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Value of HoNOS in assessing patient change in NHS psychotherapy and psychological treatment services

  • Kerry Audin (a1), Frank R. Margison (a2), John Mellor Clark (a1) and Michael Barkham (a1)
Abstract
Background

Little research on the value of Health of the Nation Outcome Scales (HoNOS) has occurred in out-patient settings, particularly psychotherapy services.

Aims

To determine whether HoNOS provides an adequate assessment for psychotherapy services which is sensitive to change.

Methods

HoNOS ratings from 1688 patients from eight out-patient psychotherapy services were collected. Of these, 362 also had ratings post-treatment. Mean scores, pre- to post-treatment differences, and reliable and clinically significant change criteria were calculated for HoNOS items and for total scores.

Results

The mean total HoNOS rating was 8.93, which is comparable to psychiatric out-patients. Only three items showed sufficient variability to use in assessing pre- to post-treatment change.

Conclusions

Significant limitations were found in rating items that commonly present to psychotherapists. The lack of variability in most items limits HoNOS's usefulness in this population.

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Copyright
Corresponding author
Kerry Audin, Psychological Therapies Research Centre, 17 BlenheimTerrace, University of Leeds, Leeds LS2 9JT, UK. E-mail: kerrya@psychology.leeds.ac.uk
Footnotes
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Declaration of interest

The authors were funded by the Mental Health Foundation to develop the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE–OM) for out-patient psychotherapy populations.

Footnotes
References
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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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Value of HoNOS in assessing patient change in NHS psychotherapy and psychological treatment services

  • Kerry Audin (a1), Frank R. Margison (a2), John Mellor Clark (a1) and Michael Barkham (a1)
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