This paper summarizes key recent policy and practice developments within ge
neral adult mental health services in United Kingdom. The National Service
Framework For Mental Health, published in September 1999, provides a nation
al blueprint for mental health services for adults of working age over the
next decade. The fundamental principles underlying the framework are outlin
ed, the key stakeholders are identified, and the seven standards are discus
sed. The standards apply to: mental health promotion, primary-care and acce
ss to services, severe mental illness, caring about carers, and preventing
suicide. This new national policy is based upon the evidence of cost effect
ive services and treatments. Such services can be described in terms of 5 c
ategories of a Basic Service Profile: outpatient and community services, da
y services, acute inpatient services, longer-term residential services, and
interfaces between services and agencies.