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Routine clinical outcome measures for patients with severe mental illness: CANSAS and HoNOS

Published online by Cambridge University Press:  03 January 2018

Mike Slade ,
Andrew Beck ,
Jonathan Bindman ,
Graham Thornicroft  and
Steve Wright
Mike Slade*
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Andrew Beck
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Jonathan Bindman
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Steve Wright
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
*
Dr Mike Slade, Lecturer in Clinical Psychology, Section of Community Psychiatry (PRiSM), Institute of Psychiatry, De Crespigny Park. Denmark Hill, London SE5 8AF
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Abstract

Background

Two recently developed measures intended for clinical use are HoNOS (Health of the Nation Outcome Scales), measuring social functioning, and CANSAS (Camberwell Assessment of Need Short Appraisal Schedule), for measuring need.

Aims

We investigated the association between CANSAS and HoNOS.

Results

For some domains there were substantial associations, with high HoNOS rating correlated with CANSAS rating of the presence of a need. For other areas the agreement was less than might be expected. Seven factors were identified within the 22 CANSAS domains, and the presence of needs in the Drug/alcohol and Activities of daily living factors was associated with high scores in the related HoNOS domains.

Conclusions

CANSAS and HoNOS assessments differ. HoNOS can track changes in social functioning over time, but may be less useful for treatment planning, and should not be used to infer the level of morbidity in a case-load. CANSAS indicates when treatment should be commenced or continued. It can also be used as a case-load measure, but may be insufficiently sensitive to be used as an outcome measure at the individual level.

Type
HoNOS Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 5 , May 1999 , pp. 404 - 408
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Of the two studies on which this investigation was based, Study I was funded by the Department of Health, and Study 2 was funded by Croydon Health Authority.

References

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