Health of the Nation Outcome Scale score code N

Identifying and definitional attributes

Metadata item type:

Value Domain

METeOR identifier:

676214

Registration status:

Health, Standard 25/01/2018
Independent Hospital Pricing Authority, Proposed 03/07/2017

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:

Maximum character length:

Permissible values:

Value	Meaning
0	No problems within the period stated
1	Minor problem requiring no action
2	Mild problem but definitely present
3	Moderately severe problem
4	Severe to very severe problem

Supplementary values:

Unknown

Collection and usage attributes

Guide for use:

CODE 8 Unknown

This code should be used for HoNOS values that are missing or recorded in the HoNOS tool as '9 - Unknown'.

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 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 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 (excluding supplementary value 8 Unknown) 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.