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The use of HoNOSCA in a child and adolescent mental health service

Published online by Cambridge University Press:  13 June 2014

Julie Manderson
Affiliation:
Child and Family Clinic, Bocombra Lodge, 2 Old Lurgan Road, Portadown BT63 5 SG, Northern Ireland
Noel McCune
Affiliation:
Child and Family Clinic, Bocombra Lodge, 2 Old Lurgan Road, Portadown BT63 5 SG, Northern Ireland

Abstract

Objectives: To assess the health and social functioning of patients attending a Child and Adolescent Mental Health Service (CAMHS) and to measure the impact of attendance using the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA).

Method: HoNOSCA was completed on 73 consecutive patients attending for initial assessment with a review assessment being completed after six months or at discharge from the clinic if this occurred sooner on 53 of these. The impact of attendance at the clinics was determined by comparing initial and review mean HoNOSCA Scores.

Results: Of the 53, 66% were male and 34% female. Boys were more highly rated with regard to aggressive behaviour, performance in peer relationships and family life relationships whilst girls were rated as having more nonorganic and emotional symptoms. Older children showed the highest rates of poor school attendance, non accidental (self) injury and emotional problems while younger children showed the greatest aggressive behaviour and language skill problems. An improvement in the total HoNOSCA score from initial assessment to review was seen in 92%. There was an improvement in the HoNOSCA mean score from initial assessment to review.

Conclusions: Age, sex and symptom profiles of patients attending the service were similar to other CAMHS. Attendance at CAMHS produces improvements in patient outcomes over a six month period as measured using HoNOSCA, which proved to be a useful if somewhat time consuming tool.

Type
Brief reports
Copyright
Copyright © Cambridge University Press 2003

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References

1.Wing, J. Measuring Mental Health Outcomes; a perspective from the Royal College of Psychiatrists. Outcomes into clinical practice (Delamonthe, T, ed). London: BMJ publishing 1994: 147152.Google Scholar
2.Wing, J, Curtis, RH, Beevor, AS. HoNOS – Health of the Nation Outcome Scales; report on research and development. London: Royal College of Psychiatrists Research Unit 1996.Google Scholar
3.Jensen, PS, Hoagwood, K, Petti, T. Outcomes of mental health care for children and adolescents: II, literature review and application of a comprehensive model. J Am Acad Child & Adolescent Psychiatry 1996; 35: 10641077.CrossRefGoogle ScholarPubMed
4.Gowers, SG, Harrington, RC, Whitton, Aet al.Brief scale for measuring the outcomes of emotional and behavioural disorders in children. Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Br J Psych 1999; 174: 413416.CrossRefGoogle ScholarPubMed
5.Garralda, ME, Yates, P, Higginson, I. Child and Adolescent mental health service use. HoNOSCA as an outcome measure. Br J Psych 2000; 177: 5258.CrossRefGoogle ScholarPubMed
6.Brann, P, Coleman, G, Luk, E. Routine outcome measurement in a child and adolescent mental health service: an evaluation of HoNOSCA. Aust NZ J Psychiatry 2001; 35: 370376.CrossRefGoogle Scholar
7.Goodman, R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 1997; 38: 581586.CrossRefGoogle ScholarPubMed
8.Gowers, SG, Levine, W, Bailey-Rogers, S, Shore, A, Burhouse, E. Use of a routine, self-report outcome measure (HoNOSCA-SR) in two adolescent health services. Br J Psych 2002; 180: 266269.CrossRefGoogle Scholar
9.Gowers, SG, Harrington, RC, Whitton, Aet al.Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Glossary for HoNOSCA score sheet. Br J Psych 1999; 174: 428431.CrossRefGoogle ScholarPubMed