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.

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 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.

scholarly journals Reliability and Validity of an Interviewer-Administered Adaptation of the Youth Self-Report for Mental Health Screening of Vulnerable Young People in Ethiopia

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0147267 ◽  
Author(s):  
Scott Geibel ◽  
Kassahun Habtamu ◽  
Gebeyehu Mekonnen ◽  
Nrupa Jani ◽  
Lynnette Kay ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Reliability And Validity ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Youth Self Report

The Health of the Nation Outcome Scales for Child & Adolescent Mental Health (HoNOSCA)

2000 ◽  
Vol 5 (2) ◽  
pp. 50-56 ◽  
Author(s):  
Simon Gowers ◽  
Sarah J. Bailey-Rogers ◽  
Alison Shore ◽  
Warren Levine
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measure ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Field Trials ◽  
Extensive Field ◽  
Routine Outcome Measure

The child and adolescent version of the Health of the Nation Outcome Scales (HoNOSCA) represents the first attempt at a routine outcome measure for Child and Adolescent Mental Health Services in the U.K. Extensive field trials suggested that the scales were both acceptable to clinicians from the various disciplines working in this area and also valid and reliable. A growing number of services are now using the scales in audit and research, supported by the national HoNOSCA base that provides training and co-ordinates further developments.

scholarly journals The Utility of the Timed Up-and-Go Test in Predicting Cognitive Performance: A Cross-Sectional Study of Independent Living Adults in a Retirement Community

2019 ◽  
Vol 39 (10) ◽  
pp. 1163-1168 ◽  
Author(s):  
Ryan Van Patten ◽  
Ellen E. Lee ◽  
Sarah A. Graham ◽  
Colin A. Depp ◽  
Ho-Cheol Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Cognitive Performance ◽  
Psychiatric Symptoms ◽  
Functional Mobility ◽  
Self Report ◽  
Physical And Mental Health ◽  
Cognitive Changes ◽  
Timed Up And Go ◽  
Health Measures

Physical, emotional, and cognitive changes are well documented in aging populations. We administered a comprehensive battery of mental and physical health measures and the Montreal Cognitive Assessment (MoCA; a cognitive screening tool) to 93 independently living older adults (OAs) residing in a Continuing Care Senior Housing Community. Performance on the Timed Up-and-Go (TUG) test (a measure of functional mobility) correlated more strongly with the MoCA total score than did measures of aging, psychiatric symptoms, sleep, and both self-report and objective physical health. Furthermore, it was associated with MoCA Attention, Language, Memory, and Visuospatial/Executive subscales. The MoCA-TUG relationship remained significant after controlling for demographic and physical/mental health measures. Given that the TUG explained significantly more variance in broad cognitive performance than a comprehensive battery of additional physical and mental health tests, it may function as a multimodal measure of health in OAs, capturing physical changes and correlating with cognitive measures.

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