Table 1.

CES programme guidelines for mental health service delivery and process indicators

Mental health service	Programme guidelines for the treatment of mood or anxiety disorders	Indicator and description	Data source for indicator
Diagnosis	Performed using (1) the score of the 9-item Patient Health Questionnaire (PHQ-9) [17] for mood disorders or the 7-item Generalized Anxiety Disorder scale (GAD-7) [18] for anxiety disorders and (2) a clinical assessment (i.e. exploration of key symptoms, medical history, and relevant life events)	Fidelity to diagnosis guidelines: proportion of service users diagnosed according to guidelines	Coded from content in clinical notes
Treatment allocation	Pharmacological treatment is allocated when PHQ-9 [17] or GAD-7 [18] score is 15 or above unless user rejects medication or clinician decides to reassess need in a second appointment; if 14 or less, medication is not prescribed until reassessment at second appointment; psychoeducation or other talk-based intervention is provided in all cases	Fidelity to treatment allocation guidelines: proportion of service users diagnosed according to guidelines	Coded from content in clinical notes
Follow-up	Follow-up provided until remission (at least 6 months with no symptoms)	Dose of mental health follow-up consultations: proportion of service users who attended more than 50% of programmed monthly consultations	Dates recorded on clinical notes
Clinical assessment at follow-up	Clinical assessment at follow-up done through: (1) the use of PHQ-9 [17] or GAD-7 [18], (2) key symptom exploration, and (3) life event exploration	Fidelity to clinical assessment guidelines at follow-up: proportion of service users who receive a clinical assessment according to guidelines	Coded from content in clinical notes
Treatment allocation at follow-up	Proportion of service users who receive counsel or advice, or a talk-based intervention at follow-up	Fidelity to treatment allocation guidelines at follow-up: Proportion of service users who receive counsel or advice, or a talk-based intervention at follow-up	Coded from content in clinical notes