Introduction
Theory
Methodology
Part A
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Pubmed: Scorecard[tiab] AND “mental health”[MeSH Terms] OR “mental”[All Fields] AND “health”[All Fields] OR “mental health”[All Fields] OR scorecard[tiab] AND psych [All Fields].
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Embase: Scorecard AND mental AND (‘health’/exp OR health) AND (‘care’/exp OR care) OR scorecard NEAR/10 psych*
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CINAHL: TI scorecard OR AB scorecard AND psych* OR mental
Part B
Search | Search terms | Google results generated | Pages accessed | BSC identified |
---|---|---|---|---|
1 | Balanced scorecard + mental health | 964,000 | 10 | 11 |
2 | Scorecard + mental health services | 3,300,000 | 10 | 3 |
3 | Performance indicators + mental health | 41,200,000 | 10 | 0 |
4 | Balanced scorecard + psychiatry | 360,000 | 10 | 3 |
5 | Balanced scorecard + behavioural health | 3,200,000 | 10 | 1 |
6 | Balanced scorecard + mental health services | 2,760,000 | 10 | 1 |
7 | Scorecard + mental health | 2,740,000 | 10 | 0 |
8 | Scorecard + psychiatry | 299,000 | 10 | 1 |
9 | Scorecard + behavioural health | 1,250,000 | 10 | 0 |
10 | Performance indicators + psychiatry | 23,800,000 | 10 | 0 |
11 | Performance indicators + behavioural health | 120,000,000 | 10 | 0 |
Total | 20 | |||
Excluded | 9 | |||
Included | 11 |
Data Analysis
Results
Author | Setting | Strategic goals—summary | Domains | Indicators |
---|---|---|---|---|
Part A | ||||
Coop, 2006 | Mental Health Service, New Zealand (non-profit-GO) | Not stated | Clinical quality; productivity; learning and organisational; financial | 21 |
Chong 2007, 2008 | Early Psychosis Intervention Program, Singapore (non-profit-GO) | Detect and manage psychosis early through screening; improve quality of life of those with psychosis; raise awareness of early signs and symptoms of psychosis; establish strong link with primary health care providers; reduce stigma | Customer; internal process; employee learning and growth; financial | - |
Lin & Durbin, 2008 | Mental health and Addictions Inpatient Care, Canada (non-profit-GO) | Targeted and appropriate use of inpatient services; comprehensive continuum of services and supports; services based on current best practices; consumer-centred care | Patient perception of care; clinical utilisation; system integration and change; financial performance | 29 |
Schmidt et al., 2006 | Mental Health Trust, UK (non-profit-GO) | Improve conditions of service users; minimise risk of harm; Provide appropriate service (right time, right place); pay attention employee health; train and inform employees; ensure balanced financial position; control additional workforce costs | Clinical risk; service modernisation; workforce; finance | 23 |
Wolferstieg & Dunham, 1998 | Hudson River Psychiatric Centre, USA (non-profit-GO) | Develop product lines requiring re-organisation of inpatient services; develop staff training and competence assessment plan; develop performance measurement; increase staff’s fiscal awareness of costs of activities; automation of medical records; develop proactive relations plan; increase stakeholder awareness of safety and environmental issues; reduce rates of restrictive practices and occupational injuries | Financial; customer; innovation and learning; internal business | 15 |
Yang et al., 2016 | Child and Youth Mental health System, Canada (non-profit-GO) | Not stated | Known prevalence; system use; outcomes; access; quality; early identification | 25 |
Author | Setting | Strategic goals—summary | Domains | Indicators |
---|---|---|---|---|
NHS Scotland CAMHS, 2011 | Child and Adolescent Mental Health, UK (non-profit-GO) | Person centred—patient values guide all clinical decision; safe—providing services based on scientific knowledge; effective—avoiding waste; equitable—providing care that does not vary in quality; timely—reducing waits and sometimes harmful delays | Client/patient focus; delivering best practice; internal process; best use of resources | 18 |
Ontario Shores Centre for Mental Health Sciences, 2019 | Mental Health Service, Canada (non-profit-GO) | Develop a coordinated mental health and addictions system to provide greater access; give our people the freedom to be innovative; weave recovery into the fabric of our organisation; set the highest standards for practice, quality and performance | Customer; hospital process; learning and growth; financial | 17 |
CMHA Toronto, 2011 | Canadian Mental Health association, Canada (non-profit-GO) | Continue prudent fiscal management; develop and implement new fundraising strategy; continue advocacy and system leadership; promote mental health and understanding; implement diversity and equity plan; develop and embed consumer participation strategies; service high need areas; develop chronic disease prevention and management options; develop concurrent disorder capacity; ensure CMHA remains a great place to work; develop quality and safety improvement; develop a learning culture; accreditation | Finance; client and community; internal processes; learning and growth | 28 |
