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Abstract
Abstract This paper explores the conceptual and practical contradictions which arise when the notions of 'mental health' and 'quality' are discussed together. The exploration covers five main questions: what is 'mental health'? What is 'mental illness'? professional interventions acceptable to their recipients? What enhances the quality of life of people with 'mental health' problems? The answers rehearsed under these headings point up several difficulties ranging from conceptual confusion to methodological problems about evidence applicability and the dilemma of disaggregating the impact of service inputs from the multi-factorial influence of open community settings. Despite these problems some suggestions are offered about both research and service improvements, with a focus on genuine partnerships between service providers and service users. Are professional interventions effective? Are