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Making HoNOS(CA) Clinically Useful

Making HoNOS(CA) Clinically Useful. Strategies for Making HoNOSCA, HoNOS and HoNOS 65+ a useful tool for your clinical team.

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Making HoNOS(CA) Clinically Useful

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  1. Making HoNOS(CA) Clinically Useful Strategies for Making HoNOSCA, HoNOS and HoNOS 65+ a useful tool for your clinical team Original Source: Malcolm Stewart, Professional Leader – Psychology, Counties Manukau District Health Board, Auckland, New Zealand. All rights to use and/or modify for purposes of staff education granted.

  2. How Can HoNOS Information be Useful?

  3. How Can HoNOS Information be Useful? National/State Level MH Service Level Team Level Clinician/Client Interaction Level

  4. How Can HoNOS Information be Useful? National / State Level Grouped information to understand service users, understand outcomes, and identify best practice MH Service Level Both of these Team Level Clinician/Client Interaction Level Promoting conversation about individual’s goals and outcomes

  5. Many Clinician’s and Team’s Perception of the Use of HoNOS Information National / State Level MH Service Level

  6. How Can HoNOS Information be Useful To Your Team? Grouped Information Client characteristics. Outcomes , Workloads Team Level Identifying individual’s status, progress to date, concerns and goals for intervention

  7. How Can HoNOS Information be Useful To Your Team? Identifying individual’s status, progress to date, concerns and goals for intervention Team Level

  8. Team Discussions: The Value HoNOS(CA) Can Add • Quick summary • Covers many important aspects of: • individual’s wellbeing • drivers for mental health/illness • Draws attention to change over time in a way that is difficult to remember

  9. Use of HoNOS • HoNOS is not a decision making tool BUT • It is a tool for helping to make good decisions.

  10. A Suggested Quick Strategy for Using HoNOS(CA) in Individual Client Discussions

  11. Purpose of the Questions Are we the right service? Identifying people who could/should be discharged/ “Permission to discharge” 1 2a Encourage fuller, multi-perspective understanding of the person Concordance Identifying positive and negative changes over time 2b Change Identifying issues to be addressed Identifying the plans to address them Concerns 2c Specifying highest priority changes to promote recovery 3 Priorities

  12. Using this Approach to Make More Efficient and Effective Discussions Completed prior to review One page long Quick to complete Helps to clarify thinking about this person Focuses on identifying solutions

  13. MDT Review Form Preliminary Information Present HoNOS(CA)

  14. “HoNOS and Beyond” Discussion

  15. Concordance Change Are we the right service? Concerns Priorities

  16. Looks Long - But Doesn’t Need to Be • With a little preparation beforehand, discussion can be efficient and effective • Focus on solutions to concerns (interventions) • Helps to make discussion well targeted, • More effective planning reduces need for repetitive discussion of same clients

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