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Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 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 score)
METeOR identifier:Help on this term717795
Registration status:Help on this termHealth, Standard 17/01/2020
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) score-based code.

Context:Help on this term

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: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 HoNOS values that are missing or recorded in the HoNOS tool as '7 - Not stated/missing' and '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: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 2019. Health of the Nation Outcome 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

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Standard 18/12/2019

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

Supersedes Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Superseded 17/01/2020

Implementation in Data Set Specifications:Help on this term

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

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