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Comparison of HoNOS and HoNOS-Secure in a forensic mental health hospital

机译:荣誉和荣誉安全在法医院健康医院中的比较

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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:国家成果规模的健康(Honos)是一种广泛使用的工具,用于监测心理健康服务内的消费者结果。然而,关于其在法医学健康环境中的适用性担忧导致了该工具的法医版本(Honos-Secure)的开发。迄今为止,在经验文献中没有出现这些版本的直接比较。在本研究中,使用霍诺斯和荣誉安全评级法医精神健康消费者的群组。生成Pearson相关性以将工具与项目级别进行比较。逻辑回归被用于评估这些工具在一系列可测量的结果上分类患者的程度。霍索斯分数也与民用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在总分水平的总分度强烈相关,但在物品级别显示了可变相关性。 Logistic回归表明,Honos安全的临床和社会功能规模'在法医环境中为荣誉增加了一点;但是,Honos安全的安全规模“对两个版本添加了显着的好处。随着时间的推移重新评估,结果保持稳定。发现法医和民用心理健康患者在入场时展示了相同程度的精神病理学;但是,它们在审查和放电收集场合不同。探讨了对临床实践和政策的影响。

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