national outcomes collection - mental health, …...2015/06/02 · information collection protocol...
TRANSCRIPT
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National outcomes
collection Mental health outcomes information collection protocol (ICP)
Version 2.2, June 2015.
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2 Information collection protocol – version 2.2, June 2015
Document control
References Name
Version control
Version Date Status Description of changes
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Information collection protocol – version 2.2, June 2015. 3
Acknowledgments
Warning
Copyright
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4 Information collection protocol – version 2.2, June 2015
Contents
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Information collection protocol – version 2.2, June 2015. 5
About this document
What’s new in version 2.2
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6 Information collection protocol – version 2.2, June 2015
Programme for the Integration of Mental Health
Data (PRIMHD)
Who receives what services, by whom, with what effect (outcome)
Question Answer Former information source
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Scope of information collection protocol (ICP)
Purpose of outcome data to be collected
Information to be collected and the purpose of collection
Age group Purpose
Child
and y
outh
Adult
s
Old
er
adult
s
Outc
om
es
evalu
ati
on
Case
com
ple
xit
y
● ● ● ● ●
● ● ○ ●
● ● ● ○ ●● ● ● ○ ●
●○
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8 Information collection protocol – version 2.2, June 2015
Key concepts underpinning the ICP
Service setting
Episode of care
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Period of care
Collection occasion
New episode
Review - three month (standard 91 days)
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10 Information collection protocol – version 2.2, June 2015
Review other (ad hoc)
End of episode
Age group
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Mental health service team
Admission date
Collection occasion date
Reason for collection
Assessment only (RFC 01)
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12 Information collection protocol – version 2.2, June 2015
Outcomes episode start collection occasions
New referral (RFC 02)
Transfer (admission) from other setting (RFC 03)
Episode start other (RFC 04)
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Information collection protocol – version 2.2, June 2015. 13
Outcomes episode review collection occasions
Review – three month (RFC 05)
Review – other (RFC 06)
Outcomes episode end collection occasions
No further care (RFC 07)
Transfer (discharge) to other setting (RFC 08)
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14 Information collection protocol – version 2.2, June 2015
Lost to care (including AWOL and discharged at own risk) (RFC 09)
Deceased (RFC 10)
Brief episode of care (RFC 11)
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Information collection protocol – version 2.2, June 2015. 15
Episode end other (RFC 12)
Focus of care
Acute:
Functional gain:
Intensive extended:
Maintenance:
Identifying the status of the collection
Completion date
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16 Information collection protocol – version 2.2, June 2015
Collection status
Mode of administration
Outcome measure
HoNOS
HoNOS65+
HoNOSCA
HoNOS-LD
HoNOS secure
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Information collection protocol (ICP) flow
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18 Information collection protocol – version 2.2, June 2015
Glossary
Service user
Clinician
Recovery
Standard
measures of
outcome
Health of the
Nation Outcome
Scales (HoNOS)
HoNOS
HoNOSCA
HoNOS65+
HoNOS LD
HoNOS secure
Episode of care
Period of care
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Information collection protocol – version 2.2, June 2015. 19
Frequently asked questions
Issue Question Suggested response
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20 Information collection protocol – version 2.2, June 2015
Issue Question Suggested response
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Issue Question Suggested response
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22 Information collection protocol – version 2.2, June 2015
Issue Question Suggested response
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Information collection protocol – version 2.2, June 2015. 23
Appendix 1: HoNOS rating guidelines and
glossary
General rating guidelines
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24 Information collection protocol – version 2.2, June 2015
HoNOS scores: Clinical significance and
recommended actions
Not clinically
significant
0 No problem Problem not present
1 Minor problem Requires no formal action.
May or may not be recorded in clinical file.
Clinically
significant
2 Mild problem Warrants recording in clinical file.
May or may not be incorporated in care plan.
3 Moderate problem Warrants recording in clinical file.
Should be incorporated in care plan.
4 Severe to very severe
problem
Most severe category for service user’s with
this problem.
Warrants recording in clinical file.
Should be incorporated in care plan.
