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Paddington Complexity Scale and Health of the Nation Outcome Scales for Children and Adolescents

Published online by Cambridge University Press:  03 January 2018

P Yates ,
M E Garralda  and
I Higginson
P Yates*
Affiliation:
Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, London
M E Garralda
Affiliation:
Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, London
I Higginson
Affiliation:
King's College School of Medicine and Dentistry and St Christopher's Hospice, London
*
Dr P. Yates, Clinical Research Fellow, Academic Unit of Child and Adolescent Psychiatry, Imperial College School of Medicine, St Mary's Campus, Norfolk Place, London W2 IPG
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Abstract

Background

There is an increasing interest in measuring health care outcomes in mental health services for children as well as adults.

Aims

We examined the sensitivity of the Paddington Complexity Scale (PCS) and the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) in describing the intakes of child and adolescent mental health clinics.

Method

We carried out a prospective study of two out-patient units and one day patient unit, by means of questionnaires administered to clinicians, parents and children.

Results

Clinician-rated PCS and HoNOSCAs were obtained for 248 new attenders. Both proved sensitive to intake differences between clinics. There were correlations of moderate intensity (r=0.6) between total PCS and HoNOSCA. There were weaker associations between these and parent/child rated measures of behaviour (r=0.4 and 0.3), quality of life and self-esteem (r=0.3 or less).

Conclusions

Both PCS and HoNOSCA are useful for describing clinical profiles of children and adolescents receiving mental health services.

Type
HoNOS Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 5 , May 1999 , pp. 417 - 423
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

The study was funded by the North Thames Regional Health Authority.

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