| 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. The 12 scales that are scored are:
All scales follow the format: 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.
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| 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 |
| Other Details (Language Independent) |
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| 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 | 1246.145.2696 |
| Revision Number | 0.0.1-alpha |
| Archetype Concept Comment | Also known as the HoNOS. |
| data | |
| Overactive, aggressive, disruptive or agitated behaviour | Overactive, aggressive, disruptive or agitated behaviour: Observation of the service user's behaviour. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Non-accidental self-injury | Non-accidental self-injury: Observation of any non-accidental self-injuries. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problem drinking or drug-taking | Problem drinking or drug-taking: Problem drinking or drug-taking. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Cognitive problems | Cognitive problems: Cognitive problems. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Physical illness or disability problems | Physical illness or disability problems: Physical illness or disability problems. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems associated with hallucinations and delusions | Problems associated with hallucinations and delusions: Problems associated with hallucinations and delusions. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems with depressed mood | Problems with depressed mood: Problems with depressed mood. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Other mental and behavioural problems | Other mental and behavioural problems: Other mental and behavioural problems. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems with relationships | Problems with relationships: Problems with relationships. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems with activities of daily living | Problems with activities of daily living: Problems with activities of daily living. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems with living conditions | Problems with living conditions: Problems with living conditions. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| Problems with occupation and activities | Problems with occupation and activities: Problems with occupation and activities. 0: No problem [No problem.] 1: Minor problem requiring no action [Minor problem requiring no action.] 2: Mild problem but definitely present [Mild problem but definitely present.] 3: Moderately severe problem. [Moderately severe problem.] 4: Severe to very severe problem [Severe to very severe problem.] |
| events | |
| Start of episode of care | Start of episode of care: HoNOS score at start of episode of care. |
| End of episode of care | End of episode of care: HoNOS score at end of episode of care. |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | |
| Translators |