2001/06/01 by Kerry Audin, Frank Margison, John Mellor Clark +1 · 2 citations
Health Professions · Psychology · Medicine · #Patient Satisfaction in Healthcare #Mental Health Treatment and Access #Schizophrenia research and treatment
paper · pdf · doi:10.1192/bjp.178.6.561
openalex publication_date 2001/06/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04
BACKGROUND: Little research on the value of Health of the Nation Outcome Scales (HoNOS) has occurred in out-patient settings, particularly psychotherapy services. AIMS: To determine whether HoNOS provides an adequate assessment for psychotherapy services which is sensitive to change. METHODS: HoNOS ratings from 1688 patients from eight out-patient psychotherapy services were collected. Of these, 362 also had ratings post-treatment. Mean scores, pre-to post-treatment differences, and reliable and clinically significant change criteria were calculated for HoNOS items and for total scores. RESULTS: The mean total HoNOS rating was 8.93, which is comparable to psychiatric out-patients. Only three items showed sufficient variability to use in assessing pre- to post-treatment change. CONCLUSIONS: Significant limitations were found in rating items that commonly present to psychotherapists. The lack of variability in most items limits HoNOS's usefulness in this population.