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Using the Health of the Nation Outcome Scales in clinical practice

Published online by Cambridge University Press:  02 January 2018

Michael James
Affiliation:
Airedale General Hospital, Steeton, Keighley, West Yorkshire BD20 6TD
Robert Kehoe*
Affiliation:
Airedale General Hospital, Steeton, Keighley, West Yorkshire BD20 6TD
*
Correspondence
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Abstract

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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.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

British Psychological Society (1998) A Core Assessment and Outcomes Package for the Care Programme Approach. London: University College London.Google Scholar
Department of Health (1992) The Health of the Nation. London: HMSO.Google Scholar
Firth-Cozens, J. (1992) Building teams for effective audit. Quality in Health Care, 1, 252 255.CrossRefGoogle ScholarPubMed
King's Fund (1998) Turning Evidence into Practice Everyday. London: King's Fund Publishing.Google Scholar
NHS Executive (1998) Clinical Effectiveness Indicators: A Consultation Document Leeds: NHS Executive.Google Scholar
Stocking, B. (1992) Promoting change in clinical practice. Quality in Health Care, 1, 56 60.CrossRefGoogle Scholar
Taylor, J. & Wilkinson, G. (1997) HoNOS v. GP opinion in a shifted out-patient clinic. Psychiatric Bulletin, 21, 483 485.CrossRefGoogle Scholar
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.Google Scholar
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