The Capital Mental Health Association (CMHA) is an umbrella organization of 12 psycho-social rehabilitation programmes. For forty years CMHA has been serving persons with mental illness in the Capital Regional District (CRD) on Vancouver Island, BC, Canada. Its mission is:
To enhance and enrich the quality of life of persons with mental illness and to promote their integration in the communities of the capital region, through partnership with the individuals, their family members and the community. 1
CMHA pursues its mission through 12 programmes, 5 vocational, 5 social-recreational, and 2 in the area of supported housing. In Chapter 4, we discussed our preliminary report to the CMHA Executive Director and Board. The experience was interesting and instructive, but not particularly productive. The agency did not find our first attempt persuasive, and we did not succeed in our objective of demonstrating that the development of a performance accountability framework was practically feasible and useful, even essential, to both management and the board for both internal governance and management control and external reporting and fund-raising. We continued to work with the agency and re-established a constructive relationship through the development, from the bottom up, of general reporting standards, and of specific approaches such as programme costing. The relationship progressed to the point where we were encouraged to offer assistance in addressing the very difficult area of performance measurement on the other side of the value-for-money equation—what is achieved by spending these resources. This chapter reports on this part of the research project.
Five of the 12 programmes are illustrated in this abridged version of the larger study of all 12 programmes which, as part of our research project, was completed as a graduate dissertation in 1997 at the University of Victoria. 2 The first two are vocational, the next two social-recreational.