Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS–LD)

BackgroundThe Health of the Nation Outcomes Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.AimsFrequent impaired social functioning, problems with communication and associated physical conditions meant that a bespoke instrument was needed for people with learning disabilities. We describe the development of the Health of the Nation Outcomes Scales for People with Learning Disabilities (HoNOS–LD).MethodHoNOS-LD was piloted at 26 sites. Two raters, at two points in time, rated 372 subjects. Analysis determined acceptability, ease of use, interrater reliability, sensitivity to change and reliability with the Aberrant Behavior Checklist (ABC).ResultsThe resulting 18-item instrument demonstrated good reliability and validity characteristics and is generally acceptable to clinicians.ConclusionsHoNOS-LD is an appropriate instrument for measuring outcome in people with learning disabilities with additional mental health needs.

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Lord Bradley Review into the Diversion of Offenders with Mental Health Problems and Learning Disabilities Away From Prison: Capturing the Views of Stakeholders: A Summary Report of Consultation Events

PsycEXTRA Dataset ◽

10.1037/e593352010-001 ◽

2008 ◽

Keyword(s):

Mental Health ◽

Learning Disabilities ◽

Mental Health Problems ◽

Health Problems ◽

Summary Report

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Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives

BMJ Open ◽

10.1136/bmjopen-2019-033317 ◽

2020 ◽

Vol 10 (3) ◽

pp. e033317

Author(s):

Rachel M Hiller ◽

Sarah L Halligan ◽

Richard Meiser-Stedman ◽

Elizabeth Elliott ◽

Emily Rutter-Eley

Keyword(s):

Mental Health ◽

Young People ◽

Mental Health Problems ◽

Well Being ◽

Health Needs ◽

Depth Information ◽

Emotional Needs ◽

Mental Health Systems ◽

Mental Health Needs ◽

Qualitative Focus Groups

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.

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Perceived need for mental health care: influences of diagnosis, demography and disability

Psychological Medicine ◽

10.1017/s0033291701004913 ◽

2002 ◽

Vol 32 (2) ◽

pp. 299-309 ◽

Cited By ~ 53

Author(s):

G. MEADOWS ◽

P. BURGESS ◽

I. BOBEVSKI ◽

E. FOSSEY ◽

C. HARVEY ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Affective Disorders ◽

Mental Health Problems ◽

Reliability And Validity ◽

Composite International Diagnostic Interview ◽

Detailed Examination ◽

Perceived Need ◽

Co Morbidity

Background. Recent major epidemiological studies have adopted increasingly multidimensional approaches to assessment. Several of these have included some assessment of perceived need for mental health care. The Australian National Survey of Mental Health and Wellbeing, conducted in 1997, included a particularly detailed examination of this construct, with an instrument with demonstrated reliability and validity.Methods. A clustered probability sample of 10641 Australians responded to the field questionnaire for this survey, including questions on perceived need either where there had been service utilization, or where a disorder was detected by administration of sections of the Composite International Diagnostic Interview. The confidentialized unit record file generated from the survey was analysed for determinants of perceived need.Results. Perceived need is increased in females, in people in the middle years of adulthood, and in those who have affective disorders or co-morbidity. Effects of diagnosis and disability can account for most of the differences in gender specific rates. With correction for these effects through regression, there is less perceived need for social interventions and possibly more for counselling in females; disability is confirmed as strongly positively associated with perceived need, as are the presence of affective disorders or co-morbidity.Conclusions. The findings of this study underscore the imperative for mental health services to be attentive and responsive to consumer perceived need. The substantial majority of people who are significantly disabled by mental health problems are among those who see themselves as having such needs.

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