Child and adolescent mental health service use. HoNOSCA as an outcome measure.

Abstract

HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) is a recently developed measure of outcome for use in child and adolescent mental health services (CAMHS). To examine HoNOSCA's sensitivity to change, convergent validity and clinical usefulness. Prospective study of new CAMHS attenders. Questionnaires completed by clinicians, parents and referrers at initial assessment and after 6 months. Follow-up HoNOSCAs on 203 children indicated statistically significant change. There were significant associations between change in HoNOSCA scores, changes in other clinician- and parent-rated scales (r = 0.51 to 0.32) and in global outcome ratings by referrers, parents and clinicians. Intraclass correlation coefficients for the summated HoNOSCA scores were high. HoNOSCA change was positively correlated with initial HoNOSCA score (r = 0.46, P < 0.001) and it was linked to psychiatric diagnosis. HoNOSCA is a sensitive, valid measure of change among CAMHS attenders.