Measurement-Based Care for Ukraine's Family Doctors and Therapists
Since 2022, family doctors in Ukraine can support people with mental disorders as part of primary care. HiBoop gives a practice or a therapist 100+ validated scales, sent by link or QR code, scored on submission and kept on one record that follows each client over time.
Mental health support in primary care
In November 2022 the Ministry of Health and the National Health Service of Ukraine (NHSU) added a package for supporting and treating adults and children with mental disorders at the primary level of care. It sits within the Programme of Medical Guarantees, and the person pays nothing for it.
Family doctors, general practitioners and paediatricians who deliver it assess a person's condition, offer basic support and refer to specialists when needed; they do not make psychiatric diagnoses. When the package launched, a practice qualified once at least 20% of its medical staff had completed training based on the WHO's mhGAP guidelines, offered online through the NHSU Academy.
A structured assessment
A validated scale gives the first conversation a shared starting point, and the score informs whether to refer.
Change over time
Each score sits on one chart with the ones before it, so a family doctor can see whether support is helping.
A record that travels
Export the history as a PDF to send with a referral, so the specialist sees more than a single visit.
Made for care that follows the client
The tools a family doctor or therapist needs to measure, follow up and refer, without building a system.
Scales by link or QR code
Send the GAD-7, PHQ-9 or another scale by email link or QR code. Clients answer on a phone browser, wherever they are staying.
Scored on submission
Totals and severity bands are calculated the moment the client finishes, so the result is ready when you open the file.
One record over time
First visit, follow-ups and later contacts line up on a single timeline, even when months pass between them.
History for a referral
Download a PDF of a client's scores to send with a referral, or CSV to review a caseload.
From one clinician to a whole team
Start with one family doctor or therapist, or set up a practice with shared scales and role-based access.
One published price list
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.
Mental health in Ukraine
Research data
Each figure below links to the source it comes from.
20%
of a practice's medical staff trained in mhGAP, the bar for contracting the primary-care mental health package when it launched in 2022
6,000+
people registered for the NHSU Academy's online mhGAP course in its first week
Research from Ukraine
GAD-7
In 1,101 Ukrainian adults surveyed during the war, the GAD-7 supported a one-factor model and showed adequate validity, with strict invariance between displaced and non-displaced people and between military and civilian groups.
Aleksina et al., Social Psychiatry and Psychiatric Epidemiology, 2026 PMID 42347887
ITQ
In a nationwide sample of 2,004 Ukrainian adults about six months after the full-scale invasion, the International Trauma Questionnaire's six subscales showed good internal reliability (alpha .73 to .88) and a correlated six-factor structure.
Ho et al., Journal of Traumatic Stress, 2023 PMID 37339126
ITQ in outpatient care
Among 224 internally displaced adults at one outpatient clinic in Chernivtsi oblast who completed the International Trauma Questionnaire, 24.5% met criteria for ICD-11 PTSD and 7.6% for complex PTSD.
Barbieri et al., International Journal of Social Psychiatry, 2026 PMID 41865301
Continuous traumatic stress
A 9-item Ukrainian version of the Continuous Traumatic Stress Response scale, tested in 584 people during the war, showed acceptable fit and correlated 0.41 to 0.67 with depression, anxiety, stress and PTSD measures (PHQ-9, GAD-7, PSS-4, PCL-5).
Frankova et al., European Journal of Psychotraumatology, 2025 PMID 39991896
mhGAP training
Universities in Ukraine, Armenia, Georgia and Kyrgyzstan built the WHO mhGAP Intervention Guide into training for medical students, family medicine residents and practising physicians, with more than 700 students through the programmes that reported back.
Pinchuk et al., International Journal of Environmental Research and Public Health, 2021 PMID 33918985
Where measurement fits in Ukrainian care
From the family doctor's office to the national programme, the places a measurement routine can help.
Primary-care mental health package
NHSUPart of the Programme of Medical Guarantees since November 2022. Family doctors assess, support and refer adults and children with mental disorders, and the person pays nothing. Practices contract with the NHSU once enough of their staff have the mhGAP training.
Programme of Medical GuaranteesNo charge to the personReferralmhGAP training for primary care
TrainingThe NHSU Academy's online course on managing common mental disorders is built on the WHO's mhGAP materials. More than 6,000 people registered in the first week after it opened on 29 December 2022.
NHSU AcademyWHO mhGAPCommon mental disorders"How are you?" (Ty yak?)
National programmeThe all-Ukrainian mental health programme started on the initiative of Olena Zelenska. The Mental Health Coordination Centre of the Cabinet of Ministers supports its implementation.
Olena ZelenskaCabinet of MinistersPublic programmeMinistry of Health and WHO memorandum
CooperationSigned on 7 November 2022 by the Minister of Health and the head of the WHO Country Office in Ukraine, to build the capacity of primary care facilities to manage common mental disorders under the mhGAP programme.
Ministry of HealthWHOmhGAP
Care teams across Ukraine
A client who has moved to another city answers the same scale, on the same phone browser, as one who stayed at home.
