1. Improving Internationally comparable Information on Mental Health Care
OECD Presentation to IIMHL

2. Making Mental Health Count
OECD brings together 35 countries from across the world
“Today, our 35 Member countries span the globe, from North and South America to Europe and Asia-Pacific. They include many of the world’s most advanced countries but also emerging countries like Mexico, Chile and Turkey”¹
Mental health is a high-level OECD priority
“[The OECD Council] RECOMMENDS that Members and non-Members…seek to improve their mental health care systems in order to promote mental wellbeing, prevent mental health conditions, and provide appropriate and timely services...”²
OECD Health Ministers are committed to improving mental health care
Ministers highlighted the significant burden mental ill-health presents for individuals, societies and economies, and that as of today, interventions to prevent, treat, and manage mental health are woefully insufficient. ¹
²Recommendation of the Council on Integrated Mental Health, Skills and Work Policy;

3. More than 20 mental health or mental health systems variables
Data and indicators on mental health in OECD Health Statistics 2017
Category
Indicator
Causes of mortality
Mental and behavioural disorders
- Dementia
- Alcohol use disorders
- Drug use disorders
External causes of mortality
- Intentional self-harm
Potential years of life lost
Physicians by categories
Psychiatrists
Hospital beds
Psychiatric care beds
Hospital discharges by diagnostic categories
- Mental and behavioural disorders due to alcohol
- Mental and behavioural disorders due to use of other psychoactive subst.
- Schizophrenia, schizotypal and delusional disorders
- Mood [affective] disorders
- Other mental and behavioural disorders
Hospital average length of stay by diagnostic categories
Pharmaceutical consumption Pharmaceutical sales
N – Nervous system
N02 – Analgesics
N05B – Anxiolytics
N05C – Hypnotics and sedatives
NO6A - Antidepressants
Health expenditure and financing of mental health care
Available estimates of spending are mostly restricted to institutional care but it is possible to collect by disease and by provider (hospital/ambulatory/medical goods)

4. Health Care Quality Indicators
Suicide
In-patient suicide among patients diagnosed with a mental disorder
Suicide within 1 year after discharge among patients diagnosed with a mental disorder
Suicide within 30 days after discharge among patients diagnosed with a mental disorder
Excess mortality
Excess mortality for patients diagnosed with schizophrenia
Excess mortality for patients diagnosed with bipolar disorder
Excess mortality for patients diagnosed with severe mental illness

5. Gaps and weaknesses in current OECD indicators1
Gaps and comparability issues can be identified in existing indicators 2
Current variables capture only a small part of the mental health care activities 3
Some existing indicators would be more policy relevant if they were more granular

6. Next steps for OECD work on mental health Indicators

7. Development of an OECD Mental Health Performance Framework
working with an Expert Panel followed by broad stakeholder consultation
include the domains that matter to service-users, families, policy makers, health and care professionals…
Collection of indicators to measure performance in each domain of the OECD framework
a broad scoping exercise looking at quantitative and qualitative measures
an ad-hoc data collection process
Systematic mapping of policies using OECD framework
identify evidence of effective policies
a policy survey, and a series of phone interviews with relevant experts

8. Powerful tools for understanding and improving mental health care
2. An indicator set that measures and benchmarks mental health performance
A comprehensive report comparing performance in mental health care

9. Patient-Reported Indicators Survey initiative
OECD PaRIS
Patient-Reported Indicators Survey initiative
OECD to provide leadership in the international collection and reporting of patient-reported measures
Includes patient reported experience measures (PREMs) and PROMs
Implemented by Health Care Quality and Outcome (HCQO) Working Party; formerly Healthcare Quality Indicators (HCQI) Expert Group

10. PaRIS  Two work streams
Addressing critical gaps in the measurement of patient- reported indicators
Chronic conditions including multi- morbidity/complex patients
New survey of patients of primary health care physicians
Patient-reported outcomes & experiences
With international partners & providers & patients
Accelerate and standardise work already underway
Cáncer, hip and knee OA,
(then AMI, stroke, mental health,…)
Supporting national health systems to collect patient- reported indicators in a comparable way

11. PROM/PREM indicators for Mental Health Care Activities
Workshop on 16th May 2018 at the OECD
~30 participants
Working Group launched at workshop, chaired by Denmark, with project term until November 2019
Countries can still confirm membership
Next (virtual) meetings July, September, November

12. Survey of use of mental health PROMS and PREMS – initial results
Country
PROMS currently collected
PREMS currently collected
PROMs routinely reported
PREMs routinely reported
Australia
Yes
Canada
Not sure
Costa Rica
No but plan to  NA
Denmark
Mexico No
Netherlands
Republic of Korea
Sweden

13. Find out more… Email me Emily.Hewlett@oecd.org Follow us on Twitter
@OECD_social
Visit our website
Read our reports
Understanding Effective Approaches to Promoting Mental Health and Preventing Mental Illness
Fit Mind, Fit Job, 2015
Making Mental Health Count, 2014