HoNOS


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HoNOS

Health of the Nation Outcome Scales. A system for measuring the health and social functioning of people with severe mental illness, which was commissioned by UK Department of Health (DoH) in 1993 and developed by the Royal College of Psychiatrists’ Research Unit (CRU). The aim was to provide a means of recording progress towards the DoH’s Health of the Nation target “to improve significantly the health and social functioning of mentally ill people”. In 1996, the CRU reported a 12-item instrument measuring behaviour, impairment, symptoms and social functioning. HoNOSs can be completed after routine clinical assessments in any setting and have various uses for clinicians, researchers and administrators, but especially health care commissioners and providers. HoNOSs are the outcome measure most widely used by English mental health services.

HoNOS scales
Each is rated from 0 (no problems) to 4 (severe problems):
• Behavioural disturbance.
• Non-accidental self injury.
• Problem Drinking or Drug Use.
• Cognitive Problems.
• Problems related to physical illness or disability.
• Problems associated with hallucinations and delusions.
• Problems associated with depressive symptoms.
• Other mental and behavioural problems.
• Problems with social or supportive relationships.
• Problems with activities of daily living.
• Overall problems with living conditions.
• Problems with work and leisure activities and the quality of the daytime environment.
References in periodicals archive ?
Further criticism of the HoNOS suite is brought by Happell (2008) who raises the question of whether these forms are in fact a potential risk for impeding recovery.
Illness severity (assessed with the HoNOS) was defined as suggested by Lelliott [17] as the number of subscales on which subjects scored a 3 or 4.
A look at the instrument's compatibility with and complementarily to HoNOS was also considered.
Firstly, I need to confess I have long expressed opinions about HoNOS, few of them positive, in a bi-monthly column I write for this magazine.
The effectiveness of a New Zealand early intervention for psychosis service (EIS) was assessed by analysis of 100 EIS patients' Positive and Negative Symptom Severity (PANNS) scores and Health of the Nation Outcome (HoNOS) scores that were collected over five time periods from intake through to 24 months.
ita juventus ad ea studia potissimum incumbit quibus honos et gloria defertur.
Is the Health of the Nation Outcome Scales, more commonly known as HoNOS, fit for purpose as an outcome measurement tool for mental health services?
Or see Orsi, 1589, 69, who uses language interestingly close to that in his poem on Caprarola discussing this particular Gemini panel: "Alter et in terris florebit, et alter Olympo:/Et geminus gemino ex Principe surget honos." For more on Orsi and the Gemini fresco see n.76 and text below.
"They have a nurse [a nurse!] telling the world that she says to her patients she is measuring their 'progress' using the HoNOS [health of the nation outcome measure], and saying to them, 'You were at a 3 for hearing voices when you first came in--now you're at a 2'." (2)
The repeated word `already' -- iam -- and the returning virtues -- Fides, Honos, Pax, Pudor and Virtus -- draw our attention once again to the fourth Eclogue.
/ Nanque Augustini ingenium, et facundia et ardens / Illa adeo pietas, atque amor ille boni / Hanc mentem inspirant, coeli de vertice, virtus / Unde hominum, unde Deum non moriatur honos." Pierio Valeriano, Coryciana, N 2v-N 3.