Note: Client can get worse
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HoNOS glossary
1. Overactive, aggressive, disruptive or agitated behaviour
Additional notes for scale 1
2. Non–accidental self–injury
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26 Information collection protocol – version 2.2, June 2015
Additional notes for scale 2
3. Problem drinking or drug–taking
Additional notes for scale 3
4. Cognitive problems
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Additional notes for scale 4
5. Physical illness or disability problems
Additional notes for scale 5
6. Problems associated with hallucinations and delusions
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28 Information collection protocol – version 2.2, June 2015
Additional notes for scale 6
7. Problems with depressed mood
Additional notes for scale 7
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8. Other mental and behavioural problems
Additional notes for scale 8
9. Problems with relationships
Additional notes for scale 9
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30 Information collection protocol – version 2.2, June 2015
10. Problems with activities of daily living (ADL)
Additional notes for scale 10
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32 Information collection protocol – version 2.2, June 2015
11. Problems with living conditions
Additional notes for scale 11
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12. Problems with occupation and activities
Additional notes for scale 12
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34 Information collection protocol – version 2.2, June 2015
Important variations in rating guidelines
Core rules Scale Rate the worst
manifestation
Rate over the past two weeks
Scales 1-8 Always Always
Scales 9, 10 Based on usual or typical Always
Scales 11, 12 Based on usual or typical May need to go back beyond two weeks to establish
the usual situation
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Information collection protocol – version 2.2, June 2015. 35
HoNOS summary scores
Data element HoNOS item number and description
Item
score Summary score
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36 Information collection protocol – version 2.2, June 2015
Appendix 2: HoNOS65+ rating guidelines and
glossary
General rating guidelines
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Information collection protocol – version 2.2, June 2015. 37
HoNOS65+ scores: Clinical significance and
recommended actions
Not clinically
significant
0 No problem Problem not present
1 Minor problem Requires no formal action.
May or may not be recorded in clinical file.
Clinically
significant
2 Mild problem Warrants recording in clinical file.
May or may not be incorporated in care plan.
3 Moderate problem Warrants recording in clinical file.
Should be incorporated in care plan.
4 Severe to very severe
problem
Most severe category for service user’s with
this problem.
Warrants recording in clinical file.
Should be incorporated in care plan.
Note: Client can get worse
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38 Information collection protocol – version 2.2, June 2015
HoNOS65+ glossary
1. Behavioural disturbance (e.g. overactive, aggressive, disruptive or
agitated behaviour, uncooperative or resistive behaviour)
2. Non–accidental self–injury
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3. Problem drinking or drug–taking
4. Cognitive problems
5. Physical illness or disability problems
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40 Information collection protocol – version 2.2, June 2015
6. Problems associated with hallucinations and delusions
7. Problems with depressive symptoms
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8. Other mental and behavioural problems
9. Problems with relationships
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42 Information collection protocol – version 2.2, June 2015
10. Problems with activities of daily living (ADL)
11. Problems with living conditions
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12. Problems with occupation and activities
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44 Information collection protocol – version 2.2, June 2015
Important variations in rating guidelines
Core rules Scale Rate the worst
manifestation
Rate over the past two weeks
Scales 1-8 Always Always
Scales 9, 10 Based on usual or typical Always
Scales 11, 12 Based on usual or typical May need to go back beyond two weeks to establish
the usual situation
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HoNOS65+ summary scores
Data element HoNOS item number and description Item score Summary score
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46 Information collection protocol – version 2.2, June 2015
Appendix 3: HoNOSCA rating guidelines and
glossary
General rating guidelines
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HoNOSCA scores: Clinical significance and
recommended actions
Not clinically
significant
0 No problem Problem not present
1 Minor problem Requires no formal action.
May or may not be recorded in clinical file.
Clinically
significant
2 Mild problem Warrants recording in clinical file.
May or may not be incorporated in care plan.
3 Moderate problem Warrants recording in clinical file.
Should be incorporated in care plan.
4 Severe to very severe
problem
Most severe category for service user’s with
this problem.
Warrants recording in clinical file.
Should be incorporated in care plan.
