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This paper has as its objective the generation of a debate over different alternatives of models of oversight and monitoring of fundamental rights of people suffering mental disorder. The Consent and Capacity Board of the province of Ontario, Canada will be considered. The Board is one of the oldest and leading administrative tribunals in the area of mental health. The paper will analyse the place of the Board in the Canadian legal system and the fundamental distinctions with similar Canadian mental health tribunals. The Board's administrative structure and jurisdiction will be examined, as well as its procedures and mechanisms of review of its decisions.

Once the parameters to design and assess a Mental Health System have been put forward it's necessary to operationalize them into quality indicators and outcome measures. These indicators allow us to compare processes and results with other systems and services, they let us do the economic assessment and the allotment of resources, they give way to treatment guidelines and external evaluation, generating a new type of organizations evidence-based. This paper reviews the conceptual aspects of performance indicators and its use in some developed countries. It also discusses their usefulness, at the input, the process and the outcome level, to treat patients and to organize Mental Health Services and Systems. Despite therapists not benefiting directly from the use of this type of indicators, its importance should not be disregarded in order to organize a Mental Health System for large populations.