ABSTRACT

Service Framework for Mental Health

(Department of Health, 1999) was partly

underpinned by concerns about cost-

effectiveness.

Over time, of course, such awareness has

continued to grow, although so too has the

realization that it should not be cost that

drives macro or micro decision-making, but

cost-effectiveness. That is, the health-care

system needs to achieve a good balance

between the resources it uses (the costs) and

the outcomes it achieves (the effectiveness).