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Assessing risk and emotional disturbance using the CORE-OM and HoNOS outcome measures at the interface between primary and secondary mental healthcare

South West Yorkshire Mental Health NHS Trust and University of Huddersfield, Department of Psychological Services, Calderdale Royal Hospital, Halifax HX3 0PW, e-mail: chris.leach{at}cht.nhs.uk

Mike Lucock, Director of Psychological Research

South West Yorkshire Mental Health NHS Trust and University of Huddersfield

Michael Barkham, Director

Psychological Therapies Research Centre, University of Leeds

Rachael Noble, Assistant Psychologist, Linda Clarke, Manager, PLATT Team and Steve Iveson, Director of Adult Psychological Therapies Service

South West Yorkshire Mental Health NHS Trust

Declaration of interest

M. B. is a member of the Board of Trustees of the CORE System Trust.

AIMS AND METHOD

There is interest in how outcome measures routinely used in mental health settings compare with each other in assessing risk and emotional disturbance. The relation between the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), a client-completed measure, and the Health of the Nation Outcome Scale (HoNOS), a clinician-completed measure, was explored using data from 297 clients referred to secondary services by a primary care mental health liaison team.

RESULTS

The correlation between CORE-OM and HoNOS was 0.50, with cluster and factor analyses revealing overlap between the measures in assessing risk to self and others and general emotional issues.

CLINICAL IMPLICATIONS

Although the measures are typically used in different settings, the overlap suggests that both might be useful in any setting where assessment for mental health problems and risk is needed.

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