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Mental Health Outcomes Information Collection Protocol

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Glossary

Service userA person who experiences or has experienced mental illness and who uses or has used mental health services. It covers the term consumer, patient, client, tangata whaiora. 
ClinicianIncludes all mental health professionals - doctors, nurses and allied health staff working in mental health who are in the scope for collecting outcome measures.
RecoveryDefined as "the ability to live well in the presence or absence of one's mental illness (or whatever people choose to name their experience)" Blueprint 1998.
Standard measures of outcomeStandard tools or instruments that are used to obtain a number or classification with sufficient reliability and precision from or about an individual or population that is indicative of an outcome. When a standard measure is used twice to measure change it is used as an outcome measure. The first standard measure to be introduced will be the HoNOS family of measures. As the MH-SMART initiative progresses, further outcome measures may be introduced, including a service user rated measure, Hua Oranga (a Maori specific measure), a functioning measure and a measure specific to alcohol and other drug services.
HoNOS (Health of the Nation Outcome Scales) HoNOS is a clinical outcome measure used to measure the health status of service users who use mental health services. It is not an assessment in itself, but rather is completed following an assessment, using all available information. The HoNOS family includes HoNOS (for adults), HoNOSCA (for child and youth) and HoNOS65+ (for adults over 65). HoNOS measures are rated with the use of an accompanying glossary.

HoNOS
A 12 item scale used by clinicians to measure behaviour, impairment, symptoms and social functioning in adults.

HoNOSCA
A 15 item scale, modelled on the adult HoNOS, specifically for use in the assessment of child and adolescent service user outcomes in mental health services. See separate Reference Guide for Child and Adolescent Services.

HoNOS65+
The same 12 item scale as the adult HoNOS, however, a glossary specifically developed for older adults is used to rate HoNOS65+. See separate Reference Guide for Older Adult Services.

HoNOS LD
Designed for adult service users who have a dual diagnosis (such as mental illness and an intellectual disability).

HoNOS Secure
Designed for adult service users who are being supported by forensic services.

Episode of careA more or less continuous period of contact between a service user and a contracted DHB mental health service that occurs within one mental health service setting - either inpatient or community.
Period of careThe interval within an episode of care between one collection occasion and the next.

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Page last updated: 23 September 2008