Health of the Nation Outcome Scale for Children and Adolescents score code N

Identifying and definitional attributes

Metadata item type:Value Domain
METeOR identifier:676219
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 17 and under.

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 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 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 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 (excluding supplementary value 8 Unknown) 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:

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:

See also Health of the Nation Outcome Scale 65+ score code N Health, Standard 25/01/2018, Independent Hospital Pricing Authority, Proposed 03/07/2017

Has been superseded by Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Candidate 15/11/2019

Supersedes Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Superseded 25/01/2018

See also Health of the Nation Outcome Scale score code N Health, Standard 25/01/2018, Independent Hospital Pricing Authority, Proposed 03/07/2017

See also Health of the Nation Outcome Scale score code N Health, Candidate 15/11/2019

Data elements implementing this value domain:

Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Standard 25/01/2018