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Article History

Received: 16 July 2016

Accepted: 23 January 2018

First Online: 30 January 2018

Ethics approval and consent to participate

: This project is not defined as a clinical study but as a quality assurance study of a given health service. Thus, according to the Norwegian Research Act the project is not requiring approval from the Regional Committees for Medical and Health Research Ethics (REC). This has been confirmed by REC (REC South East 2010/165). According to the Norwegian Health Personell Act, health enterprises can release anonymized health data without consent for quality assurance studies. The referrals were anonymized by the participating Community Mental Health Centers before presented to the raters and according to the Norwegian Research Act they can be used without consent. The authors had only access to the raters’ questionnaire responses (including clinician characteristics and assessment scores) and not to the anonymized referrals themselves.

: Not applicable.

: The authors declare that they have no competing interests.

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