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Psychiatric Bulletin (1999) 23: 20-21. doi: 10.1192/pb.23.1.20
© 1999 The Royal College of Psychiatrists
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HoNOS: a cautionary tale of their use in a rehabilitation service

Robert Chaplin, Consultant Psychiatrist* and Rachel Perkins, Consultant Clinical Psychologist

Pathfinder Mental Health Service, 61 Glenburnie Road, Tooting, London SW17 7DJ

* Correspondence

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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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1999 The Royal College of Psychiatrists.