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Definition

An assessment of psychiatric symptoms and psychosocial functioning in an older patient.

Comments

Guide for use:
HoNOS65+ is designed to be used by clinicians before and after interventions, so that changes attributable to interventions can be measured.

Context:
Health of the Nation Outcome Scale 65+ (HoNOS65+) is a clinical assessment tool used by mental health professionals to evaluate psychiatric symptoms and psychosocial functioning in an older patient.

Origin:

Copyright in the Health of the Nation Outcome Scales (HoNOS) is owned by the Royal College of Psychiatrists.

Health of the Nation Outcome Scales (HoNOS) © Royal College of Psychiatrists 1996.

Comments:

Twelve scales are used to rate older mental health service users. The scales include:

  • Behavioural disturbance
  • Non-accidental self injury
  • Problem drinking or drug use
  • Cognitive problems
  • Problems related to physical illness or disability
  • Problems associated with hallucinations and delusions
  • Problems associated with depressive symptoms
  • Other mental and behavioural problems
  • Problems with social or supportive relationships
  • Problems with activities of daily living
  • Overall problems with living conditions
  • Problems with work and leisure activities and the quality of the day time environment

Together, the scales rate various aspects of mental and social health, each on a scale of 0 to 4.

0 - No problems within the period stated

1 - Minor problem requiring no action

2 - Mild problem but definitely present

3 - Moderately severe problem

4 - Severe to very severe problem

A HoNOS65+ total score (the sum of each individual scale item) will be a value between 0 and 48.

References

The Royal College of Psychiatrists. 1996. HoNOS65+ (Older Adults). The Royal College of Psychiatrists, London. Viewed 19 September 2012, http://www.rcpsych.ac.uk/training/honos/olderadults.aspx


This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.

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