Australian Government: Australian Institute of Health and Welfare METeOR Home Page

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 term717760
Registration status:Help on this termHealth, Standard 18/12/2019
Definition:Help on this term

An assessment of the severity of a person's psychiatric symptoms, as represented by a Health of the Nation Outcome Scale (HoNOS) 65+ score-based code.

Context:Help on this term

Psychiatric symptom severity, persons aged 65 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 '7 - Not stated/missing' or '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 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 code 8 'Unknown') 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

Collection and usage attributes

Guide for use:Help on this term

This data element is used to report a score for one of the 12 items that comprise the HoNOS 65+ tool. It should be reported in an array of 12 to gain the HoNOS 65+ score.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Royal College of Psychiatrists 2019. Health of the Nation Outcomes Scales (HoNOS). Viewed 5 September 2019,
https://www.rcpsych.ac.uk/events/in-house-training/health-of-nation-outcome-scales

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 18/12/2019, Tasmanian Health, Endorsed 19/01/2018

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

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Standard 17/01/2020

Implementation in Data Set Specifications:Help on this term
All attributes +

Activity based funding: Mental health care NBEDS 2020–21 Health, Standard 17/01/2020

DSS specific attributes +

Admitted subacute and non-acute hospital care NBEDS 2020–21 Health, Standard 18/12/2019

DSS specific attributes +
My items Help on this term
Download Help on this term