Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS–LD)

Abstract

Summaryrating instructions: (a) Complete the front sheet including ICD–10 diagnoses and subjective rating. (b) Rate each in order from item 1 to 18. (c) Do not include information rated in an earlier item. (d) Rate the person over the previous 4 weeks. (e) Rate the most severe problem that has occurred during the period rated. (f) All items follow the five-point rating format similar to other HoNOS instruments: 0=no problem during the period rated; 1=mild problem; 2=moderate problem; 3=severe problem; 4=very severe problem.

Use of Health of the Nation Outcome Scales in psychiatry

“…HoNOS-secure version 2b was developed in 2007 for use in forensic services (Sugarman 2007). The unpublished HoNOS-ABI (acquired brain injury) targets psychiatric and other sequelae of brain injury, and HoNOS-LD ‡ (Roy 2002) is used for measuring outcomes in people with intellectual (learning) disabilities and additional mental health needs. The HoNOS has also been modified to produce a self-report and other versions of HoNOS that assume significance particularly within the context of recovery and well-being (Stewart 2009).…”

The feasibility of psychomotor therapy in acute mental health services for adults with intellectual disability

“…Behaviour and mental health over the previous 4 weeks are reported by a knowledgeable informant. HoNOS-LD has good inter-rater reliability, can be used irrespective of the degree of ID (Roy et al, 2002), and has been used to evaluate the effectiveness of services provided by inpatient settings (Hillier et al, 2010;Pearce, Skelly & Baxter, 2011). IQ scores from recent assessment on WAIS-IV were obtained for most patients from case records.…”

Problem behaviours and symptom dimensions of psychiatric disorders in adults with intellectual disabilities: An exploratory and confirmatory factor analysis

“…The Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) was developed to measure the outcome of psychiatric disorders, taking into account the specific needs of individuals with intellectual disabilities (Roy et al, 2002). HoNOS-LD has 22 items (e.g.…”

“…The scores for each of the 22 items are added together to give a total (HoNOS-LD total, range = 0-88). The HoNOS-LD has been shown to have adequate reliability and validity for use as a measure of outcome (Roy et al, 2002).…”