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:Health, Not progressed 18/01/2017
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 attributes

Identifying and definitional attributes

Data element concept:Person—level of psychiatric symptom severity
METeOR identifier:539187
Registration status:Health, Standard 11/04/2014
Tasmanian Health, Endorsed 20/12/2016
Independent Hospital Pricing Authority, Standard 15/10/2014
Definition:An assessment of the severity of a person's psychiatric symptoms.
Object class:Person
Property:Level of psychiatric symptom severity

Value domain attributes

Identifying and definitional attributes

Value domain:Health of the Nation Outcome Scale score code N
METeOR identifier:575161
Registration status:Health, Standardisation pending 18/01/2017
Independent Hospital Pricing Authority, Standard 15/10/2014
Definition:A code set representing the severity of psychiatric symptoms of an individual aged 18 to 64 years.

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
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:

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:

Health of the Nation Outcome Scales (HoNOS), Royal College of Psychiatrists 1996. Viewed 17 October 2013,

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

Relational attributes

Related metadata references:

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Superseded 28/02/2017, Tasmanian Health, Archived 19/01/2018, Independent Hospital Pricing Authority, Standard 12/11/2015

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Not progressed 18/01/2017, 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 25/01/2018

Implementation in Data Set Specifications:
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:Used 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