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Using the Health of the Nation Outcome Scales in clinical practice

  • Michael James (a1) and Robert Kehoe (a1)
Abstract
Aims and method

To describe the implementation of a plan to use a validated outcome measure in the care and treatment of people with severe mental illness within a district general hospital psychiatric service. Multiple techniques were necessary to promote actual change of practice.

Results

A survey of practice found 77% of full Care Programme Approach patients to have recorded Health of the Nation Outcome Scales (HoNOS) scores in their care plans one year after the beginning of the implementation plan.

Clinical implications

It is possible to incorporate the use of HoNOS in to everyday practice but it takes a lot of time, effort and resources. Mental health services may require a clearer indication from the NHS Executive regarding the use of such outcome scales before committing themselves.

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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.
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References
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British Psychological Society (1998) A Core Assessment and Outcomes Package for the Care Programme Approach. London: University College London.
Department of Health (1992) The Health of the Nation. London: HMSO.
Firth-Cozens, J. (1992) Building teams for effective audit. Quality in Health Care, 1, 252 255.
King's Fund (1998) Turning Evidence into Practice Everyday. London: King's Fund Publishing.
NHS Executive (1998) Clinical Effectiveness Indicators: A Consultation Document Leeds: NHS Executive.
Stocking, B. (1992) Promoting change in clinical practice. Quality in Health Care, 1, 56 60.
Taylor, J. & Wilkinson, G. (1997) HoNOS v. GP opinion in a shifted out-patient clinic. Psychiatric Bulletin, 21, 483 485.
Wing, J., Beaver, A. S., Curtis, R. H., et al (1995) HoNOS: Health of the Nation Outcome Scales. London: Royal College of Psychiatrists' Research Unit Report.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Using the Health of the Nation Outcome Scales in clinical practice

  • Michael James (a1) and Robert Kehoe (a1)
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