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

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 term575043
Registration status:Help on this termHealth, Not progressed 18/01/2017
Independent Hospital Pricing Authority, Standard 15/10/2014
Definition:Help on this termAn assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOSCA score-based code.
Context:Help on this termPsychiatric symptom severity, persons aged 17 years and under.
Data Element Concept:Person—level of psychiatric symptom severity

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
Permissible values:Help on this term
ValueMeaning
0No problems within the period stated
1Minor problem requiring no action
2Mild problem but definitely present
3Moderately severe problem
4Severe to very severe problem

Collection and usage attributes

Guide for use:Help on this term

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 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. 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 from 1 to 13 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 termIndependent Hospital Pricing Authority

Data element attributes

Source and reference attributes

Submitting organisation:Help on this termIndependent Hospital Pricing Authority
Reference documents:Help on this term

Health of the Nation Outcome Scales (HoNOS), Royal College of Psychiatrists 1996. Viewed 22 May 2014,

http://www.rcpsych.ac.uk/training/honos/whatishonos.aspx

Relational attributes

Related metadata references:Help on this term

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 25/01/2018

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Not progressed 18/01/2017, Independent Hospital Pricing Authority, Standard 15/10/2014

Implementation in Data Set Specifications:Help on this term
All attributes +

Activity based funding: Mental health care DSS 2016-17 Independent Hospital Pricing Authority, Superseded 28/02/2017

DSS specific attributes +

Admitted patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014

DSS specific attributes +

Ambulatory patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014

DSS specific attributes +

Residential patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014

DSS specific attributes +
Implementation in Indicators:Help on this termUsed as numerator
KPIs for Australian Public Mental Health Services: PI 01J – Change in consumer's clinical outcomes, 2015 Health, Standard 19/11/2015
KPIs for Australian Public Mental Health Services: PI 01J – Change in consumer's clinical outcomes, 2016 Health, Superseded 14/06/2017
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