this is because such indicators usually form a core part of purchasing and provider payment systems so in cases where collection is not mandated implicit incentives encourage data reporting clinicians and patients play a crucial role in the development and uptake of measures and this should be reflected in clinician training and payment systems the quality and outcomes of mental health care will continue to lag behind other disease areas until adequate information systems are put in place to track pertinent indicators and purchasers and providers are given appropriate incentives to improve performance in this area