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The Royal College of Psychiatrists Improving the lives of people with mental illness

HoNOS-LD: Background

The HoNOS-LD is derived from the generic HoNOS. Its development arose out of the shared wish of clinicians, academics and professional organisations to develop a brief outcome measure for people with learning disabilities with mental health needs. The instrument’s development has been underpinned by close attention to ensuring wide consultation. Development and testing over three years has resulted in an instrument with eighteen items.

Field trials involved satisfactory testing of acceptability, inter-rater reliability and sensitivity to change. A standardised training session was organised for each pilot site. Over 25 sites received formal training with 16 trusts providing the final full data set of 372 completion of HoNOS-LD at T1 and T2 (T1 + 3 months). The main support for the project came from North Warwickshire NHS Trust and CORE.


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