Frequently Asked Questions
HEARTSMAP is composed of 10 psychosocial domains:
- Education and activities
- Alcohol and drugs
- Relationships and bullying
- Thoughts and anxiety
- sexual health
- Mood and function
- Professionals and resources
Each of these sections is allocated a score:
- 0 for no concerns
- 1 for mild concerns
- 2 for moderate concerns
- 3 for major concerns
Validated among ED clinicians at BCCH, HEARTSMAP is currently the psychosocial assessment tool used for all mental health presentations at the BCCH ED.
At BC Children’s Hospital, data from 104 ED mental health presentations was extracted to construct clinical narratives. A panel of ED clinician evaluators reviewed each of these narratives. The panel included: 2 pediatric emergency medicine physicians, 1 nurse practitioner, and 1 bedside nurse. The results below summarize the agreement among the clinician reviewers with regard to consulting psychiatry in the ED:
|Pediatric ED physician vs. Pediatric ED physician||0.7||Substantial Agreement|
|Pediatric ED physician vs. Nurse practitioner||0.6||Moderate Agreement|
|Pediatric ED physician vs. Bedside nurse||0.5||Moderate Agreement|
Eleven ED clinicians from 5 health authorities – Provincial Health Services Authority, Providence Health Care, Vancouver Coastal Health, Fraser Health Authority, and Interior Health Authority validated the HEARTSMAP tool in 2016 (3). These ED clinicians, including physicians, social workers, and psychiatric liaison nurses, were asked to use the HEARTSMAP tool to evaluate 50 fictional narratives describing a variety of pediatric mental health cases. Their agreement with regards to consulting psychiatry in the ED or referring to a community based program such as a Crisis Response Team, a Child and Youth Mental Health Team (CYMHT), social services through the Ministry of Child and Family Development, or a youth health clinic, is summarized below:
|Psychiatry consultation in the ED|
|Outpatient Crisis Response Team|
|MCFD Social Services|
|Youth Health Clinic/Substance & addiction services|
- Viera AJ, Garrett JM. Understanding Interobserver Agreement : The Kappa Statistic. Fam Med. 2005;37(5):360-363.
- Hallgren KA. Computing Inter-Rater Reliability for Observational Data: An Overview and Tutorial. Tutor Quant Methods Psychol. 2012;8(1):23-34.
- Virk, P., Stenstrom, R., & Doan, Q. (2018). Reliability testing of the HEARTSMAP psychosocial assessment tool for multidisciplinary use and in diverse emergency settings. Paediatrics & Child Health, 1–6. https://doi.org/10.1093/pch/pxy017
|HEARTSMAP Recommendations||Admitted (n=13)||Discharged (n=49)|
HEARTSMAP had 100% sensitivity, correctly identifying all 13 patients that required a psychiatric admission. HEARTSMAP’s specificity was 32%, recommending discharge for 16 of the 49 patients that were ultimately sent home. Nevertheless, our initial results at BC Children’s demonstrated a trend toward reducing wait times and the odds of requesting a psychiatric consult as a result of implementing HEARTSMAP.
HEARTSMAP Provincial Expansion
Registration and Training
Registration is required for all users.
In order to register, you will need to provide your name, work email, clinician type, population you see in the emergency department, and up to three sites where you would use the HEARTSMAP tool.
Please note that an institutional email will be required to complete your registration – gmail, hotmail, yahoo, etc. addresses will not be accepted.
Using the HEARTSMAP Tool
- Assessment Notes
- A score (0-3)
- An indication of whether resources are in place to address any highlighted concerns (for scores 1+).
If these three sections are not sufficiently completed, you will not be able to continue on to the next HEARTSMAP section.
Download Report to Print: Once the report shows up, click the printer icon in the top right corner of the web page. Your device will need to be connected to a printer in order to print the report.
Email Report to Me: Once selected, the report will be emailed to the email address you used to register (your health authority or institutional email). Go to your email, open the report, and select Print from the File menu.
Safari: Go to Preferences under the Safari menu. Click on Security, then uncheck the box that says Block pop-up windows.
Access and Logging in
We recommend using the most current versions of the following browsers when accessing HEARTSMAP:
- Google Chrome
- Mozilla Firefox
- Internet Explorer 10
To download the following instructions on a PDF, click here.
If you forget your password, click the “Lost your password?” link below the Log In button:
Once you enter your email address here and hit “Reset”, you will receive an email with a new password.
To change this password, log in to the HEARTSMAP tool (it is easiest to copy/paste the new password from the email) and follow the directions to below to change your password.
Once logged in to the HEARTSMAP tool, click on the “Profile” tab in the top right hand corner:
On your profile, click the “Generate Password” button:
This will generate a new password, which can be edited to your preferred password:
- Enter your new password into the text box
- Select the check box to “Confirm use of weak password” (if applicable)
- Click the “Update Profile” button at the bottom of the page to update your password. Use this new password the next time you log in to the HEARTSMAP tool