Psychiatric Bulletin (2009) 33: 285-288. doi: 10.1192/pb.bp.108.022475
© 2009 The Royal College of Psychiatrists
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Managing outcome performance in mental health using HoNOS: experience at St Andrew’s Healthcare

Philip Sugarman, Chief Executive and Medical Director and Lorraine Walker, Head of Healthcare Governance Department

St Andrew’s Healthcare

Geoff Dickens, Research Coordinator and Visiting Lecturer

St Andrew’s Academic Centre, King’s College London, Institute of Psychiatry, Northampton NN1 5BW, email: gdickens{at}standrew.co.uk

Declaration of interest

P.S., L.W. and G.D. are employees of St Andrew’s Healthcare.

AIMS AND METHOD

Modern mental healthcare providers must demonstrate service-level clinical effectiveness to key stakeholders. We introduced two performance indicators of clinical effectiveness based on outcome data from routinely collected Health of the Nation Outcome Scales (HoNOS) and HoNOS–secure assessments across St Andrew’s Healthcare, a charity providing in-patient services in Northampton and Essex. We present outcome data from the period 2004–2007.

RESULTS

The indicators showed consistent 90-day improvement rates and increasing stability over time. The validity of results is supported by levels of change along predicted lines among different patient cohorts.

CLINICAL IMPLICATIONS

It is possible and beneficial to use routine outcome measures to demonstrate clinical effectiveness at service level. The future of managing mental health outcomes will be in electronic health records systems.




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Home page
 Psychiatr. Bull.Home page
B. J. Sieniewicz and C. Fear
HoNOSty: does HoNOS provide a good enough measure of outcome?
Psychiatr. Bull., November 1, 2009; 33(11): 439 - 439.
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HoNOS-ty: Does HoNOS provide a good enough measure of outcome?
Benjamin J Sieniewicz, et al.
PB Online, 17 Aug 2009 [Full text]