Conference paper
HONOSCA IN AN ADOLESCENT PSYCHIATRIC INPATIENT UNIT: AN EXPLORATION OF OUTCOME MEASURES
Jin-Min Yuan
; School of Clinical Medicine, University of Cambridge, Cambridge, UK
Abstract
Routine Outcome Measures (ROM) are important tools, increasingly used to assess both patient progress and service-provider
efficacy. The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a clinician- and patient-rated ROM
which summarises a patient’s global functioning within behaviour, impairment, symptoms and social domains. Recent literature
suggests that consistent disparity exists between the patients’ self-ratings and the clinicians’ ratings on HoNOSCA. We analysed
HoNOSCA data for our own adolescent inpatient unit and report similar findings. Studies have also shown significant differences in
both physical and mental health outcomes based on the patient-clinician dynamic and effective communication. We thus investigated
the predictive utility of the two HoNOSCA scores, and the disparity between them, with respect to other outcomes measures (CGAS,
length of stay and improvement on HoNOSCA). HoNOSCA disparity scores were significantly associated with both patient- and
clinician-rated HoNOSCA improvement scores. Moreover, higher admission HoNOSCA scores were associated with greater
HoNOSCA improvement scores, for both patient and clinician ratings. We report admission and discharge HoNOSCA scores
comparable to other child and adolescent psychiatric inpatient facilities.
Keywords
HoNOSCA; ROM; CAMHS; outcomes; adolescent; inpatients; mental health
Hrčak ID:
264566
URI
Publication date:
8.9.2015.
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