Managing outcome performance in mental health using HoNOS: Experience at St Andrew's Healthcare

Philip Sugarman; Lorraine Walker; Geoff Dickens

doi:10.1192/pb.bp.108.022475

Managing outcome performance in mental health using HoNOS: Experience at St Andrew's Healthcare

Philip Sugarman, Lorraine Walker, Geoff Dickens^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	285-288
Number of pages	4
Journal	Psychiatric Bulletin
Volume	33
Issue number	8
DOIs	https://doi.org/10.1192/pb.bp.108.022475
Publication status	Published - 1 Aug 2009
Externally published	Yes

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abstract = "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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AB - 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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JO - Psychiatric Bulletin

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Managing outcome performance in mental health using HoNOS: Experience at St Andrew's Healthcare

Abstract

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