Abstract

Aims and MethodThe Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) were developed as a routine measure of outcomes in child and adolescent psychiatry. In a preliminary study we administered sub-scale 12 of HoNOSCA (Family Life and Relationships) to 20 families and compared the results with two well-established measures of family functioning and a measure of abnormal psychosocial situations associated with psychopathology.ResultsStrong correlations were found between HoNOSCA sub-scale 12 and both self-assessed and clinician-assessed measures of family functioning. However, there was little relationship between HoNOSCA (12) and a measure of abnormal psychosocial situations.Clinical ImplicationsHoNOSCA (12) appears to provide a quick and valid assessment of overall family dysfunction and can be used in a time-efficient manner as a means to assess where further more comprehensive family assessment or family therapy may be required.

Highlights

  • The scales cover a wide range of problem areas and include a scale on ‘problems with family life and relationships’

  • HoNOSCA has been compared with the Children’s Global Assessment Scale (CGAS) where correlations were found to vary from moderate to modest depending on the sub-scale (Yates et al, 1999)

  • The principal aim of this study was to establish whether a relationship exists between HoNOSCA sub-scale 12 and gold standard measures of family functioning and family life events

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Summary

AIMS AND METHOD

The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) were developed as a routine measure of outcomes in child and adolescent psychiatry. In a preliminary study we administered subscale 12 of HoNOSCA (Family Life and Relationships) to 20 families and compared the results with two wellestablished measures of family functioning and a measure of abnormal psychosocial situations associated with psychopathology

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Declaration of interest
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