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首页> 外文期刊>The journal of forensic psychiatry & psychology >Comparison of HoNOS and HoNOS-Secure in a forensic mental health hospital
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Comparison of HoNOS and HoNOS-Secure in a forensic mental health hospital

机译：法医精神卫生医院中HoNOS和HoNOS-Secure的比较

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摘要

The Health of the Nation Outcome Scale (HoNOS) is a widely used tool for monitoring consumer outcomes within mental health services. However, concern about its suitability in forensic mental health settings led to the development of a forensic version of this tool (HoNOS-Secure). To date, no direct comparison of these versions has appeared in the empirical literature. In the present study, a cohort of forensic mental health consumers was rated using the HoNOS and HoNOS-Secure. Pearson correlations were generated to compare the tools at a total score and item level. Logistic regression was employed to evaluate how well these tools categorise patients on a range of measurable outcomes. HoNOS scores were also compared against civil mental health consumers to evaluate differences between these populations. The HoNOS/HoNOS-Secure correlated strongly at the total score level, but demonstrated variable correlations at the item level. Logistic regression suggested that the HoNOS-Secure clinical and social functioning scale' adds little to the HoNOS in a forensic setting; however, the HoNOS-Secure security scale' added significant benefit to both versions. Results remained stable when re-evaluated over time. Forensic and civil mental health patients were found to demonstrate the same degree of psychopathology at the point of admission; however, they differed at review and discharge collection occasions. Implications for clinical practice and policy are explored.
机译：国家健康结果量表（HoNOS）是一种广泛使用的工具，用于监测精神卫生服务中的消费者结果。但是，由于担心其在法医心理健康环境中的适用性，导致开发了该工具的法医版本（HoNOS-Secure）。迄今为止，经验文献还没有直接比较这些版本。在本研究中，使用HoNOS和HoNOS-Secure对法医精神卫生消费者进行了评估。生成Pearson相关性以在总分和项目级别比较工具。使用Logistic回归来评估这些工具在一系列可衡量的结果方面对患者的分类情况。还将HoNOS得分与公民心理健康消费者进行了比较，以评估这些人群之间的差异。 HoNOS / HoNOS-Secure在总分水平上具有很强的相关性，但在项目水平上却表现出可变的相关性。 Logistic回归表明，在法医环境中，HoNOS-Secure的临床和社会功能量表对HoNOS几乎没有增加。但是，HoNOS-Secure安全等级对这两个版本都增加了重大好处。随着时间的推移重新评估结果仍然稳定。法医和公民精神健康患者被发现在入院时表现出相同程度的精神病理学;但是，它们在检查和排放收集场合有所不同。探索对临床实践和政策的影响。

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