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Pathfinder Mental Health Service, 61 Glenburnie Road, Tooting, London SW17 7DJ
Aims and method Health of the Nation Outcome Scales (HoNOS) were piloted in 248 patients with serious persistent mental health problems. Staff were trained by a cascade approach and rated patient outcome after six months.
Results There was poor interrater reliability between nurses and psychiatrists/psychologists. Outcome measured by HoNOS often contrasted with clinical experience.
Clinical implications HoNOS were not a reliable or valid measure of outcome. The scales are now completed only under supervision.
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