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:676216
Registration status:Health, Superseded 17/01/2020
Definition:

An assessment of the severity of a person's psychiatric symptoms, as represented by a Health of the Nation Outcome Scale (HoNOS) score-based code.

Context:

Psychiatric symptom severity, persons aged 18 to 64 years.

Data Element Concept:Person—level of psychiatric symptom severity

Value domain attributes

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
Supplementary values:
8Unknown

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.

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:

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:

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Superseded 18/12/2019, Tasmanian Health, Archived 06/05/2020

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Superseded 17/01/2020

Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Standard 17/01/2020

Supersedes 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 NBEDS 2018-19 Health, Superseded 12/12/2018

DSS specific attributes +

Activity based funding: Mental health care NBEDS 2019-20 Health, Superseded 17/01/2020

DSS specific attributes +