at Central Manchester Health Authority. During this time Dean set up an Arts project for patients, START. The project resulted in some of the works produced by the patients being displayed in Manchester City Art Gallery. Another innovative project by Dean, whilst she was in Manchester, was the establishment of a peripatetic day service with professionals visiting different community health centres and providing therapeutic activities and groups near to the clients' homes. Dean conducted research in Manchester with Lynne Webster and Neil Kessell evaluating the recently introduced Mental Health Act 1983 to examine whether the new act was more protective of patients' civil liberties than the previous Mental Health Act 1959. Dean moved to Birmingham in 1987 to take up a post as senior lecturer at the University of Birmingham. She was also a consultant psychiatrist responsible for the deprived inner city area of Sparkbrook which has a large south Asian population. She found that the psychiatric hospital services did not meet the needs of this population, especially the needs of Asian women. As a result, she set up a home treatment service, which was the first in the UK, as an alternative to hospital admission for people who had acute mental health problems. Dean subsequently conducted research comparing the home treatment service with the standard hospital in-patient service and found that patients and their relatives preferred the home treatment service and that the outcome from the clinical point of view was the same in both groups; this was true of patients from non-Asian backgrounds as well as Asian backgrounds. Home treatment/crisis resolution services have since been adopted nationwide in the UK and are recommended in the NHS National Service Framework (1999) and the Mental Health Policy Implementation Guide (2001). In 1990 Dean was asked to be a consultant with the Centre for Mental Health Service Development at King's College London. This organisation assisted NHS trusts throughout the UK to set up community services to enable them to provide alternatives to the large mental hospitals. Once alternatives were developed, these institutions were scaled down and closed as a result. Dean then became a director of the International Mental Health Network which was an organisation that linked together people in the UK and elsewhere in the world who were endeavouring to set up high quality community services. The International Mental Health Network also advised mental health services in Australia, New Zealand,