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HoNOS: a cautionary tale of their use in a rehabilitation service
Published online by Cambridge University Press: 02 January 2018
Abstract
Health of the Nation Outcome Scales (HoNOS) were piloted in 248 patients with serious persistent mental health problems. Staff were trained by a cascade approach and rated patient outcome after six months.
There was poor interrater reliability between nurses and psychiatrists/psychologists. Outcome measured by HoNOS often contrasted with clinical experience.
HoNOS were not a reliable or valid measure of outcome. The scales are now completed only under supervision.
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- This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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- Copyright © 1999 The Royal College of Psychiatrists
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