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Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ 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 (HoNOS 65+ score)
METeOR identifier:Help on this term640065
Registration status:Help on this termHealth, Superseded 25/01/2018
Tasmanian Health, Archived 19/01/2018
Independent Hospital Pricing Authority, Recorded 04/08/2016
Definition:Help on this term

An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS 65+ score-based code.

Context:Help on this term

Psychiatric symptom severity, persons aged 65 years and over.

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 Health of the Nation Outcome Scale for elderly people (HoNOS 65+) values that are missing or recorded in the HoNOS 65+ tool as '9 - Unknown'.

The HoNOS 65+ is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS 65+ 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, or 9 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 represents the total HoNOS 65+ score. The total HoNOS 65+ score ranges from 0 to 48, and 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

Supersedes 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

Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Standard 25/01/2018, Tasmanian Health, Endorsed 19/01/2018

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
All attributes +

Activity based funding: Mental health care NBEDS 2017-18 Health, Superseded 25/01/2018

DSS specific attributes +

Admitted subacute and non-acute hospital care NBEDS 2017-18 Health, Superseded 25/01/2018
Independent Hospital Pricing Authority, Recorded 04/08/2016

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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