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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 term639416
Registration status:Help on this termHealth, Superseded 25/01/2018
Definition:Help on this term

An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOSCA score-based code.

Context:Help on this term

Psychiatric 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
Supplementary values:Help on this term
8Unknown

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 '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 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 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

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

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: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, Standard 25/01/2018

Supersedes 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

See also 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:Help on this term

Activity based funding: Mental health care NBEDS 2017-18 Health, Superseded 25/01/2018

DSS specific attributes +
Implementation in Indicators:Help on this termUsed as numerator
Change in mental health consumer's clinical outcomes, 2018 Health, Candidate 09/08/2018
Change in mental health consumer's clinical outcomes, 2018 Health, Candidate 09/08/2018
KPIs for Australian Public Mental Health Services: PI 01J – Change in consumer's clinical outcomes, 2017 Health, Standard 14/06/2017
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