Kyiv
The capital | researchers at Taras Shevchenko National University of Kyiv led the wartime GAD-7 study; researchers at Bogomolets National Medical University led the Ukrainian CTSR study
Lviv and the west
Lviv | Ukrainian Catholic University contributed to the GAD-7 and CTSR studies
Chernivtsi
Chernivtsi oblast | an outpatient clinic here took part in a study of PTSD among internally displaced people
Central Ukraine
Dnipro, Vinnytsia, Poltava and the surrounding oblasts | family doctors and therapists in city and rural practices
South and east
Odesa, Kharkiv, Zaporizhzhia | clients who move often can still answer from wherever they are
Data sovereignty
Nearest regionsOther regionsLow CO₂ (Google)
Local hosting on request
Google Cloud has no region here yet. HiBoop is hosted in the US or Canada by default; on request, we can deploy in the nearest regions, listed below. Google Cloud locations
Google Cloud regions
- Warsaw, Poland Low CO₂ · 81% carbon-free
europe-central2
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
- Warsaw, Poland Low CO₂ · 81% carbon-free
Why Ukraine clinics choose HiBoop
Why Ukrainian teams choose HiBoop
- A structured assessment to inform a referral under the primary-care package
- Clients answer from wherever they are staying, by link or QR code
- One record per client that a PDF can carry to the next specialist
- Care is $25 USD/month, month to month, with no credit card to start
- Boops, our between-session check-ins, put the client's latest answers on the chart before you meet
USD pricing & support
Transparent pricing in USD with flexible payment options for clinics of every size.
CareOne clinician, month to month$25USD/monthTeamStarting price, unlimited clinicians$200USD/monthNetworkMulti-site organizationsCustomEnterprise pricing
100+ validated scales for Ukraine 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 and anxiety
- GAD-7 (Anxiety)
- PHQ-9 (Depression)
- PHQ-8 (Depression, 8-item)
- PSWQ (Worry)
Trauma
- ITQ (PTSD and Complex PTSD)
- PCL-5 (PTSD)
- LEC-5 (Life Events)
- C-SSRS Screener (Suicide Risk)
Substance use
- ASSIST-3 (Substance Involvement)
- CAGE-AID (Alcohol and Drugs)
- BARC-10 (Recovery Capital)
- TAPS (Tobacco, Alcohol, Drugs)
Children and young people
- PHQ-A (Adolescent Depression)
- SCARED (Anxiety)
- SCOFF (Eating Disorders)
- DERS-36 (Emotion Regulation)
Personal data law in Ukraine: what it asks of your practice
The Law of Ukraine "On Personal Data Protection" (No. 2297-VI, 2010) is in force. Draft Law No. 8153, written to bring Ukrainian law closer to the GDPR, passed its first reading on 20 November 2024 and has not been adopted. Your practice is responsible for its clients' data; these are the points to check with any vendor.
What the current law expects
- Health information is a special category; processing it is prohibited unless an exception applies, such as health protection under the law
- Know the legal ground you rely on for each kind of record you keep
- Check where any vendor stores data and under what agreement
- The Ombudsman (the Verkhovna Rada Commissioner for Human Rights) supervises personal data protection
- Watch Draft Law No. 8153, which aims to align Ukrainian law with the GDPR
Where HiBoop helps
- SOC 2 Type II certification
- Data encrypted in transit and at rest
- Role-based access, so clinicians see only their own clients
- PDF and CSV exports for your own record
- HiBoop makes no claim under Ukrainian data law; ask for our security documentation for your own review
Resources for Ukraine practitioners
Billing guides, compliance documentation, and clinical practice resources.
- AnxietyGAD-7 Clinical Guide
Cut-offs and repeat use of the seven-item anxiety scale
- DepressionPHQ-9 Clinical Guide
Scoring, severity bands and reliable change for depression monitoring
- TraumaITQ Clinical Guide
ICD-11 PTSD and complex PTSD on one questionnaire
- PracticeMeasurement-Based Care Guide
Turning repeat measurement into a routine your clients understand
Where to read about Ukraine's programmes
Official bodies, clinical guidelines, and regulatory references. Ukraine.
- Online course on common mental disorders (mhGAP)
Ministry of Health of Ukraine
The primary-care mental health package and the NHSU Academy's mhGAP training for family doctors.
- Ministry of Health and WHO memorandum on mental health
Government of Ukraine
The November 2022 agreement to build primary care capacity for common mental disorders.
- The all-Ukrainian mental health programme
"How are you?" (Ty yak?)
The national programme's own site, with resources for the public and for professionals.
Crisis and urgent help lines
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
Can a family doctor use HiBoop under the NHSU mental health package?
HiBoop can carry the measurement part of the work: a validated scale at the first visit, the same scale at follow-ups, and a chart of the change. It is not connected to NHSU or eHealth systems, and it does not make a diagnosis. Under the package, family doctors assess, support and refer; a score from HiBoop is one piece of information for that decision.
How do clients who have moved answer a scale?
Send the scale by email link or show a QR code. The client answers in a phone browser, with no app to install, from wherever they are staying, and the score lands on the same record as their earlier answers.
What about Ukraine's personal data law?
The Law of Ukraine "On Personal Data Protection" (No. 2297-VI) applies to your practice and treats health information as a special category. Draft Law No. 8153, meant to align Ukrainian law with the GDPR, passed first reading in November 2024 and is not yet law. HiBoop holds SOC 2 Type II certification and makes no claim under Ukrainian data law; we can share our security documentation for your own review.
Which scales have been studied in Ukraine?
Ukrainian studies during the war support the GAD-7 in a general adult sample and the International Trauma Questionnaire (ITQ) in a nationwide sample, and the ITQ was also used with displaced outpatients; both scales are in the HiBoop app. Researchers have also adapted the Continuous Traumatic Stress Response scale to Ukraine. The research section on this page lists each study.