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

HoNOS 65+ (Older Adults)




These are 12 scales that are used to rate older adult mental health service users. Together, they rate various 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:

  • Behavioural disturbance
  • Non-accidental self injury
  • Problem drinking or drug use
  • Cognitive problems
  • Problems related to physical illness or disability
  • Problems associated with hallucinations and/or delusions or false beliefs
  • Problems associated with depressive symptoms
  • Other mental and behavioural problems
  • Problems with social or supportive relationships
  • Problems with activities of daily living
  • Overall problems with living conditions
  • Problems with work and leisure activities - quality of day time environment

Each scale is rated as follows

0.  No problem

1.  Minor problem that is non-clinical: i.e. would not normally lead to intervention

2.  Mild problem (that would justify intervention

3.  Moderate problem

4.  Severe problem



Emma George

Event Manager

Royal College of Psychiatrists

Tel: 0203 701 2611




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