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Health of the Nation Outcome Scales for Elderly People (HoNOS 65+)

Published online by Cambridge University Press:  03 January 2018

Alistair Burns ,
Anne Beevor ,
Paul Lelliott ,
John Wing ,
Andrew Blakey ,
Martin Orrell ,
John Mulinga  and
Stuart Hadden
Alistair Burns*
Affiliation:
Withington Hospital, Manchester
Anne Beevor
Affiliation:
Royal College of Psychiatrists' Research Unit, London
Paul Lelliott
Affiliation:
Royal College of Psychiatrists' Research Unit, London
John Wing
Affiliation:
Royal College of Psychiatrists' Research Unit, London
Andrew Blakey
Affiliation:
Macclesfield District General Hospital, Macclesfield, Cheshire
Martin Orrell
Affiliation:
University College London, Wolfson Building, London
John Mulinga
Affiliation:
Withington Hospital Manchester
Stuart Hadden
Affiliation:
Withington Hospital Manchester
*
Professor A. Burns, Department of Psychiatry, University of Manchester, Withington Hospital, Manchester M20 8LR. Tel: 0161 291 3310; Fax: 0161 291 4364; e-mail: A.Burns@fsl.wph.man.ac.uk
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Abstract

Background

Health of the Nation Outcome Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.

Aims

The particular physical and cognitive problems affecting older people requires a specific scale for their measurement. We describe the development of such a scale, named HoNOS 65+.

Method

Pilot, validity and reliability studies were carried out on an amended scale. Validity was assessed by comparison with existing scales reflecting depression, cognitive function, psychiatric symptomatology, activities of daily living and functional abilities. Reliability was measured in two centres.

Results

HoNOS 65+ was successfully amended to include specific aspects of mental health problems in older people including the phenomenology of depression, delusions occurring in the presence of dementia, incontinence and agitation/restlessness. HoNOS 65+ was able to discriminate between people suffering from organic and functional illnesses. Correlations with other scales indicated reasonable validity. Reliability was satisfactory.

Conclusions

Aversion of HoNOS 65+ is presented (see pp. 435–438, this issue) which is appropriate for use in elderly people with mental health problems.

Type
HoNOS Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 5 , May 1999 , pp. 424 - 427
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Sponsored by REMEDI, the Gatsby Foundation and the Headley Trust.

References

Ashaye, A., Seneviratna, K., Shergill, S., et al (1999) Do the Health of the Nation Scales predict outcome in the elderly mentally ill – a one year follow-up. Journal of Mental Health, in press.Google Scholar
Burns, A., Lawior, B. & Craig, S. (1999a) Assessment Scales in Old Age Psychiatry. London: Martin Dunrtz.Google Scholar
Burns, A., Beevor, A., Lelliott, P., et al (1999b) Health of the Nation Outcome Scales for Elderly People (HoNOS 65+). Glossary for HoNOS65 + score sheet. British Journal of Psychiatry, 174, 435–438.CrossRefGoogle Scholar
Foistein, M., Folstein, S. & McHugh, P. (1975) The Mini-Mental State Examination. Journal of Psychiatric Research, 12, 189 198.CrossRefGoogle Scholar
Lelliott, P. (1995) Mental health information systems. Measurement for mental health. In Contributions from the College Research Unit (ed Wing, J. K.). London: College Research Unit.Google Scholar
Maloney, F. & Barthel, D. (1965) Functional evaluation and the Barthel Index. Maryland State Medical Journal, 14, 61–65.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
Shergill, S., Shankar, S., Seneviratna, K., et al (1999) The validity and reliability of the Health of the Nation Outcome Scales (HoNOS) in the elderly. Journal of Mental Health, in press.Google Scholar
Ventura, J., Green, M., Shaner, A., et al (1993) Training and quality assurance with the BPRS. International Journal of Methods in Psychiatric Research, 3, 221–244.Google Scholar
Wilkin, D. & Thompson, C. (1989) User's Guide to Dependency Measures for Elderly People. Social Services Monograph. Sheffield: University of Sheffield.Google Scholar
Wing, J. K., Beevor, A. S., Curtis, R. H., et al (1998) Health of the Nation Outcome Scales (HoNOS). British Journal of Psychiatry, 172, 11–18.CrossRefGoogle ScholarPubMed
Yesavage, J., Brink, T., Rose, T., et al (1983) Development and validation of a Geriatric Depression Screening Scale. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar
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