Developing mental health-care quality indicators: Toward a common framework

Carl Erik Fisher, Brigitta Spaeth-Rublee, Harold Alan Pincus, Peggy Brown, Alan Rosen, Janet Durbin, David Goldbloom, Elizabeth Lin, Patricica Wiebe, Hugh Griffiths, Wolfgang Gaebel, Catherine Brogan, Martin Rogan, Ian Daly, H. Ito, Paul Spronken, Jan Tromp, George Witte, Jos de Beer, David ChaplowPeter McGeorge, Fran Silvestri, Torleif Ruud, Denise Coia, Joseph J. Cheng, Neal Adams, Anita Everett, Joe Parks, Peter Stuart, Harold Pincus, Ken Thompson, Christopher Carroll

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Objective: Inconsistent performance measurement schemes hinder attempts to make international comparisons about mental health-care quality. This report describes a project undertaken by an international collaborative group that aims to develop a common framework of measures that will allow for international comparisons of mental health system performance. Design: Representatives from each country submitted reports of quality measurement initiatives in mental health. Indicators were reviewed, and all measurable indicators were compiled and organized. Sample: Twenty-nine programs from 11 countries and two cross-national programs submitted reports. Methods: Indicators were evaluated according to measurable inclusion criteria. Results: These methods yielded 656 total measures that were organized into 17 domains and 80 subdomains. Conclusions: No single program contained indicators in all domains, highlighting the need for a comprehensive, shared scheme for international measurement. By collecting and organizing measures through an inductive compilation of existing programs, the present study has generated a maximally inclusive basis for the creation of a common framework of international mental health quality indicators.

Original languageEnglish (US)
Pages (from-to)75-80
Number of pages6
JournalInternational Journal for Quality in Health Care
Issue number1
StatePublished - Feb 2013
Externally publishedYes


  • Delivery of health care/standards
  • Psychiatry
  • Quality improvement
  • Quality indicators
  • Quality measurement
  • Quality of care

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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