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Using the Health of the Nation Outcome Scales in clinical practice

Wharfe Valley Community Mental Health Team Leader

Robert F. Kehoe, Consultant Psychiatrist^*

Airedale General Hospital, Steeton, Keighley, West Yorkshire BD20 6TD

^* Correspondence

Aimsand method To describe the implementation of a plan to usea validated outcome measure in the care and treatment of people with severe mental illness within a district general hospital psychiatric service. Multiple techniques were necessary to promote actual change of practice.

Results A surveyof practice found 77% of full Care Programme Approach patients to have recorded Health of the Nation Outcome Scales (HoNOS)scores in their care plans one year after the beginning of the implementation plan.

Clinical implications It is possibleto incorporate the use of HoNOSin to everyday practice but it takes a lot of time, effort and resources. Mental health services may require a clearer indication from the NHSExecutive regarding the use of such outcome scales before committing themselves.

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