Routine outcome measurement in youth mental health: A comparison of two clinician rated measures, HoNOSCA and HoNOS

2012 ◽  
Vol 200 (2-3) ◽  
pp. 884-889 ◽  
Author(s):  
Peter Brann ◽  
Monique Alexander ◽  
Tim Coombs
Keyword(s):  
Mental Health ◽  
Outcome Measurement ◽  
Youth Mental Health ◽  
Routine Outcome Measurement

scholarly journals Sociodemographic and clinical characteristics in child and youth mental health; comparison of routine outcome measurements of an Australian and Dutch outpatient cohort

2021 ◽  
Vol 30 ◽  
Author(s):  
S. L. Roest ◽  
B. M. Siebelink ◽  
H. van Ewijk ◽  
R. R. J. M. Vermeiren ◽  
C. M. Middeldorp ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Trials ◽  
Selection Criteria ◽  
Clinical Characteristics ◽  
Outcome Measurement ◽  
Mental Healthcare ◽  
Youth Mental Health ◽  
Healthcare Services ◽  
Routine Outcome Measurement ◽  
Strict Selection

Routine outcome measurement (ROM) data offer unique opportunities to study treatment outcomes in clinical practice, and can help to assess the real-world impact of mental health services for children and adolescents (youth). This is illustrated by studies using naturalistic data from specialist child and adolescent mental healthcare services (CAMHS), showing the proportion of patients with reliable improvement, recovery or deterioration (Burgess et al., 2015; Wolpert et al., 2016), and revealing specific subgroups of patients with greater risk of poor outcome (Garralda et al., 2000; Lundh et al., 2013; Murphy et al., 2015; Edbrooke-Childs et al., 2017). Naturalistic data are therefore undeniably necessary in addition to data derived from randomised clinical trials, which often have limited generalisability due to strict selection criteria (Rothwell, 2005; Van Noorden et al., 2014).

Routine Outcome Measurement in a Child and Adolescent Mental Health Service: An Evaluation of HoNOSCA

2001 ◽  
Vol 35 (3) ◽  
pp. 370-376 ◽  
Author(s):  
Peter Brann ◽  
Grahame Coleman ◽  
Ernest Luk
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Interrater Reliability ◽  
Outcome Measurement ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Good Reliability ◽  
Routine Outcome Measurement ◽  
Adolescent Mental Health Service

Objective: This paper evaluates a range of properties for a clinician-based instrument designed for routine use in a child and adolescent mental health service (CAMHS). Method: The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a new outcome measure with great promise. Case vignettes were used to examine interrater reliability. HoNOSCA was implemented for routine outpatient use by multidisciplinary staff with a return rate of 84%. The 305 ratings obtained at assessment were analysed by age, gender and diagnosis. Asample of 145 paired ratings with a 3-month interval were examined for the measurement of change over time. Results: Interrater reliability of the total score indicates moderate reliability if absolute scores are used and good reliability if the total score is used for relative comparisons. Most scales have good to very good reliability. The scales discriminated between age and gender in the expected way. HoNOSCA correlated with clinicians’ views of change and was sensitive to change over a 3-month period. The total score seemed a proxy for severity. Conclusion: Routine outcome instruments must be explored in settings where they will be used and with realistic training. HoNOSCA appears to be of value in routine outcome measurement and although questions remain about reliability and validity, the results strongly support further investigation.

scholarly journals It's not that bad: the views of consumers and carers about routine outcome measurement in mental health

2009 ◽  
Vol 33 (1) ◽  
pp. 93 ◽  
Author(s):  
Jennifer Black ◽  
Tania Lewis ◽  
Pamela McIntosh ◽  
Tom Callaly ◽  
Tim Coombs ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Outcome Measurement ◽  
Clinical Use ◽  
Self Assessment ◽  
Routine Outcome Measurement ◽  
The Past ◽  
Assessment Measure ◽  
Promotional Materials ◽  
Mandatory Use

