Mental Health Action Plan 2013-2020 APPENDIX 1 21 Objective 2:To provide comprehensive,integrated and responsive mental health and social care services in community-based settings Global target 2 Service coverage for severe mental disorders will have increased by 20%(by the year 2020) Indicator Proportion of persons with a severe mental disorder [psychosis;bipolar affective disorder: moderate-severe depression)who are using services [%] Means of verification Numerator:Cases of severe mental disorder in receipt of services,derived from routine informa- tion systems or,if unavailable,a baseline and follow-up survey of health facilities in one or more defined geographical areas of a country. Denominator:Total cases of severe mental disorder in the sampled population,derived from national surveys or,if unavailable,subregional global prevalence estimates. Comments/assumptions Estimates of service coverage are needed for all mental disorders,but are restricted here to severe mental disorders to limit measurement effort.Health facilities range from primary care centres to general and specialized hospitals;they may offer social care and support as well as psychosocial and/or pharmacological treatment on an outpatient or inpatient basis.To limit measurement effort,and where needed,countries may restrict the survey to hospital-based and overnight facilities only (with some loss of accuracy,due to omission of primary care and other service providers).The baseline survey will be undertaken in 2014,with follow-up at 2020 (and preferably also at mid-point in 2017),the survey questionnaire can be supplemented in order also to investigate service readiness and quality,as desired.The Secretariat can provide guidance and technical support to Member States regarding survey design and instrumentation. Objective 3:To implement strategies for promotion and prevention in mental health Global target 3.1 80%of countries will have at least two functioning national,multisectoral mental health promo- tion and prevention programmes (by the year 2020). Indicator Functioning programmes of multisectoral mental health promotion and prevention in existence [yes/no]. Means of verification Inventory or project-by-project description of currently implemented programmes. Comments/assumptions Programmes may-and preferably should-cover both universal,population-level promotion or prevention strategies (e.g.mass media campaigns against discrimination)and those aimed at locally identified vulnerable groups (e.g.children exposed to adverse life events).Mental Health Action Plan 2013 2020 Objective 2: To provide comprehensive, integrated and responsive mental health and social care services in community-bQsed settings Objective 3, To implement strategies for promotion and prevention in mental health 21