Since the introduction of the National Mental Health strategy in 1992, significant service reform has taken place. This has not only included structural reform of mental health services but also a push towards improved service quality, introduction of innovative models of service delivery and a greater demand for accountability and service monitoring [1]. The Second National Mental Health Plan has as one of its key themes the further development of effective, quality service delivery [2]. Strategies to achieve this goal include development of standards of care, service evaluation and introduction of outcome measures.
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