Abstract
The Health of Nation Outcome Scales (HoNOS-F) are designed to measure severity of a large range of problems of psychiatric patients and their evolution. Behaviour, handicap, symptoms and social problems are considered. The aim of this field study is to examine the ability of the HoNOS-F to predict access to psychiatric care, use of services and mental health outcomes. 533 patients were evaluated in Lausanne in- and outpatient services. Results show a good acceptation of scales by clinicians ; grouping of problem profiles that suppose specific needs for some populations of patients ; differentiation of access to care through the number and severity of problems ; sensitivity to problems outcomes for inpatient care. Limitations of HoNOS are low tolerance to measurement errors, with only one scale for each dimension, and low progression margin when measuring change of moderate problems, particularly in outpatient psychiatric care.
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