Crosbie David W
Mental Health Council of Australia, Canberra, ACT, Australia.
Med J Aust. 2009 Feb 16;190(S4):S43-5. doi: 10.5694/j.1326-5377.2009.tb02375.x.
Over the past 15 years, governments have agreed to a series of National Mental Health Plans. These national strategies and plans have set goals and discussed the importance of monitoring and evaluation. Despite this ongoing national collaborative framework, Australia's mental health policy lacks real accountability and relies largely on limited mental health service systems data. The lack of outcome data represents a critical gap in knowledge for mental health policy, planning and practice. Resistance from current stakeholders and a lack of investment in research and monitoring capacity are preventing more rigorous ongoing monitoring of mental health policy. The new Rudd Government appears to be shifting the emphasis towards measuring the outcomes of national policy in health, housing and employment. Measuring such outcomes will guide government decision making and ultimately improve mental health services.
在过去15年里，各国政府已就一系列国家心理健康计划达成一致。这些国家战略和计划设定了目标，并讨论了监测与评估的重要性。尽管存在这一持续的国家协作框架，但澳大利亚的心理健康政策缺乏真正的问责制，且在很大程度上依赖有限的心理健康服务系统数据。结果数据的缺失是心理健康政策、规划和实践知识方面的一个关键空白。当前利益相关者的抵制以及对研究和监测能力缺乏投资，阻碍了对心理健康政策进行更严格的持续监测。陆克文新政府似乎正将重点转向衡量国家在健康、住房和就业方面政策的成果。衡量这些成果将为政府决策提供指导，并最终改善心理健康服务。
