scholarly journals A routine outcome measure for youth mental health: Clinically interpreting MyLifeTracker

Author(s):  
Benjamin Kwan ◽  
Debra J. Rickwood
2000 ◽  
Vol 5 (2) ◽  
pp. 50-56 ◽  
Author(s):  
Simon Gowers ◽  
Sarah J. Bailey-Rogers ◽  
Alison Shore ◽  
Warren Levine

The child and adolescent version of the Health of the Nation Outcome Scales (HoNOSCA) represents the first attempt at a routine outcome measure for Child and Adolescent Mental Health Services in the U.K. Extensive field trials suggested that the scales were both acceptable to clinicians from the various disciplines working in this area and also valid and reliable. A growing number of services are now using the scales in audit and research, supported by the national HoNOSCA base that provides training and co-ordinates further developments.


2012 ◽  
Vol 36 (5) ◽  
pp. 194-194 ◽  
Author(s):  
Helen T. Killaspy ◽  
Jed Boardman ◽  
Michael King ◽  
Tatiana Taylor ◽  
Geoff Shepherd ◽  
...  

BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Peter Brann ◽  
Gordana Culjak ◽  
Nick Kowalenko ◽  
Rosemary Dickson ◽  
Tim Coombs ◽  
...  

Background A review of Australian mental health services identified a gap in routine outcome measures addressing social, emotional and behavioural domains for pre-schoolers and infants. A Child and Adolescent Mental Health Information Development Expert Advisory Panel working group developed the Health of the Nation Outcome Scales for Infants (HoNOSI), a clinician-reported routine outcome measure for infants 0–47 months. Prior face validity testing showed that the HoNOSI was considered useful in measuring mental health outcomes. Aims To examine the concurrent validity of the HoNOSI. Method Mental health clinicians providing assessment and treatment to infants in routine clinical practice participated in the study. The mental health status of 108 infants were rated by a minimum of 26 clinicians with the HoNOSI, the Parent-Infant Relationship Global Assessment Scale (PIR-GAS) and measures of symptom severity and distress. Results The HoNOSI was statistically significantly correlated with the PIR–;GAS, rs = −0.73; Clinical Worry, rs = 0.77; and Severity Judgement ratings, rs = 0.85; P < 0.001. A good level of internal consistency was found. Using the COsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria for judging instrument acceptability, the HoNOSI meets the standard for both concurrent validity and internal consistency. Conclusions There has been a clear need for a routine outcome measure for use with infants. This study provides positive evidence of aspects of validity. These findings, along with those from the prior face validity study, support a controlled release of the HoNOSI accompanied by further research and development.


BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Peter Brann ◽  
Gordana Culjak ◽  
Nick Kowalenko ◽  
Rosemary Dickson ◽  
Tim Coombs ◽  
...  

Background A review of Australian mental health services identified a gap in routine outcome measures addressing social, emotional and behavioural domains for pre-schoolers and infants. The Child and Adolescent Mental Health Information Development Expert Advisory Panel Working Group developed the Health of the Nation Outcome Scales for Infants (HoNOSI), a clinician-reported routine outcome measure for use with those aged under 4 years. Prior psychometric testing showed that the HoNOSI was considered to show face validity, and that it met the standards for concurrent validity and internal consistency. Aims We aimed to investigate the interrater reliability of the HoNOSI. Method Forty-five infant mental health clinicians completed HoNOSI ratings on a set of five case vignettes. Results Quadratic weighted kappa interrater reliability estimates showed the HoNOSI to have Almost Perfect interrater reliability for the HoNOSI total score. Of the 15 scales, one had Moderate, seven had Substantial and seven had Almost Perfect interrater reliability. Ten of the fifteen scales and the total score exceeded the COnsensus-based Standards for the Selection of Health Measurement INstruments criteria for interrater reliability (κw ≥ 0.7). Conclusions There has been a clear need for a routine outcome measure for use with infants and pre-schoolers. This study provides evidence of interrater reliability. The current findings, combined with the face and concurrent validity studies, support further examination of HoNOSI in real-world settings.


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