Abstract
Aims and MethodThere is interest in how outcome measures routinely used in mental health settings compare with each other in assessing risk and emotional disturbance. The relation between the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE–OM), a client-completed measure, and the Health of the Nation Outcome Scale (HoNOS), a clinician-completed measure, was explored using data from 297 clients referred to secondary services by a primary care mental health liaison team.ResultsThe correlation between CORE–OM and HoNOS was 0.50, with cluster and factor analyses revealing overlap between the measures in assessing risk to self and others and general emotional issues.Clinical ImplicationsAlthough the measures are typically used in different settings, the overlap suggests that both might be useful in any setting where assessment for mental health problems and risk is needed.
Highlights
The measures are typically used in different settings, the overlap suggests that both might be useful in any setting where assessment for mental health problems and risk is needed
Routine outcome measurement has been increasingly advocated for mental health and psychological services, with the Department of Health committed to the implementation of outcome measures in routine practice in mental health services (National Institute for Mental Health in England, 2002, 2004)
This momentum has been evidenced by a report (Fonagy et al, 2004) building on the work of an expert advisory group on mental health outcomes, which concludes that the Health of the Nation Outcome Scale (HoNOS; Wing et al, 1998) ‘could provide a developmental anchor setting the minimum domains to be covered for the relevant population’ (Fonagy et al, 2004: p. 6)
Summary
There is interest in how outcome measures routinely used in mental health settings compare with each other in assessing risk and emotional disturbance. The relation between the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), a client-completed measure, and the Health of the Nation Outcome Scale (HoNOS), a clinician-completed measure, was explored using data from 297 clients referred to secondary services by a primary care mental health liaison team
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