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Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study
BACKGROUND: The Health of the Nation Outcomes Scales (HoNOS) has been widely used as an outcome measure in UK mental health settings for the past decade. The data-set gathered provides a unique opportunity to evaluate the effectiveness of the totality of mental healthcare in ‘real-world’ conditions;...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176875/ https://www.ncbi.nlm.nih.gov/pubmed/32192545 http://dx.doi.org/10.1192/bjo.2020.14 |
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author | Dean, Nathan J. Arnaoutoglou, Nikitas Underwood, Benjamin R. |
author_facet | Dean, Nathan J. Arnaoutoglou, Nikitas Underwood, Benjamin R. |
author_sort | Dean, Nathan J. |
collection | PubMed |
description | BACKGROUND: The Health of the Nation Outcomes Scales (HoNOS) has been widely used as an outcome measure in UK mental health settings for the past decade. The data-set gathered provides a unique opportunity to evaluate the effectiveness of the totality of mental healthcare in ‘real-world’ conditions; much of our clinical evidence currently comes from highly parameterised clinical trials investigating single interventions in highly selected patients. AIMS: To examine all outcomes measured by HoNOS for a range of diagnostic groups, evaluate the influence of patient demographics on those outcomes, and observe changes in patient groups over time. METHOD: Here we show the data from 6813 adult patients treated in Cambridgeshire between 2012 and 2017. Patients were split into three diagnostic groups: psychosis, non-psychosis and organic. Changes in HoNOS scores from initial assessment to discharge were tested and regressions were used to evaluate the influence of age, gender and ethnicity on the changes, as well as to model changes in the severity of initial presenting symptoms with time. RESULTS: HoNOS scores significantly improve after treatment for psychotic, non-psychotic and organic conditions in adults and older adults. Age, but not gender or ethnicity, influenced change in HoNOS scores. Patients entering secondary mental health services had increased initial HoNOS scores over time. CONCLUSIONS: The UK repository of HoNOS scores provides a significant and relatively underutilised resource that can be exploited to gain insights into mental illness and treatment effectiveness. This is likely to have many applications, including influencing the commissioning of services. |
format | Online Article Text |
id | pubmed-7176875 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-71768752020-04-28 Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study Dean, Nathan J. Arnaoutoglou, Nikitas Underwood, Benjamin R. BJPsych Open Papers BACKGROUND: The Health of the Nation Outcomes Scales (HoNOS) has been widely used as an outcome measure in UK mental health settings for the past decade. The data-set gathered provides a unique opportunity to evaluate the effectiveness of the totality of mental healthcare in ‘real-world’ conditions; much of our clinical evidence currently comes from highly parameterised clinical trials investigating single interventions in highly selected patients. AIMS: To examine all outcomes measured by HoNOS for a range of diagnostic groups, evaluate the influence of patient demographics on those outcomes, and observe changes in patient groups over time. METHOD: Here we show the data from 6813 adult patients treated in Cambridgeshire between 2012 and 2017. Patients were split into three diagnostic groups: psychosis, non-psychosis and organic. Changes in HoNOS scores from initial assessment to discharge were tested and regressions were used to evaluate the influence of age, gender and ethnicity on the changes, as well as to model changes in the severity of initial presenting symptoms with time. RESULTS: HoNOS scores significantly improve after treatment for psychotic, non-psychotic and organic conditions in adults and older adults. Age, but not gender or ethnicity, influenced change in HoNOS scores. Patients entering secondary mental health services had increased initial HoNOS scores over time. CONCLUSIONS: The UK repository of HoNOS scores provides a significant and relatively underutilised resource that can be exploited to gain insights into mental illness and treatment effectiveness. This is likely to have many applications, including influencing the commissioning of services. Cambridge University Press 2020-03-20 /pmc/articles/PMC7176875/ /pubmed/32192545 http://dx.doi.org/10.1192/bjo.2020.14 Text en © The Author(s) 2020 http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Papers Dean, Nathan J. Arnaoutoglou, Nikitas Underwood, Benjamin R. Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title | Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title_full | Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title_fullStr | Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title_full_unstemmed | Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title_short | Effectiveness of treatment for 6813 patients with mental health conditions in Cambridgeshire: a cross-sectional study |
title_sort | effectiveness of treatment for 6813 patients with mental health conditions in cambridgeshire: a cross-sectional study |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176875/ https://www.ncbi.nlm.nih.gov/pubmed/32192545 http://dx.doi.org/10.1192/bjo.2020.14 |
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