Routine outcome measurement in child and adolescent mental health

2011 ◽  
pp. 105-115
Author(s):  
Peter Brann
Keyword(s):  
Mental Health ◽  
Outcome Measurement ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Routine Outcome Measurement

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 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 adolescents seeking mental health services: standardization of HoNOSCA in Kenyan sample

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Grace Nduku Wambua ◽  
Manasi Kumar ◽  
Fredrik Falkenström ◽  
Pim Cuijpers
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Providers ◽  
Outcome Measurement ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The Self ◽  
Good Reliability

Abstract Background The evaluation of treatment outcomes is important for service providers to assess if there is improvement or not. The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) was developed for this use in child and adolescent mental health services. Outcome measurement in routine mental health services is limited. This paper evaluates the psychometric properties of the self and clinician rated versions of the HoNOSCA for routine use in child and adolescent mental health services in Kenya. Methods Using a prospective design, the clinician- and self-rated versions of the HoNOSCA and the Paediatric Symptom Checklist (PSC) were administered at the Youth Centre at the Kenyatta National Hospital in Nairobi. Initial ratings were obtained from adolescents 12-17 years (n = 201). A sample of 98 paired ratings with 2 follow-ups were examined for measurement of change over time. Results Our findings showed good reliability with the self-rated version of the HoNOSCA score, correlating well with the self-reported version of the PSC (r = .74, p < .001). Both versions correlated well at follow-up and were sensitive to change. Using factor analysis, the maximum likelihood factoring and Promax rotation resulted in a four-factor structure, which with a Kaiser–Meyer–Olkin measure of sampling adequacy of 0.8 explained 54.74% of total variance. Conclusion The HoNOSCA appears to be of value, and easy to use in routine settings. Our findings suggest further investigation with a larger sample.

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