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

Identifying and definitional attributes

• Health, Superseded 17/01/2020

Psychiatric symptom severity, persons aged 18 to 64 years.

Value domain attributes

Representational attributes

Collection and usage attributes

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 5-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4, or 8 for unknown. 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 (excluding supplementary value 8 Unknown) 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

Independent Hospital Pricing Authority

Data element attributes

Source and reference attributes

Independent Hospital Pricing Authority

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