Do the health of the nation outcome scales measure outcome?

Kisely, Stephen, Campbell, Leslie Anne, Cartwright, Jennifer, Cox, Martha and Campbell, John (2010) Do the health of the nation outcome scales measure outcome?. Canadian Journal of Psychiatry, 55 7: 431-439.

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Name Description MIMEType Size Downloads
Author Kisely, Stephen
Campbell, Leslie Anne
Cartwright, Jennifer
Cox, Martha
Campbell, John
Title Do the health of the nation outcome scales measure outcome?
Journal name Canadian Journal of Psychiatry   Check publisher's open access policy
ISSN 0706-7437
Publication date 2010-07
Year available 2010
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 55
Issue 7
Start page 431
End page 439
Total pages 9
Place of publication Thousand Oaks, California, United States
Publisher Sage Publications
Collection year 2011
Language eng
Formatted abstract
Objective: Among mental health outcome measures that have been developed for routine use, most of the information concerns the Health of the Nation Outcome Scales (HoNOS). This instrument is widely used in Europe, Australia, and New Zealand, but not in Canada. We tested its sensitivity and predictive validity under conditions that would resemble, as closely as possible, routine use.

Method: Treating clinicians were asked to assess patients of all ages referred to outpatient mental health facilities of 2 district health authorities in Nova Scotia using either the HoNOS for adults or the HoNOS for Children and Adolescents (HoNOSCA). Data were entered using the existing routine administrative data system.

Results: We obtained at least 1 rating on 4620 patients, giving a completion rate of 82%. On follow-up, ratings for the global score and most of the individual items were sensitive to change (n = 808). After adjusting for confounders, a baseline HoNOS score was significantly associated with subsequent in and outpatient service use including admissions, bed days, and psychiatric contacts (n = 1359).

Conclusions: HoNOS has satisfactory sensitivity and predictive validity for routine use. We could introduce the adult version and HoNOSCA simultaneously and collect data using routine databases. Given the widespread routine use of HoNOS internationally, using the same outcome measure in Canada would enable comparisons of illness severity and outcomes between jurisdictions.
Keyword Health outcomes
Mental Health Services
Health of the Nation Outcome Scales
People HoNOS 65+
Adolescents HoNOSCA
Score sheet
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Queensland Centre for Health Data Services
Official 2011 Collection
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 22 Aug 2010, 00:11:05 EST