Show simple item record

dc.contributor.authorKisely, Stephen
dc.contributor.authorCampbell, Leslie Anne
dc.contributor.authorCartwright, Jennifer
dc.contributor.authorCox, Martha
dc.contributor.authorCampbell, John
dc.date.accessioned2017-05-03T13:25:36Z
dc.date.available2017-05-03T13:25:36Z
dc.date.issued2010
dc.identifier.issn0706-7437
dc.identifier.urihttp://hdl.handle.net/10072/37014
dc.description.abstractObjective: 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCanadian Psychiatric Association
dc.publisher.placeCanada
dc.publisher.urihttp://www.ncbi.nlm.nih.gov/pubmed/20704770
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom431
dc.relation.ispartofpageto439
dc.relation.ispartofissue7
dc.relation.ispartofjournalThe Canadian Journal of Psychiatry
dc.relation.ispartofvolume55
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchMental health services
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode420313
dc.subject.fieldofresearchcode52
dc.titleDo the health of the nation outcome scales measure outcome?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyrightSelf-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the author[s] for more information.
gro.date.issued2015-06-03T02:23:54Z
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record