This framework brings to fruition the strong requests by myself and Mr John McGrath that the National Mental Health Promotion and Prevention Working Party undertake work on relapse prevention as another aspect of prevention and early intervention.

The determination to put this topic out for wide consultation within the formal guidelines of a rigorous discussion paper reflects the integrity of the work produced by the National Mental Health Promotion and Prevention Working Party.

I am always impressed by the rigour of thinking expressed by members of the Working Party, and some of them struggled with the complexities of this subject matter. However, John and I continued to put forward the views that were coming to us from consumers and carers and I am pleased that our persistence has paid off.

This 4As Framework is seen as the first step towards the introduction of some definite guidelines for consumers, carers, service providers and policy makers around incorporating prevention within continuing care and within a recovery-oriented mental health system. It is the outcome of a wide-reaching consultation with consumers and carers and I commend it to the community and ask that everyone has input into the progression of this framework.

Leonie Manns

Consumer Member
National Mental Health Promotion and Prevention Working Party 1998