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Use of a routine mental health measure in an adolescent secure unit

  • Peter Yates (a1), Tami Kramer (a1) and M. Elena Garralda (a1)
Summary

We examined the use of a staff-completed measure, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), to record mental health problems in adolescents in local authority secure accommodation. It proved possible to train staff and implement completion of the HoNOSCA on 64 consecutive admissions. Interrater reliability was high. The HoNOSCA identified high levels of psychological problems on admission (mean 18.5, s.d.=5.5). Follow-up HoNOSCA ratings proved sensitive to change; however, correlation between HoNOSCA and adolescent-completed questionnaires was poor. We concluded that HoNOSCA can be helpful in documenting mental health problems among young people admitted to secure local authority units.

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Copyright
Corresponding author
Professor Elena Garralda, Academic Unit of Child and Adolescent Psychiatry, Imperial College St Mary's Campus, Norfolk Place, London W2 IPG, UK. E-mail: e.garralda@imperial.ac.uk
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Declaration of interest

None.

Funding detailed in acknowledgements.

Footnotes
References
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Department of Health (1999) Young people in local authority secure accomodation in England and Wales year ending 31 March 1998. Press release 1999/0189 (published 31/03/1999). London: Department of Health.
Garralda, M. E., Yates, P. & Higginson, I. (2000) Child and adolescent mental health service use: HoNOSCA as an outcome measure. British Journal of Psychiatry, 177, 5258.
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Gosden, N. P., Kramp, P., Gabrielsen, G., et al (2003) Prevalence of mental disorders among 15–17-year-old male adolescent remand prisoners in Denmark. Acta Psychiatrica Scandinavica, 107, 102110.
Gowers, S. G., Harrington, R. C., Whitton, A., et al (1999) Brief scale for measuring the outcomes of emotional and behavioural disorders in children. Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). British Journal of Psychiatry, 174, 413416.
Gowers, S., Levine, W., Bailey-Rogers, S., et al (2002) Use of a routine, self-report outcome measure (HoNOSCA-SR) in two adolescent mental health services. British Journal of Psychiatry, 180, 266269.
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Yates, P., Garralda, M. E. & Higginson, I. (1999) Paddington Complexity Scale and Health of the Nation Outcome Scales for Children and Adolescents. British Journal of Psychiatry, 174, 417423.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Use of a routine mental health measure in an adolescent secure unit

  • Peter Yates (a1), Tami Kramer (a1) and M. Elena Garralda (a1)
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