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Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

  • Mick James (a1), Bill Buckingham (a2), Gary Cheung (a3), Roderick McKay (a4), Jon Painter (a5) and Malcom W. Stewart (a6)...

Abstract

Aims and method

The Health of the Nation Outcome Scales for Elderly People (HoNOS65+) has been used widely for 20 years, but has not been updated to reflect contemporary clinical practice. The Royal College of Psychiatrists convened an advisory board, with expertise from the UK, Australia and New Zealand, to propose amendments. The aim was to improve rater experience when using the HoNOS65+ glossary by removing ambiguity and inconsistency, rather than a more radical revision.

Results

Views and experience from the countries involved were used to produce a series of amendments intended to improve intra- and interrater reliability and improve validity. This update will be called HoNOS Older Adults to reflect the changing nature of the population and services provided to meet their needs. These improvements are reported verbatim, together with the original HoNOS65+ to aid comparison.

Clinical implications

Formal examination of the psychometric properties of the revised measure is needed. However, clinician training will remain crucial.

Declaration of interest

None.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

Corresponding author

Correspondence to Mick James via (Emma.George@rcpsych.ac.uk)

References

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1Wing, JK, Curtis, RH, Beevor, AS. Health of the Nation Outcome Scales (HoNOS): glossary for HoNOS score sheet. Br J Psychiatry 1999; 174: 432–4.
2Turner, S. Are the Health of the Nation Outcome Scales (HoNOS) useful for measuring outcomes in older people's mental health services? Aging Ment Health 2004; 8: 387–96.
3Burns, A, Beevor, A, Lelliott, P, Wing, J, Blakey, A, Orrell, M, et al. Health of the Nation Outcome Scales for elderly people (HoNOS 65+): Glossary for HoNOS 65+ score sheet. Br J Psychiatry 1999; 174: 435–8.
4HoNOS 65+ Implementing Group. A Tabulated Glossary for Use with the HoNOS 65+. Royal College of Psychiatrists Research Unit, 2004 (https://www.rcpsych.ac.uk/pdf/CECT65%20Tabulated%20glossary%20v3g.pdf).
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6Royal College of Psychiatrists. HoNOS 65+ Glossary. Royal College of Psychiatrists, 2018 (http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/olderadults/glossary.aspx).
7Australian Department of Health and Ageing. Mental Health Information Development Mental Health National Outcomes and Casemix Collection: Overview of Clinician-Rated and Consumer Self-Report Measures. Department of Health and Ageing, 2003 (http://www.amhocn.org/sites/default/files/publication_files/mhnocc_overview_doha.pdf).
8Te Pou. HoNOS: Guide for New Zealand Clinicians. Te Pou, 2016 (https://www.tepou.co.nz/uploads/files/resource-assets/HoNOS-guide-A4-2016-f.pdf).
9Department of Health. Mental Health Payment by Results Guidance for 2013-14. Department of Health, 2013(https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/232162/Mental_Health_PbR_Guidance_for_2013-14.pdf).
10James, M, Painter, J, Buckingham, B, Stewart, MW. A review and update of the Health of the Nation Outcome Scales (HoNOS). BJPsych Bulletin 2018; 42: 63–8.
11World Health Organization. World Report on Ageing and Health. World Health Organization, 2015 (http://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf?sequence=1).
12NICE. Alcohol-use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence. National Institute of Health and Care Excellence, 2011.

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Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

  • Mick James (a1), Bill Buckingham (a2), Gary Cheung (a3), Roderick McKay (a4), Jon Painter (a5) and Malcom W. Stewart (a6)...
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