Background Health ofthe Nation Outcome Scales (HoNOS) were incorporated in a data set recording the routine clinical activities of a mental health team in Liverpool.
Aims To evaluate the use of HoNOS in general adult psychiatry.
Method All consecutive patients who came in contact with the mental health team were administered Ho NOS by the consultant psychiatrist.
A cohort (n=204) of patients was identified over a period of 8 months.
All patients (n=156) who had a repeat HoNOS after an interval of 6 months were included in the study.
Results There was an overall reduction in Ho NOS scores after an interval of 6 months, more so among patients with psychotic and affective disorders.
Patients scoring on other disorders showed no change on HoNOS.
The measured change in clinical state based on the Clinical Global Impression scale was broadly consistent with HoNOS scores.
Conclusions It was feasible to administer HoNOS during routine assessments, but HoNOS data were of limited value in care-planning in day-today clinical practice.
The widespread adoption of HoNOS for use in routine clinical practice would be premature.
Declaration of interest This was a joint project between the Mental Health Directorate, University Hospital Aintree and Liverpool Health Authority.
Mots-clés Pascal : Santé mentale, Trouble psychiatrique, Psychiatrie communautaire, Echelle évaluation, Validation test, Pronostic, Etude longitudinale, Homme, Psychométrie, Health of the Nation Outcome Scales
Mots-clés Pascal anglais : Mental health, Mental disorder, Community psychiatry, Evaluation scale, Test validation, Prognosis, Follow up study, Human, Psychometrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0319186
Code Inist : 002B18B01. Création : 16/11/1999.