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HoNOS: a cautionary tale of their use in a rehabilitation service

  • Robert Chaplin and Rachel Perkins (a1)
Abstract
Aims and method

Health of the Nation Outcome Scales (HoNOS) were piloted in 248 patients with serious persistent mental health problems. Staff were trained by a cascade approach and rated patient outcome after six months.

Results

There was poor interrater reliability between nurses and psychiatrists/psychologists. Outcome measured by HoNOS often contrasted with clinical experience.

Clinical implications

HoNOS were not a reliable or valid measure of outcome. The scales are now completed only under supervision.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence
References
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Department of Health (1992) The Health of the Nation: A Strategy of Health for England. London: HMSO.
NHS Executive (1996) Planning and Priorities Guidance for the NHS 1997/8. Leeds: Department of Health.
Norusis, M. J. (1986) SPSS/PC+ Statistics. Chicago, IL: SPSS.
Wing, J. K., Curtis, R. H. & Beevor, A. S. (1996) HoNOS: Health of the Nation Outcome Scales . Report on Research and Development London: Royal College of Psychiatrists' Research Unit.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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HoNOS: a cautionary tale of their use in a rehabilitation service

  • Robert Chaplin and Rachel Perkins (a1)
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