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Consistency of the Health of the Nation Outcome Scales (HoNOS) at inpatient-to-community transition

Luo, Wei, Harvey, Richard, Tran, Truyen, Phung, Dinh, Venkatesh, Svetha and Connor, Jason P. 2016, Consistency of the Health of the Nation Outcome Scales (HoNOS) at inpatient-to-community transition, BMJ open, vol. 6, no. 4, pp. 1-6, doi: 10.1136/bmjopen-2015-010732.

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Title Consistency of the Health of the Nation Outcome Scales (HoNOS) at inpatient-to-community transition
Author(s) Luo, WeiORCID iD for Luo, Wei orcid.org/0000-0002-4711-7543
Harvey, Richard
Tran, TruyenORCID iD for Tran, Truyen orcid.org/0000-0001-6531-8907
Phung, DinhORCID iD for Phung, Dinh orcid.org/0000-0002-9977-8247
Venkatesh, Svetha
Connor, Jason P.
Journal name BMJ open
Volume number 6
Issue number 4
Start page 1
End page 6
Total pages 6
Publisher BMJ Group
Place of publication London, Eng.
Publication date 2016-04-27
ISSN 2044-6055
Keyword(s) Assessment
HoNOS
MENTAL HEALTH
Summary OBJECTIVES: The Health of the Nation Outcome Scales (HoNOS) are mandated outcome-measures in many mental-health jurisdictions. When HoNOS are used in different care settings, it is important to assess if setting specific bias exists. This article examines the consistency of HoNOS in a sample of psychiatric patients transitioned from acute inpatient care and community centres.

SETTING: A regional mental health service with both acute and community facilities.

PARTICIPANTS: 111 psychiatric patients were transferred from inpatient care to community care from 2012 to 2014. Their HoNOS scores were extracted from a clinical database; Each inpatient-discharge assessment was followed by a community-intake assessment, with the median period between assessments being 4 days (range 0-14). Assessor experience and professional background were recorded.

PRIMARY AND SECONDARY OUTCOME MEASURES: The difference of HoNOS at inpatient-discharge and community-intake were assessed with Pearson correlation, Cohen's κ and effect size.

RESULTS: Inpatient-discharge HoNOS was on average lower than community-intake HoNOS. The average HoNOS was 8.05 at discharge (median 7, range 1-22), and 12.16 at intake (median 12, range 1-25), an average increase of 4.11 (SD 6.97). Pearson correlation between two total scores was 0.073 (95% CI -0.095 to 0.238) and Cohen's κ was 0.02 (95% CI -0.02 to 0.06). Differences did not appear to depend on assessor experience or professional background.

CONCLUSIONS: Systematic change in the HoNOS occurs at inpatient-to-community transition. Some caution should be exercised in making direct comparisons between inpatient HoNOS and community HoNOS scores.
Language eng
DOI 10.1136/bmjopen-2015-010732
Field of Research 080109 Pattern Recognition and Data Mining
111714 Mental Health
Socio Economic Objective 970108 Expanding Knowledge in the Information and Computing Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083508

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.