The mandatory use of routine outcome measurement (ROM) has been introduced into all public sector mental health services in Australia over the past 6 years. Qualitative processes were used to engage consumers and carers in suggesting how the measures can be used in clinical practice. The project involved an audit by survey, followed by a range of interactive workshops designed to elicit the views of consumers, carers and clinicians, as well as to involve all parties in dialogue about ROM. In addition, there was engagement of consumers and carers in the training of clinicians in the clinical use of ROM, and in the production of promotional materials aimed at informing consumers and carers about ROM. When consumers and carers have had an opportunity to be involved in ROM they have found it a useful experience, and those who had not been involved can see the potential. Consumers and carers indicated that they believe the greatest opportunity arising from the suite of measures is the use of the consumer self-assessment measure the Behaviour and Symptom Identification Scale (BASIS-32).

scholarly journals Use of a routine, self-report outcome measure (HoNOSCA–SR) in two adolescent mental health services

2002 ◽  
Vol 180 (3) ◽  
pp. 266-269 ◽  
Author(s):  
Simon Gowers ◽  
Warren Levine ◽  
Sarah Bailey-Rogers ◽  
Alison Shore ◽  
Emma Burhouse
Keyword(s):  
Mental Health ◽  
Outcome Measure ◽  
Outcome Measurement ◽  
Reliability And Validity ◽  
Adolescent Mental Health ◽  
Self Report ◽  
Routine Outcome Measurement ◽  
Health Measures ◽  
Length Of Treatment ◽  
Report Outcome Measure

BackgroundThe Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) is an established outcome measure for child and adolescent mental health. Little is known of adolescent views on outcome.AimsTo develop and test the properties of an adolescent, self-rated version of the scale (HoNOSCA–SR) against the established clinician-rated version.MethodA comparison was made of 6-weekly clinician-rated and self-rated assessments of adolescents attending two services, using HoNOSCA and other mental health measures.ResultsAdolescents found HoNOSCA–SR acceptable and easy to rate. They rated fewer difficulties than the clinicians and these difficulties were felt to improve less during treatment, although this varied with diagnosis and length of treatment. Although HoNOSCA–SR showed satisfactory reliability and validity, agreement between clinicians and users in individual cases was poor.ConclusionsRoutine outcome measurement can include adolescent self-rating with modest additional resources. The discrepancy between staff and adolescent views requires further evaluation.

scholarly journals Routine outcome measurement in public mental health — what do clinicians think?

2006 ◽  
Vol 30 (2) ◽  
pp. 144 ◽  
Author(s):  
Tom Trauer ◽  
Lisa Gill ◽  
Glenda Pedwell ◽  
Peta Slattery
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measurement ◽  
Public Mental Health ◽  
Good Information ◽  
Routine Outcome Measurement ◽  
Real Progress ◽  
Made In

IN ORDER TO FULLY EVALUATE and manage a service, one should be able to answer all parts of the question ?Who receives what services, from whom, at what cost, and with what effect??1 While there is good information on the first four elements, mental health services generally do less well in demonstrating the effectiveness of what they do, and it is here that routine outcome measurement (ROM) can make a contribution. Despite the very real progress that has been made in implementing ROM in Australia it is evident from a variety of sources, formal and informal, that not everyone is convinced of its necessity or value.

scholarly journals Routine outcome measurement in public mental health: results of a clinician survey

2006 ◽  
Vol 30 (2) ◽  
pp. 164 ◽  
Author(s):  
Tom Callaly ◽  
Mary Hyland ◽  
Tim Coombs ◽  
Tom Trauer
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Outcome Measures ◽  
Outcome Measure ◽  
Health Workers ◽  
Outcome Measurement ◽  
Public Mental Health ◽  
Mental Health Workers ◽  
Clinical Value ◽  
Routine Outcome Measurement

This paper explores the attitudes of mental health workers in one public mental health service towards the implementation and use of routine outcome measurement. Two years after their introduction into routine clinical practice, there were equal numbers of positive and negative observations from clinicians about the clinical value of the clinician-rated outcome measures, while more positive observations were made about value of the consumer-rated outcome measure. The most frequent observation from clinicians in relation to making outcome measures more useful to them in clinical practice was that more training, particularly refresher training, is needed. In addition, clinicians indicated that more sophisticated support which assists them to understand the meaning and possible use of outcome measure ratings is required.

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