Brief scale for measuring the outcomes of emotional and behavioural disorders in children: Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA)
Abstract
Background Following the development of a child and adolescent version of the Health of the Nation Outcome Scales (HoNOSCA), field trials were conducted to assess their feasibility and acceptability in routine outcome measurement. Aims To evaluate the reliability, validity and acceptability of HoNOSCA in routine outcome measurement. Method Following training, 36 field sites provided ratings on 1276 cases at one time point and outcome data on 906. Acceptability was assessed by way of written feedback and at a debriefing meeting. Results HoNOSCA demonstrated satisfactory reliability and validity characteristics. It was sensitive to change and its ability to measure change accorded with the clinicians' independent rating. HoNOSCA was reasonably acceptable to clinicians' from a range of disciplines and services. Conclusions Provided that training needs can be met, HoNOSCA represents a satisfactory brief outcome measure which could be used routinely in child and adolescent mental health services.
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A Children's Global Assessment Scale (CGAS)
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“…et al., 1998; Hill & Hughes, 2007; Van Roy et al., 2008), (ii) SDQ-Parent/Carer (Goodman et al., 1998), (iii) Health of the Nations Outcome Scale-Children and Adolescents (HoNOSCA) (Gowers et al., 1999) and (iv) Children's Global Assessment Scale (CGAS) (Green et al., 1994; Shaffer et al., 1983).”
- Authors
- Gowers, S. G., Harrington, R. C., Whitton, A., Lelliott, P., Beevor, A., Wing, J., & Jezzard, R.
- Affiliations
- University of Liverpool (GB)
- University of Manchester (GB)
- Royal College of Psychiatrists (GB)
- Department of Health and Social Care (GB)
- Corresponding author
- Gowers, Simon G.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1999-05
- Volume
- 174
- Issue
- 5
- Pages
- 413-416
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2105777624
- Cited by
- 378
- References
- 1
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 11 · 2023: 18 · 2022: 8 · 2021: 19 · 2020: 29 · 2019: 12 · 2018: 9 · 2017: 18 · 2016: 11 · 2015: 20 · 2014: 19 · 2013: 13 · 2012: 25
- FWCI
- 10.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- H2020 European Research Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- HoNOSCA, Health of the Nation Outcome Scales, routine outcome measurement, emotional and behavioural disorders, child and adolescent mental health, outcome measure validity, clinician acceptability, sensitivity to change
- MeSH terms
- Child, Child Behavior Disorders, Child, Preschool, Female, United Kingdom, Health Status, Health Status Indicators, Humans, Male, Mental Health Services, Psychiatric Status Rating Scales, Sensitivity and Specificity, Observer Variation, Mood Disorders
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