Health of the Nation Outcome Scale 65+

Identifying and definitional attributes

Metadata item type:Glossary Item
Synonymous names:HoNOS65+
METeOR identifier:730842
Registration status:Health, Standard 23/12/2020
Definition:

An assessment of psychiatric symptoms and psychosocial functioning in an older patient.

Context:

Health of the Nation Outcome Scale 65+ (HoNOS 65+) is a clinical assessment tool used by mental health professionals to evaluate psychiatric symptoms and psychosocial functioning in an older patient.

Collection and usage attributes

Guide for use:

HoNOS 65+ is designed to be used by clinicians before and after interventions, so that changes attributable to interventions can be measured.

Comments:

Twelve scales are used to rate older mental health service users. The scales include:

  • 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 day time environment

Together, the scales rate various aspects of mental and social health, each on a scale of 0 to 4.

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

A HoNOS 65+ total score (the sum of each individual scale item) will be a value between 0 and 48.

Source and reference attributes

Submitting organisation:

Independent Hospital Pricing Authority

Origin:

Health of the Nation Outcome Scales (HoNOS) © Royal College of Psychiatrists 1996.

Reference documents:

The Royal College of Psychiatrists 2019. HoNOS 65+ (Older Adults). The Royal College of Psychiatrists, London. Viewed 14 July 2020, https://www.rcpsych.ac.uk/events/in-house-training/health-of-nation-outcome-scales

Relational attributes

Related metadata references:

Supersedes Health of the Nation Outcome Scale 65+ Health, Superseded 23/12/2020

Metadata items which use this glossary item:

Activity based funding: Mental health care NBEDS 2021–22 Health, Standard 23/12/2020

Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Standard 23/12/2020