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Paddington Complexity Scale and Health of the Nation Outcome Scales for Children and Adolescents

Published online by Cambridge University Press:  03 January 2018

P Yates ,
M E Garralda  and
I Higginson
P Yates*
Affiliation:
Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, London
M E Garralda
Affiliation:
Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, London
I Higginson
Affiliation:
King's College School of Medicine and Dentistry and St Christopher's Hospice, London
*
Dr P. Yates, Clinical Research Fellow, Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, St Mary's Campus, Norfolk Place, London W2 IPG
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Abstract

Background

There is an increasing interest in measuring health care outcomes in mental health services for children as well as adults.

Aims

We examined the sensitivity of the Paddington Complexity Scale (PCS) and the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) in describing the intakes of child and adolescent mental health clinics.

Method

We carried out a prospective study of two out-patient units and one day patient unit, by means of questionnaires administered to clinicians, parents and children.

Results

Clinician-rated PCS and HoNOSCAs were obtained for 248 new attenders. Both proved sensitive to intake differences between clinics. There were correlations of moderate intensity (r=0.6) between total PCS and HoNOSCA. There were weaker associations between these and parent/child rated measures of behaviour (r=0.4 and 0.3), quality of life and self-esteem (r=0.3 or less).

Conclusions

Both PCS and HoNOSCA are useful for describing clinical profiles of children and adolescents receiving mental health services.

Type
HoNOS Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 5 , May 1999 , pp. 417 - 423
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

The study was funded by the North Thames Regional Health Authority.

References

Bird, H. R., Canino, G., Rubio-Stipec, M., et al (1987) Further measures of the psychometric properties of the Children's Global Assessment Scale. Archives of General Psychiatry, 44, 821–824.CrossRefGoogle ScholarPubMed
Goodman, R. (1997) The Strengths and Difficulties Questionnaire: a research note. Journal of Child Psychology & Psychiatry, 38, 581–586.Google Scholar
Gowers, S., Harrington, R., Whitton, A., et al (1999) Brief scale for measuring the outcomes of emotional and behavioural disorders in children. Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). British Journal of Psychiatry, 174, 413–416.CrossRefGoogle ScholarPubMed
Graham, P, Flynn, D. & Stevenson, J. (1997) A new measure of health related quality of life for children: preliminary findings. Psychology & Health, 12, 655–756.Google Scholar
Harter, S. (1985) Manual for the Self-Perception Profile for Children. Denver, CO: University of Denver.Google Scholar
Hoagwood, K., Jensen, P. S., Petti, T., et al (1996) Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1055–1063.Google Scholar
Hoare, P., Elton, R., Greer, A., et al (1993) The modification and standardisation of the Harter Serf-Esteem Questionnaire with Scottish school children. European Child & Adolescent Psychiatry, 2, 19–33.Google Scholar
Hoare, P., Scarth, L. & Forbes, F. (1995) Audit of the Edinburgh Child Psychiatry Out-Patient Service. ACPP Review & Newsletter, 17, 139–148.Google Scholar
Howard, K. I., Cornille, T. A., Lyons, J. S., et al (1996) Patterns of mental health service utilization. Archives of General Psychiatry, 53, 696–703.Google Scholar
Hunter, J., Higginson, I. & Garralda, E. (1996) Systematic literature review: outcome measures for child and adolescent mental health services. Journal of Public Health Medicine, 18, 197–206.Google Scholar
Richman, N. (1997) Is a behaviour checklist for pre-school children useful? In Epidemiological Approaches in Child Psychiatry (ed. Graham, P. J.). London: Academic Press.Google Scholar
Richman, N., Stevenson, J. & Graham, P. J. (1982) Pre-school to School. A Behavioural Study London: Academic Press.Google Scholar
Shaffer, D., Gould, M. S., Brasic, J., et al (1983) A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 1228 1231.Google Scholar
Taylor, R. J. & Wilkinson, J. (1997) HoNOS v. GP opinion in a shifted out-patient clinic Psychiatric Bulletin, 21, 483 485.Google Scholar
Thompson, M. J. J. & Parry, G. (1991) A comparative audit of referrals to a child guidance clinic, 1981–1987. ACPP Newsletter, 13, 15–23.Google Scholar
Wiener, J. M. (1997) Diagnostic classification in DSM – IV. In Textbook of Child and Adolescent Psychiatry (2nd edn) (ed. Wiener, J. M.). Washington, DC: American Psychiatric Press.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
Wing, J. K., Beevor, A. Curtis, R. K., et al (1998) Health of the Nation Outcome Scales. Research and development. British Journal of Psychiatry, 172, 11–18.Google Scholar
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