ARCHETYPE Health of the Nation Outcome Scale (openEHR-EHR-OBSERVATION.honos.v0)

Name: Health of the Nation Outcome Scale
License: http://creativecommons.org/licenses/by-sa/3.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.honos.v0
Concept	Health of the Nation Outcome Scale
Description	Clinical score based on 12 simple scales on which service users with severe mental illness are rated by clinical staff.
Use	The use of HoNOS is recommended by the English National Service Framework for Mental Health and by the working group to the Department of Health on outcome indicators for severe mental illnesses. HoNOS is the most widely used routine clinical outcome measure used by English mental health services. The 12 scales that are scored are: 1. Overactive, aggressive, disruptive or agitated behaviour 2. Non-accidental self-injury 3. Problem drinking or drug-taking 4. Cognitive problems 5. Physical illness or disability problems 6. Problems associated with hallucinations and delusions 7. Problems with depressed mood 8. Other mental and behavioural problems 9. Problems with relationships 10. Problems with activities of daily living 11. Problems with living conditions 12. Problems with occupation and activities All scales follow the format: 0 = No problem 1 = Minor problem requiring no action 2 = Mild problem but definitely present 3 = Moderately severe problem 4 = Severe to very severe problem Each scale is rated in order from 1 to 12. Do not include information rated in an earlier item except for item 10 which is an overall rating. The rating is made on the basis of all information available to the rater (whatever the source) and is based on the most severe problem that occurred during the period rated (usually the two weeks leading up to the point of rating). The HoNOS system is not a standardised clinical assessment and cannot be a substitute for one. The minimum required is that a rating is made at the start of each episode of care and at the end. Most services using HoNOS also require ratings at any regular review (like the English Care Programme Approach review), when there is a major change in the patient's status (for instance, an admission to or discharge from hospital) HoNOS Score is a copyrighted assessment score: Health of the Nation Outcome Scales (HoNOS) © Royal College of Psychiatrists 1996. Please note, from RACP copyright guidance: - "The RCPsych allows without express permission the free use, copy and reproduction of HoNOS scoresheets for use in NHS-funded care. Use, copy or reproduction of HoNOS scoresheets for any other purpose should be with the explicit permission of the RCPsych." - "The RCPsych allows without express permission NHS organisations and other providers of NHS funded care to include HoNOS scoresheets in electronic healthcare records and other computerised clinical systems." (http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/copyright.aspx)and, for long episodes of care, at every 6 months or so.
Misuse	Users of the HoNOS Score archetype must ensure that they comply with the terms of use of the Royal College of Psychiatrists who own the copyright as per http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/copyright.aspx. It should not be used outside the terms of the copyright.
Purpose	Records the Health of the Nation Outcome Scale score as a simple, repeatable method to document the service user's health or social status at a specific point in time, say at the start or end of an episode of care, after a course of treatment or some other intervention.
References	http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/whatishonos.aspx. http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/generalinformation/faq.aspx.
Copyright	© openEHR Foundation
Authors	Author name: Kate Bryan Organisation: Stalis Ltd Email: kate.b@stalis.com Date originally authored: 2015-11-13
Other Details Language	Author name: Kate Bryan Organisation: Stalis Ltd Email: kate.b@stalis.com Date originally authored: 2015-11-13
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/whatishonos.aspx. http://www.rcpsych.ac.uk/traininpsychiatry/conferencestraining/resources/honos/generalinformation/faq.aspx., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=1D0C91F9815F9FD99F6C950F9552B828, build_uid=ad71093a-ce36-4661-bf4d-9b3f640499c1, revision=0.0.1-alpha}
Keywords	HoNOS, assessment, score, mental health, health of the nation, index
Lifecycle	in_development
UID	0bc353a0-345f-4b4c-8f4e-f39c4e925a53
Language used	en
Citeable Identifier	1051.32.532
Revision Number	0.0.1-alpha
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[Moderately severe problem.] 4: at0075::Severe to very severe problem [Severe to very severe problem.] , extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]