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

Data Element Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termLevel of psychiatric symptom severity (HoNOSCA score)
METEOR identifier:Help on this term717784
Registration status:Help on this term

Health, Superseded 19/02/2021

Definition:Help on this term

An assessment of the severity of a person's psychiatric symptoms, as represented by a Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) score-based code.

Context:Help on this term

Psychiatric symptom severity, persons aged 17 years and under.

Data Element Concept:Help on this termPerson—level of psychiatric symptom severity
Value Domain:Help on this termHealth of the Nation Outcome Scale for Children and Adolescents score code N

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
  ValueMeaning
Permissible values:Help on this term0No problems within the period stated
  1Minor problem requiring no action
  2Mild problem but definitely present
  3Moderately severe problem
  4Severe to very severe problem
Supplementary values:Help on this term8
 
Unknown
 

Collection and usage attributes

Guide for use:Help on this term

CODE 8 Unknown

This code should be used for HoNOSCA values that are missing or recorded in the HoNOSCA tool as '7 - Not stated/missing' and '9 - Unknown'.

The Health of the Nation Outcome Scale for children and adolescents (HoNOSCA) is used to rate child and adolescent mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOSCA 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 fifteen scales are as follows:

  • Disruptive, antisocial or aggressive behaviour
  • Overactivity attention and concentration
  • Non-accidental self injury
  • Alcohol, substance/solvent misuse
  • Scholastic or language skills
  • Physical illness or disability problems
  • Hallucinations and delusions
  • Non-organic somatic symptoms
  • Emotional and related symptoms
  • Peer relationships
  • Self care and independence
  • Family life and relationships
  • Poor school attendance
  • Lack of knowledge - nature of difficulties
  • Lack of information - services/management.

The sum of the individual scores of each of the scales (excluding supplementary value 8 Unknown) from 1 to 15 represents the total HoNOSCA score. The total HoNOSCA score represents the overall severity of an individual's psychiatric symptoms.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Data element attributes Help on this term

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Royal College of Psychiatrists 2019. Health of the Nation Outcome Scales (HoNOS). Viewed 5 September 2019, https://www.rcpsych.ac.uk/events/in-house-training/health-of-nation-outcome-scales

Relational attributes

Related metadata references:Help on this term
Supersedes Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N

        Health, Superseded 17/01/2020

Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N

        Health, Superseded 09/12/2022

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N

        Health, Superseded 23/12/2020

        Tasmanian Health, Superseded 28/03/2023

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N

        Health, Superseded 20/12/2022

        Tasmanian Health, Superseded 23/11/2023

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

        Health, Superseded 09/12/2022

Implementation in Data Set Specifications:Help on this term
All attributes +
Activity based funding: Mental health care NBEDS 2020–21

        Health, Superseded 23/12/2020

DSS specific attributes +
Implementation start date: 01/07/2020
Implementation end date: 30/06/2021
Conditional obligation:

Reporting of the HoNOSCA at the commencement of mental health phase of care is mandatory for patients in all settings.

Reporting of the HoNOSCA is not mandatory if mental health phase of care is reported as Assessment Only.

The HoNOSCA should only be reported for patients aged 17 years and younger.


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