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Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales

  • Richard Laugharne (a1), Scott Eaves (a2), Alin Mascas (a3), Kiki Psatha (a2), Gill Dinnis (a4), Jonathan Trower (a5) and Rohit Shankar (a1)...
Abstract
Background

Community mental health services in the UK have struggled to measure the clinical effectiveness of their services.

Aims

To measure clinical outcomes for different diagnostic clusters.

Method

Clinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS), and HoNOS scores should be recorded annually after treatment. Clinical outcomes were measured by changes in HoNOS for diagnostic clusters.

Results

In two time periods (2014 and 2016), the health of patients with mild to moderate common mental disorders deteriorated after intervention. Patients with severe common mental disorders and psychoses improved in their clinical status.

Conclusions

British community mental health teams may be effective in improving the clinical status of people with severe mental illness, but may have a negative effect on people with mild to moderate illnesses. These teams need to focus on the severely mentally ill and build on this demonstrable effectiveness.

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: Dr Richard Laugharne, Trevillis House, Lodge Hill, Liskeard, Cornwall, UK PL14 4EN. Email: richard.laugharne@nhs.net
References
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Desperately seeking outcomes: quantifying the effectiveness of community mental healthcare using Health of the Nation Outcome Scales

  • Richard Laugharne (a1), Scott Eaves (a2), Alin Mascas (a3), Kiki Psatha (a2), Gill Dinnis (a4), Jonathan Trower (a5) and Rohit Shankar (a1)...
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