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HoNOS: a cautionary tale of their use in a rehabilitation service

Published online by Cambridge University Press:  02 January 2018

Robert Chaplin  and
Rachel Perkins
Rachel Perkins
Affiliation:
Pathfinder Mental Health Service, 61 Glenburnie Road, Tooting, London SW17 7DJ
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Abstract

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Aims and method

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.

Results

There was poor interrater reliability between nurses and psychiatrists/psychologists. Outcome measured by HoNOS often contrasted with clinical experience.

Clinical implications

HoNOS were not a reliable or valid measure of outcome. The scales are now completed only under supervision.

Type
Original papers
Information
Psychiatric Bulletin , Volume 23 , Issue 1 , January 1999 , pp. 20 - 21
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Department of Health (1992) The Health of the Nation: A Strategy of Health for England. London: HMSO.Google Scholar
NHS Executive (1996) Planning and Priorities Guidance for the NHS 1997/8. Leeds: Department of Health.Google Scholar
Norusis, M. J. (1986) SPSS/PC+ Statistics. Chicago, IL: SPSS.Google Scholar
Wing, J. K., Curtis, R. H. & Beevor, A. S. (1996) HoNOS: Health of the Nation Outcome Scales . Report on Research and Development London: Royal College of Psychiatrists' Research Unit.Google Scholar
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