Western Isles Health and Social Care, 2018 | NHS, Western Isles, UK (non-profit-GO) | Develop system allocating personal budgets to social care needs; adult support and protection protocols strengthened; multi-disciplinary teams deliver coordinated care; invest in technology and improve processes; delegate resources to alcohol and drug partnership; develop a 3-year workforce plan; deliver intermediate care service to prevent hospital admission and support discharge; develop intensive rehabilitation service; establish health and social care hub in every locality; implement Scottish Patient Safety Programme; reduce number of long-term placement within off-island health and social care facilities; reduce expenditure; support GPs to have multi-disciplinary teams; support people with long-term conditions to self-manage; deliver integrated community model with recovery focus; support community to tackle social isolation; ensure carers has care support plans | Quality of care—person-centred; quality of care—safe and supported; population health; value and sustainability | 94 |
New Path youth and family services, 2018 | New Path Youth and Family Mental Health Services, Canada (non-profit NGO) | Not stated | Program priority; people priority; partnership priority; finance and administration priority | 11 |
Mental Health Ireland; 2017 | Mental health Ireland (non-profit-GO) | Maximising the value of our work; developing our network; ensuring our sustainability | Financial and corporate management; service delivery; learning and growth; client and stakeholders | 23 |
Alaska Mental Health Trust Authority, 2019 | Mental Health Trust Authority, Alaska USA (non-profit-GO) | Not stated | Health; safety; living with dignity; economic security | 23 |
Centre for Addiction and Mental Health; The Royal Mental Health Centre; Ontario Shores; Waypoint, 2019 | Mental Health and Addictions Quality Initiative Peer Scorecard, Canada (non-profit-GO) | Medication safety—increase outpatients receiving medication reconciliation after discharge; workplace violence prevention; reduce use of physical restraints; reduce wait time in the emergence department and EAU; improve patient satisfaction; reduce % hospital readmissions within 7 days of discharge; increase % of patients with collected demographic information | Client complexity; client outcomes; client safety; client access; staff safety; HR indicator; financial | 17 |
Griffin Center, 2018 | Griffin Center balanced scorecard, Canada (non-profit NGO) | Partner to improve community care; impact through innovation; optimise our resources; build on our strengths; continuously improve; attract, retain, and develop talent; enhanced client lives; lead in pour community; build a sustainable resource base sustained giving | Stakeholder; financial; internal organisational; learning and growth | 21 |
Spectra helpline Canada, 2017 | Spectra helpline services for community and mental health, Peel Canada (non-profit NGO) | Improve access to support and intervention; improve access to multilingual service; diversify service channel; use community engagement strategies to inform the community of programs/services; reduce stigma; pursue shared mission; standardise human resources policies and staff procedures; encourage ambitions of staff; positon spectra as organisation of choice for student placement; have reputation for evidence-based best practice; cultivate climate of continual improvement; enhance ability to capture and measure client and community outcomes; be transparent; determine social ROI; select volunteer with skillset and competencies; increase volunteer quality of training and educational experiences; increase/improve language line volunteer training; improved information management and technology; establish brand and identity; increase total value of funding; explore social enterprise opportunities; embark in partnerships that extend expertise/broaden reach | Help people cope and build resiliency; a great place to work and develop; dedicated to being the best we can be; operational excellence; optimising our resources | 54 |
Arizona health care cost containment system | Behavioural Health System performance Framework and Dashboard, USA(non-profit-GO) | Not stated | Outcomes; access to services; service delivery; coordination and collaboration | 15 |
Themes Identified
Prevalence | Accessibility | Services provided | Clinical Outcomes | Client Satisfaction | Client involvement | Staff motivation | Staffing levels | Governance compliance | Development | Cost and revenue | |
---|---|---|---|---|---|---|---|---|---|---|---|
Coop, 2006 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | |||
Lin & Durbin, 2008 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | |||
Schmidt et al., 2006 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||||
Wolferstieg & Dunham, 1998 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | |||||
Yang et al., 2016 | ✔ | ✔ | ✔ | ✔ | ✔ | ||||||
NHS Scotland CAMHS, 2011 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||||
Ontario Shores Centre for Mental Health Sciences, 2019 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | |||
CMHA Toronto, 2011 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||
Western Isles Health and Social Care, 2018 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ |
New Path Youth and Family Services, 2018 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||||
Mental Health Ireland; 2017 | ✔ | ✔ | ✔ | ✔ | ✔ | ||||||
Alaska Mental Health Trust Authority, 2019 | ✔ | ✔ | ✔ | ||||||||
Center for Addiction and Mental Health, The Royal Mental Health Centre, Waypoint, 2019 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||
Griffin Center, 2018 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ||||
Spectra helpline Canada, 2017 | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | |||
Arizona health care cost containment system | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ |