Does the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?

Abstract:

BACKGROUND:A clinical indicator should demonstrate clinically meaningful change, be relevant, allow comparisons between services, be acceptable to clinicians, and have acceptable validity, reliability and sensitivity to change. The HoNOS 65+ has been suggested as a clinical outcome indicator. The sensitivity to change of the HoNOS 65+ is not known. METHODS:This is a prospective study using routine clinical data. A pilot cohort (n = 42) was used to measure the concurrent validity of the HoNOS 65+ with the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15) and Brief Agitation Rating Scale (BARS). The main cohort of 245 consecutive referrals to a community mental health service for older adults was used to assess sensitivity to change against the CIBIC+. RESULTS:The HoNOS 65+ was acceptable to case managers, most HoNOS 65+ items had excellent interrater reliability and the HoNOS 65+ had good concurrent validity. Changes in the HoNOS 65+ scores between assessment and discharge had a moderate, but significant correlation with CIBIC+ scores. CONCLUSION:The HoNOS 65+ meets the criteria for a clinical outcome indicator for community mental health services for older people. The HoNOS 65+ is sensitive to change.

authors

Spear J,Chawla S,O'Reilly M,Rock D

doi

10.1002/gps.592

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

226-30

issue

3

eissn

0885-6230

issn

1099-1166

pii

10.1002/gps.592

journal_volume

17

pub_type

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