Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Level of psychiatric symptom severity (HoNOS score)
METEOR identifier:	575166
Registration status:	Independent Hospital Pricing Authority, Standard 15/10/2014
Definition:	An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS score-based code.
Context:	Psychiatric symptom severity, persons aged 18 to 64 years.
Data Element Concept:	Person—level of psychiatric symptom severity

Value domain attributes

Representational attributes

Representation class:

Code

Data type:

Number

Format:

Maximum character length:

Permissible values:

Value	Meaning
0	No problems within the period stated
1	Minor problem requiring no action
2	Mild problem but definitely present
3	Moderately severe problem
4	Severe to very severe problem

Collection and usage attributes

Guide for use:

The Health of the Nation Outcome Scale (HoNOS) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS is answered on an item-specific anchored 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. The twelve scales are as follows:

Behavioural disturbance
Non-accidental self injury
Problem drinking or drug use
Cognitive problems
Problems related to physical illness or disability
Problems associated with hallucinations and delusions
Problems associated with depressive symptoms
Other mental and behavioural problems
Problems with social or supportive relationships
Problems with activities of daily living
Overall problems with living conditions
Problems with work and leisure activities and the quality of the daytime environment

The sum of the individual scores of each of the scales represents the total HoNOS score. The total HoNOS score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms.