Evaluating the Health of the Nation Outcome Scales

1999 ◽  
Vol 174 (5) ◽  
pp. 399-403 ◽  
Author(s):  
S. Amin ◽  
S. P. Singh ◽  
T. Croudace ◽  
P. Jones ◽  
I. Medley ◽  
...  
Keyword(s):  
Mental Health ◽  
Concurrent Validity ◽  
Interrater Reliability ◽  
Further Training ◽  
Follow Up Study ◽  
Social Subscale ◽  
First Onset ◽  
Routine Measure

BackgroundThe HoNOS has been developed as a routine measure of outcomes in mental health.AimsTo explore the validity and interrater reliability of HoNOS in a first-onset psychosis follow-up study.MethodBetween 1992 and 1994 we ascertained a cohort of all persons with first-onset psychosis. We re-assessed these people at 3 years (n=166) with several outcome scales, including HoNOS. Patients' keyworkers also completed the HoNOS. We estimated concurrent validity by calculating correlations between HoNOS and other scales, and interrater reliability.ResultsResearcher HoNOS correlated highly with other scales (0.46 < p < 0.86; P < 0.001). Keyworker HoNOS correlations were lower (0.41 < p < 0.51; P < 0.05), but still significant for all scores except the HoNOS-social subscale (0.12 < p < 0.28). Agreements between researcher and keyworker HoNOS were modest (0.47 < ICC < 0.85).ConclusionsIn this research cohort HoNOS correlates well with established outcome scales. Keyworker ratings show similar, but weaker, relationships; its use in routine settings may require further training for calibration of severity.

The family economic status and outcome of people with schizophrenia in Xinjin, Chengdu, China: 14-year follow-up study

2017 ◽  
Vol 63 (3) ◽  
pp. 203-211 ◽  
Author(s):  
Mao-Sheng Ran ◽  
Lawrence H Yang ◽  
Yu-Jun Liu ◽  
Debbie Huang ◽  
Wen-Jun Mao ◽  
...  
Keyword(s):  
Mental Health ◽  
Economic Status ◽  
Mental Health Policy ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Follow Up Study ◽  
First Onset ◽  
Persons With Schizophrenia

Background: Little is known about whether family economic status might influence the long-term (e.g. over 10 years) outcome of persons with schizophrenia in the community. Aim: To examine the differences in outcome at 14-year follow-up of persons with schizophrenia from high versus low family economic status backgrounds in a Chinese rural area. Method: A prospective 14-year follow-up study was conducted in six townships in Xinjin County, Chengdu, China. All participants with schizophrenia ( n = 510) were identified in an epidemiological investigation of 123,572 people aged 15 years and older and followed up from 1994 to 2008. Results: Individuals from low family economic status (<mean) in 1994 had significantly higher rate of homelessness (9.9%) and lower rate of survival (63.8%) in 2008 than those from high family economic status (⩾mean; 3.2% and 76.6%, respectively). Individuals from low family economic status had significantly lower rates of marriage and complete remission, higher mean scores on Positive and Negative Syndrome Scale (PANSS) and lower mean score on Global Assessment of Functioning (GAF) than those from high family economic status in 2008. The predictors of low family economic status of individuals in 2008 encompassed the baseline low family economic status, poor families’ attitude toward the patient, younger age, older age of first onset and longer duration of illness. Conclusion: Low family economic status is a predictive factor of poor long-term outcome of persons with schizophrenia in the rural community. Individuals’ family economic status should be considered in making mental health policy and providing community-based mental health services.

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