The outpatient model, where specialists see a selection of cases preselected by the primary care physician, is quite widely used in OECD countries. In such instances mental health specialists visit primary health clinics to review, with primary health clinic staff, a small selection of cases, sometimes including a clinical meeting with the patient. The whole mental health network would usually meet together on a regular basis for co-ordination, training or other purposes. Are primary care physicians required or incentivised to comply with treatment guidelines or practice protocols established?