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

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HoNOS (2018)

Since the publication of the Health of the Nation Outcome Scales (HoNOS) in 1996, they have demonstrated adequate reliability, validity, clinical utility and sensitivity to change.   England, Australia, and New Zealand, have also mandated the HoNOS for routine monitoring and outcome measurement across their mental health services at a national level.


Whilst recognising this basic soundness, two decades of training, use and analysis, together with advances in psychiatry and mental health services, resulted in a recognition that updates to the glossary are required to improve use of the HoNOS. The Royal College of Psychiatrists (RCPsych) elected to undertake a limited review (rather than a full redevelopment and revalidation) that aimed to use expert opinion to improve the utility of the HoNOS: remaining true to its original aims and maintaining comparability with existing datasets, whilst improving rater experience by removing ambiguity and inconsistency in the glossary.







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