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:	641215
Registration status:	Health, Superseded 25/01/2018
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:	Health of the Nation Outcome Scale score code N

Value domain attributes
Representational attributes
Representation class:	Code
Data type:	Number
Format:	N
Maximum character length:	1
	Value	Meaning
Permissible values:	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
Supplementary values:	8	Unknown

Collection and usage attributes
Guide for use:	CODE 8 Unknown This code should be used for HoNOS values that are missing or recorded in the HoNOS tool as '9 - Unknown'. 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.

Collection and usage attributes

Guide for use:

CODE 8 Unknown

This code should be used for HoNOS values that are missing or recorded in the HoNOS tool as '9 - Unknown'.

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.

Source and reference attributes
Submitting organisation:	Independent Hospital Pricing Authority

Data element attributes
Source and reference attributes
Submitting organisation:	Independent Hospital Pricing Authority
Reference documents:	Royal College of Psychiatrists 2017. Health of the Nation Outcome Scales (HoNOS), Viewed 18 January 2017, http://www.rcpsych.ac.uk/training/honos/whatishonos.aspx
Relational attributes
Related metadata references:	Supersedes Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Independent Hospital Pricing Authority, Standard 15/10/2014 Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Superseded 17/01/2020 See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Superseded 25/01/2018 Independent Hospital Pricing Authority, Recorded 04/08/2016 Tasmanian Health, Superseded 19/01/2018 See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Superseded 25/01/2018
Implementation in Data Set Specifications: All attributes +	Activity based funding: Mental health care NBEDS 2017-18 Health, Superseded 25/01/2018 DSS specific attributes + Implementation start date: 01/07/2017 Implementation end date: 30/06/2018 Conditional obligation: Reporting of the HoNOS at the start of the mental health phase of care is mandatory for patients in all settings. Reporting of the HoNOS is not mandatory if mental health phase of care is reported as Assessment Only. The HoNOS should only be reported for patients aged 18 years to 64 years.
Implementation in Indicators:	KPIs for Australian Public Mental Health Services: PI 01J – Change in consumer's clinical outcomes, 2017 Health, Superseded 13/01/2021

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

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Source and reference attributes

Relational attributes

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

Data Element Attributes

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Source and reference attributes

Relational attributes

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