This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit an eLetter
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by GOWERS, S.
Right arrow Articles by BURHOUSE, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GOWERS, S.
Right arrow Articles by BURHOUSE, E.
The British Journal of Psychiatry (2002) 180: 266-269
© 2002 The Royal College of Psychiatrists

Use of a routine, self-report outcome measure (HoNOSCA—SR) in two adolescent mental health services

SIMON GOWERS, FRCPsych

Section of Adolescent Psychiatry, University of Liverpool

WARREN LEVINE, MRCPsych

Child and Adolescent Mental Health Service, Douglas, Isle of Man

SARAH BAILEY-ROGERS, BSc, ALISON SHORE, BSc and EMMA BURHOUSE, BSc

Section of Adolescent Psychiatry, University of Liverpool, UK

Correspondence: Professor Simon Gowers, Mersey Regional Young People's Centre, Pine Lodge, 79 Liverpool Road, Chester CH2 1AW, UK

Declaration of interest The HoNOSCA base was supported by a grant from the NHS Information Authority.

Background The Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) is an established outcome measure for child and adolescent mental health. Little is known of adolescent views on outcome.

Aims To develop and test the properties of an adolescent, self-rated version of the scale (HoNOSCA—SR) against the established clinician-rated version.

Method A comparison was made of 6-weekly clinician-rated and self-rated assessments of adolescents attending two services, using HoNOSCA and other mental health measures.

Results Adolescents found HoNOSCA—SR acceptable and easy to rate. They rated fewer difficulties than the clinicians and these difficulties were felt to improve less during treatment, although this varied with diagnosis and length of treatment. Although HoNOSCA—SR showed satisfactory reliability and validity, agreement between clinicians and users in individual cases was poor.

Conclusions Routine outcome measurement can include adolescent self-rating with modest additional resources. The discrepancy between staff and adolescent views requires further evaluation.




This article has been cited by other articles:


Home page
 Br. J. PsychiatryHome page
S. G. GOWERS, A. CLARK, C. ROBERTS, A. GRIFFITHS, V. EDWARDS, C. BRYAN, N. SMETHURST, S. BYFORD, and B. BARRETT
Clinical effectiveness of treatments for anorexia nervosa in adolescents: Randomised controlled trial
The British Journal of Psychiatry, November 1, 2007; 191(5): 427 - 435.
[Abstract] [Full Text] [PDF]

Home page
 Br. J. PsychiatryHome page
P. YATES, T. KRAMER, and M. E. GARRALDA
Use of a routine mental health measure in an adolescent secure unit
The British Journal of Psychiatry, June 1, 2006; 188(6): 583 - 584.
[Abstract] [Full Text] [PDF]