Utility of the HoNOS in measuring change in a Community Mental Health Care population

Rees, Anne; Richards, Anna; Shapiro, David A.

doi:10.1080/09638230410001700925

Cited by 16 publications

(19 citation statements)

References 7 publications

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“…Health service use can therefore be tracked across an entire jurisdiction using routinely collected clinical data, in contrast to studies where outcomes are assessed in specific field trials, 5,7 or for a discrete service, program, or network. [17][18][19][20] Further studies of the routine use of HoNOS in specific programs have still relied on stand-alone data capture rather than existing administrative databases for the entire health service. [17][18][19][20] Most studies have also examined the concurrent properties of HoNOS rather than the sensitivity or predictive validity, 13 and there are limited data from Canada.…”

Section: Strengthsmentioning

confidence: 99%

“…[17][18][19][20] Further studies of the routine use of HoNOS in specific programs have still relied on stand-alone data capture rather than existing administrative databases for the entire health service. [17][18][19][20] Most studies have also examined the concurrent properties of HoNOS rather than the sensitivity or predictive validity, 13 and there are limited data from Canada. [14][15][16] In addition, previous studies have evaluated the use of each form of the HoNOS in isolation, 13 which may have limited applicability to the introduction of all 3 forms at the same time.…”

Section: Strengthsmentioning

confidence: 99%

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Do the Health of the Nation Outcome Scales Measure Outcome?

et al. 2010

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Objective: Among mental health outcome measures that have been developed for routine use, most of the information concerns the Health of the Nation Outcome Scales (HoNOS). This instrument is widely used in Europe, Australia, and New Zealand, but not in Canada. We tested its sensitivity and predictive validity under conditions that would resemble, as closely as possible, routine use. Method: Treating clinicians were asked to assess patients of all ages referred to outpatient mental health facilities of 2 district health authorities in Nova Scotia using either the HoNOS for adults or the HoNOS for Children and Adolescents (HoNOSCA). Data were entered using the existing routine administrative data system. Results: We obtained at least 1 rating on 4620 patients, giving a completion rate of 82%. On follow-up, ratings for the global score and most of the individual items were sensitive to change (n = 808). After adjusting for confounders, a baseline HoNOS score was significantly associated with subsequent in and outpatient service use including admissions, bed days, and psychiatric contacts (n = 1359). Conclusions: HoNOS has satisfactory sensitivity and predictive validity for routine use. We could introduce the adult version and HoNOSCA simultaneously and collect data using routine databases. Given the widespread routine use of HoNOS internationally, using the same outcome measure in Canada would enable comparisons of illness severity and outcomes between jurisdictions.

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Section: Strengthsmentioning

confidence: 99%

Section: Strengthsmentioning

confidence: 99%

Do the Health of the Nation Outcome Scales Measure Outcome?

et al. 2010

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“…This measure has derived support from some reviewers (e.g. Rees et al, 2004) and been criticised by others (e.g. Audin et al, 2001).…”

mentioning

confidence: 99%

Assessing risk and emotional disturbance using the CORE–OM and HoNOS outcome measures at the interface between primary and secondary mental healthcare

Leach¹,

Lucock

Barkham

et al. 2005

Psychiatr. bull.

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Aims and MethodThere is interest in how outcome measures routinely used in mental health settings compare with each other in assessing risk and emotional disturbance. The relation between the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE–OM), a client-completed measure, and the Health of the Nation Outcome Scale (HoNOS), a clinician-completed measure, was explored using data from 297 clients referred to secondary services by a primary care mental health liaison team.ResultsThe correlation between CORE–OM and HoNOS was 0.50, with cluster and factor analyses revealing overlap between the measures in assessing risk to self and others and general emotional issues.Clinical ImplicationsAlthough the measures are typically used in different settings, the overlap suggests that both might be useful in any setting where assessment for mental health problems and risk is needed.

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“…To gain an indication of the health and social functioning of community mental health consumers, several researchers have used the Health of the Nation Outcome Scales ( HoNOS; Wing et al, 1998 ) in their studies (e.g., Happell & Koehn, 2010;Kortrijk, Mulder, Roosenschoon, & Wiersma, 2010;Meagher, O'Brien, Pullela, Oshun, & Brosnan, 2009;Monzani, Erlicher, Lora, Lovaglio, & Vittadini, 2008;Prowse & Coombs, 2009;Rees, Richards, & Shapiro, 2004;Segal, Daffern, Thomas, & Ferguson, 2010).…”

Section: Health and Social Functioningmentioning

confidence: 99%

The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

Happell

Hoey²,

Gaskin

2012

Issues in Mental Health Nursing

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Mental health nurses increasingly provide care for consumers in the community who once would have received treatment in psychiatric inpatient units. The purpose of this review is to determine the characteristics of these consumers. We searched electronic databases and obtained information on some of the characteristics of community mental health consumers. For some nurses, over half of their caseloads are consumers with schizophrenia. Up to about one-third of consumers may be involuntary, but this proportion varies considerably. Impairments of health and social functioning appear common among consumers of community mental health services. This study identifies the need for greater interrogation of national databases to enhance understanding of community caseloads.

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Utility of the HoNOS in measuring change in a Community Mental Health Care population

Cited by 16 publications

References 7 publications

Do the Health of the Nation Outcome Scales Measure Outcome?

Do the Health of the Nation Outcome Scales Measure Outcome?

Assessing risk and emotional disturbance using the CORE–OM and HoNOS outcome measures at the interface between primary and secondary mental healthcare

The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

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