Note: Client can get worse
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48 Information collection protocol – version 2.2, June 2015
HoNOSCA glossary
1. Problems with disruptive, antisocial or aggressive behaviour
Additional notes for scale 1
2. Problems with over-activity, attention or concentration
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Additional notes for scale 2
3. Non-accidental self-injury
Additional notes for scale 3
4. Problems with alcohol, substance or solvent misuse
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50 Information collection protocol – version 2.2, June 2015
Additional notes for scale 4
5. Problems with scholastic or language skills
Additional notes for scale 5
6. Physical illness or disability problems
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Additional notes for scale 6
7. Problems associated with hallucinations, delusions or abnormal
perceptions
Additional notes for scale 7
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52 Information collection protocol – version 2.2, June 2015
8. Problems with non-organic somatic symptoms
Additional notes for scale 8
9. Problems with emotional and related symptoms
Additional notes for scale 9
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10. Problems with peer relationships
Additional notes for scale 10
11. Problems with self-care and independence
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54 Information collection protocol – version 2.2, June 2015
Additional notes for scale 11
12. Problems with family life and relationships
Additional notes for Scale 12
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13. Poor school attendance
Additional notes for scale 13
Note
Scales 14 and 15
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56 Information collection protocol – version 2.2, June 2015
14. Problems with knowledge or understanding about the nature of the
child or adolescent’s difficulties (in the previous two weeks)
Additional notes for scale 14
15. Problems with lack of information about services or management of
the child or adolescent’s difficulties
Additional notes for scale 15
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Important variations in rating guidelines
Core rules Scale Rate the worst
manifestation
Rate over the past two weeks
Scales 1-9 Always Always
Scales 10-15 Based on usual or typical Always
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HoNOSCA summary scores
Data element HoNOSCA item number and description
Item
score
Summary
score
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Appendix 4: HoNOS-LD4 rating guidelines and
glossary
General rating guidelines
Note:
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HoNOS-LD glossary
1. Behavioural problems - directed to others
2. Behavioural problems - directed towards self (self-injury)
3. Other mental and behavioural problems
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4. Attention and concentration
5. Memory and orientation
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6. Communication (problems with understanding)
7. Communication (problems with expression)
8. Problems associated with hallucinations and delusions
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9. Problems associated with mood changes
10. Problems with sleeping
11. Problems with eating and drinking
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12. Physical problems
13. Seizures
14. Activities of daily living at home
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15. Activities of daily living outside the home
16. Level of self-care
17. Problems with relationships
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18. Occupation and activities
Important variations in rating guidelines
HoNOS-LD total score
Data element HoNOS-LD item number and description Item score Summary score
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Appendix 5: HoNOS secure rating guidelines
and glossary
General rating guidelines
2009 International version
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HoNOS security scale scores: Clinical
significance and recommended actions
Not clinically
significant 0 No problem Problem not present
Clinically
significant
1 Minor problem May be recorded in clinical file.
2 Mild problem Warrants recording in clinical file.
May or may not be incorporated in care plan.
3 Moderate problem Warrants recording in clinical file.
Should be incorporated in care plan.
4 Severe to very severe
problem
Most severe category for service user’s with
this problem.
Warrants recording in clinical file.
Should be incorporated in care plan.
Note: Client can get worse
HoNOS secure 12 scales: clinical significance
and recommended actions
Not clinically
significant
0 No problem Problem not present
1 Minor problem Requires no formal action.
May or may not be recorded in clinical file.
Clinically
significant
2 Mild problem Warrants recording in clinical file.
May or may not be incorporated in care plan.
3 Moderate problem Warrants recording in clinical file.
Should be incorporated in care plan.
4 Severe to very severe
problem
Most severe category for service user’s with
this problem.
Warrants recording in clinical file.
Should be incorporated in care plan.
Note: Client can get worse
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HoNOS secure glossary – Security scales A-G
A. Rate risk of harm to adults or children
B. Rate risk of self-harm (deliberate or accidental)
C. Rate need for building security to prevent escape
D. Rate need for a safely staffed living environment
E. Rate need for escort on leave (beyond secure perimeter).
Do not include need for a driver.
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F. Rate risk to individual from others
G. Rate the need for risk management procedures
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HoNOS secure glossary
1. Overactive, aggressive, disruptive or agitated behaviour
Additional notes for scale 1
2. Non–accidental self–injury
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Additional notes for scale 2
3. Problem drinking or drug–taking
Additional notes for scale 3
4. Cognitive problems
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Additional notes for scale 4
5. Physical illness or disability problems
Additional notes for scale 5
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6. Problems associated with hallucinations and delusions
Additional notes for scale 6
7. Problems with depressed mood
Additional notes for scale 7
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8. Other mental and behavioural problems
Additional notes for scale 8
9. Problems with relationships
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Additional notes for scale 9
10. Problems with activities of daily living (ADL)
Additional notes for scale 10
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11. Problems with living conditions
Additional notes for scale 11
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12. Problems with occupation and activities
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Additional notes for scale 12
Important variations in rating guidelines
Core rules Scale Rate the worst
manifestation
Rate over the past two weeks
Scales 1-8 Always Always
Scales 9,
10 Based on usual or typical Always
Scales 11,
12 Based on usual or typical
May need to go back beyond two weeks to establish the
usual situation
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HoNOS secure summary scores
Data element HoNOS item number and description
Item
score
Summary
score