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

Introduction to HoNOS

These are the 12 scales used to rate mental health service users of working age adults. They consider different aspects of mental and social health, each on a scale of 0-4. They are designed to be used by clinicians before and after interventions, so that changes attributable to the interventions (outcomes) can be measured.

The scales are as follows:

  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

Each scale is rated as follows:

    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
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