Health of the Nation Outcome Scales in an inpatient unit

An 8‐year study of admissions and discharges to a specialist intellectual disability inpatient unit

“…Research has suggested that demographics such as poorer levels of functioning, rates of self‐harming and challenging behaviour are more prevalent in adults who are admitted to inpatient units than those managed within local community services (Pearce et al, 2011). This has correlated in adults with higher HoNOS‐LD scores being admitted compared to adults commencing community‐based psychiatric/behavioural intervention (Pearce et al, 2011; Sandhu & Tomlins, 2017).…”

Clinical needs and outcomes of adults with intellectual disabilities accessing an inpatient assessment and treatment service and the implication for development of community services

“…However, it is important to note that whilst the HoNOS-ID items have been deemed appropriate by clinicians (Roy et al, 2002), questions have not been explored from either a service user’s or a family member’s perspective therefore may not address issues considered important by these groups. Illustrating this, Pearce (2011) found that improvements in HoNOS-ID scores did not correlate with improvements in quality of life according to service users’ completion of the ‘Life Experiences Checklist’. Moreover, the HoNOS-ID does not look at environmental issues such as the family, home or care setting and their possible contribution to distress.…”

“…It is vital for services to utilize good quality outcome measures (Department of Health, 2012b; Royal College of Psychiatrists, 2013) and much evidence supports the use of HoNOS-ID in both inpatient (e.g. Hillier et al, 2010, Pearce, 2011) and community settings (e.g. Skelly and D’Antonio, 2008).…”

“…It was designed to address gaps in the generic HoNOS that neglected to attend to some issues felt to be pertinent within ID, such as communication skills and movement disorders. The HoNOS-ID is designed to measure change across a global set of outcomes including behaviour (to self and others), communication, mental health, physical health, self-care and activities of daily living (Pearce, 2011). It is described as a reliable measure of change across time, for all levels of ID, and its excellent inter-rater reliability between different professional groups means it can be used reliably within multidisciplinary team (MDT) environments (Roy et al, 2002).…”

The feasibility of psychomotor therapy in acute mental health services for adults with intellectual disability

“…Behaviour and mental health over the previous 4 weeks are reported by a knowledgeable informant. HoNOS-LD has good inter-rater reliability, can be used irrespective of the degree of ID (Roy et al, 2002), and has been used to evaluate the effectiveness of services provided by inpatient settings (Hillier et al, 2010;Pearce, Skelly & Baxter, 2011). IQ scores from recent assessment on WAIS-IV were obtained for most patients from case records.…”