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The British Journal of Psychiatry (2002) 180: 61-66
© 2002 The Royal College of Psychiatrists

Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS—LD){dagger}

ASHOK ROY, FRCPsych

Brooklands, Marston Green, Birmingham, UK

HELEN MATTHEWS, MRCPsych

St David's, Carmarthen, UK

PAUL CLIFFORD, DClinPsy

British Psychological Society, UK

VANESSA FOWLER, MSc

Galahad Substance Misuse Solutions Ltd, Oxted, Surrey, UK

DAVID M. MARTIN, BA

Brooklands, Marston Green, Birmingham, UK

Correspondence: Dr A. Roy, Consultant Psychiatrist, Brooklands, Coleshill Road, Marston Green, Birmingham B37 7HL, UK

Declaration of interest Supported by the Royal College of Psychiatrists and the British Psychological Society.

{dagger} See pp. 67–70, this issue

Background The Health of the Nation Outcomes Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.

Aims Frequent impaired social functioning, problems with communication and associated physical conditions meant that a bespoke instrument was needed for people with learning disabilities. We describe the development of the Health of the Nation Outcomes Scales for People with Learning Disabilities (HoNOS—LD).

Method HoNOS—LD was piloted at 26 sites. Two raters, at two points in time, rated 372 subjects. Analysis determined acceptability, ease of use, interrater reliability, sensitivity to change and reliability with the Aberrant Behavior Checklist (ABC).

Results The resulting 18-item instrument demonstrated good reliability and validity characteristics and is generally acceptable to clinicians.

Conclusions HoNOS—LD is an appropriate instrument for measuring outcome in people with learning disabilities with additional mental health needs.


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BJP 2002 180: 0. [Full Text]  

Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS—LD): Glossary for HoNOS—LD score sheet{dagger}
ASHOK ROY, HELEN MATTHEWS, PAUL CLIFFORD, VANESSA FOWLER, and DAVID M. MARTIN
BJP 2002 180: 67-70. [Full Text]  



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