Supported by the Global Forum for Health Research, and the governments of Australia, United Kingdom and United States of America

Societal Organisation and Culture Public Policy Governance Population Need and Demand Financing Human Resources Physical Capital Consumables Social Capital Personal Mental Health Services Population Based Mental Health Services Intersectoral Linkages Health * Population * Individual Service Outcomes Economic Outcomes Social Outcomes CONTEXTRESOURCESPROVISIONOUTCOMES

Societal Organisation and Culture Public Policy Governance Population Need and Demand Demography Economic Environment Political Environment Social Structure and Systems Social Pathology Other Environmental Influences National Health Policy Mental Health Policy Other Policy Overall System Design Performance Assessment Priority Setting Intersectoral Advocacy Regulation Consumer Rights/Participation Research Mortality Prevalence Disability Service Utilisation

PUBLIC FINANCING OF SERVICES ( direct / indirect taxation,government owned insurance schemes) Revenue Collection Fund pooling Purchasing PRIVATE FINANCING OF SERVICES a) Insurance-for profit /not for profit b) For profit organizations e.g. pharmaceutical companies c) Non-profit organizations e.g. charity,donors Revenue Collection Fund Pooling Purchasing PERSONAL PURCHASING of SERVICES a) “Out of Pocket” Expenditure e.g. co-payment /full payment b) Time spent by individuals and families negotiating service systems and providing care FinancingFinancing

Human Resources Health Care Personnel Clinical staff Non-clinical staff Complimentary Religious/traditional Non-governmental organizations Family and Carers Physical Capital Health facilities Non-health infrastructure Information Technology Other Technologies (eg EEG and ECT) Consumables Social Capital Medical Equipment Pharmaceuticals

Personal Mental Health Services Population-based Mental Health Services Intersectoral Linkages Promotion Preventative Diagnostic Therapeutic Rehabilitative Population Based Mental Health Programs * education * promotion * prevention Other population- based mental health services Welfare Religious Schools Education Accommodation Correctional Other Social Services Vocational Labour & employment

Health * Population * Individual Population General population health status Individual Clinical functioning Quality of Life Satisfaction with Service and Access Burden of Care Vocational/Rehabilitation Efficiency Access & Equity Appropriate- ness Quality Effectiveness Economic Outcomes Social Outcomes * Population * Individual Direct & Indirect Costs Productive role Externalities Poverty Population Individual Service Outcomes