Specific Purpose Programs in Human Services and Health: Moving from an Input to an Output and Outcome Focus

The content and control mechanisms of specific purpose programs are regularly under review, currently through processes associated with the Council of Australian Governments (COAG), with most proposals for reform in this area arguing for a shift to a focus on outputs or outcomes. This article reviews the place and role of specific purpose programs in the human services and health field, and identifies four issues which need to be addressed as part of any refocus onto outputs and outcomes. The four issues are: specification of objectives; measurement of outputs and/or outcomes; mechanisms for ensuring accountability to consumers; and systems of sanctions and rewards.