, including the 2025 care program revision.

  • KBT på nätet

    1177

    How patients get online CBT through 1177, and why they are sometimes asked to fill in forms.

  • Quality registers in mental health

    Kunskapsstöd för vårdgivare

    The national quality registers for psychiatry, addiction care, ECT and internet treatment.

  • Patientdatalag (2008:355)

    Sveriges riksdag

    The law on patient records, access and logging for care providers.

  • Patientdatalagen and the GDPR

    IMY

    The Swedish Authority for Privacy Protection on how Patientdatalagen complements the GDPR.

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

  • 1177 Vårdguiden

    Call 1177
More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does HiBoop fit the care pathway for depression in adults?

    It handles the PHQ-9 side of it. The pathway names the MADRS-S or PHQ-9 for judging severity and measuring change, with a first follow-up about two weeks after treatment starts. HiBoop sends, scores and charts the PHQ-9 on the schedule you set. It does not offer the MADRS-S, so a service that has standardized on that scale should keep using it.

  • Can HiBoop replace 1177 Stöd och behandling?

    No, and it is not built to. 1177 is the regions' shared platform for online treatment and patient contact. HiBoop is a measurement tool: it sends validated scales between visits and charts the results, for a clinic or private provider that wants its own routine for follow-up.

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

    HiBoop is hosted on Google Cloud in the US or Canada by default; Google has a region in Stockholm, and hosting there can be arranged on request. HiBoop is SOC 2 Type II certified, and HiBoop is GDPR compliant, acting as your processor. As the care provider and controller, your service holds the duties under the GDPR and Patientdatalagen, so include the hosting region, the processor agreement and the transfer basis in your own risk analysis. We can share our security documentation.

  • Which scales have Swedish studies looked at?

    Swedish studies cover the PHQ-9 in primary care and psychiatric outpatients and the Swedish PCL-5 in trauma-exposed adults; HiBoop offers both, along with the GAD-7. The research section on this page lists each study, including work on the MADRS-S, which HiBoop does not offer.