HoNOS (Health of the Nations Outcome Scales) – an Adaptation of the Tool for the Assessment of Symptoms and Social Functions in Serious Mentally Ill in the Czech Conditions and Its Use

Authors: O. Pěč 1;  D. Čechová 2;  J. Pěčová 2;  E. Dragomirecká 3;  P. Šelepová 1;  V. Probstová 1;  M. Bubela 1
Authors‘ workplace: Centrum pro rozvoj péče o duševní zdraví, Praha ;  ředitelka Mgr. B. Wenigová Katedra psychologie FF UK, Praha 1;  vedoucí PhDr. I. Gillernová, CSc. Psychiatrické centrum Praha 2;  ředitel prof. MUDr. C. Höschl, DrSc. FRCPsych. 3
Published in: Čes. a slov. Psychiat., 105, 2009, No. 6-8, pp. 245-249.
Category: Original Article


The English version of the assessment tool HoNOS (Health of the Nations Outcome Scales) has been translated into the Czech language and adapted to the Czech cultural conditions. The tool is feasible not only for evaluation of health status in patients for a routine practice of psychiatric services, but also as a follow-up outcome measure. The instrument is constructed for an assessment of symptoms as well as social functions. The two versions of the scale were submitted for the adaptation: the version for external evaluators and the version for patients. The reliability and validity of the Czech adaptation has been proven as satisfactory.

Key words:
assessment instruments, social functions, serious mentally illness.


1. Amin, S., Singh, S. P., Croudace, T., Jones, P., Medley, I. Harrison, G.: Evaluating the Hhealth of the Nation Outcome Scales. Reliability and validity in a three-year follow-up of first-onset psychosis. The British Journal of Psychiatry, 174, 1999, pp. 399-403.

2. Andreas, S., Harfst, T., Dirmaier, J., Kawski, S.,  Koch, U., Schulz, H. A.: Psychometric evaluation of the German version of the ‘Health of the Nation Outcome Scales, HoNOS-D’: on the feasibility and reliability of clinician-performed measurements of severity in patients with mental disorders. Psychopathology, 40, 2007, 2, pp. 116-125.

3. Audin, K., Margison, F. R., Clark, J. M., Barkham, M.: Value of HoNOS in assessing patient change in NHS psychotherapy and psychological treatment services. The British Journal of Psychiatry, 178, 2001, pp. 561-566.

4. Bebbington, P., Brugha, T., Hill, T., Marsden, L., Window, S.: Validation of the Health of the Nation Outcome Scales. The British Journal of Psychiatry, 174, 1999, pp. 389-394.

5. Bech, P., Bille, J., Schütze, T.,Søndergaard, S., Wiese, M., Waarst, S.: Health of the Nation Outcome Scales (HoNOS): Implementability, subscale structure and responsiveness in the daily psychiatric hospital routine over the first 18 months. Nord J Psychiatry,  57, 2003, 4, pp. 285-290.

6. Bech, P., Bille, J., Waarst, S. Wiese, M., Borberg, L., Treufeldt, P., Kessing, L.: Validity of HoNOS in identifying frequently hospitalized patients with ICD-10 mental disorders. Acta Psychiatr Scand., 113, 2006, 6, pp. 485-491.

7. Burns, A., Beevor, A., Lelliott, P., Wing, J., Blakey, A., Orrell, M., Mulinga, J., Hadden, S.: Health of the Nation Outcome Scales for elderly people (HoNOS 65+). The British Journal of Psychiatry, 174, 1999, pp. 424-427.

8. Department of Health. The Health of Nations. A Strategy for Health in England. London. HMSO, 1992.

9. Dragomirecká, E.: Česká verze dotazníku kvality života WHOQOL – překlad položek a konstrukce škál. Psychiatrie, 2006, 2, s. 68-73.

10. Dragomirecká, E., Bartoňová, J.: Dotazník kvality života Světové zdravotnické organizace WHOQOL-BREF. Psychometrické vlastnosti a první zkušenosti s českou verzí. Psychiatrie, 2006, 3, s. 144-149.

11. Dragomirecká, E., Bartoňová, J., Motlová, L., Papežová, H., Kožnarová, R, Šrámková, T.: SQUALA. Příručka pro uživatele české verze Dotazníku subjektivní kvality života SQUALA. Psychiatrické centrum Praha 2006, s. 58-59.

12. Gowers, S. G., Harrington, R. C., Whitton, A., Lelliott, P., Beevor, A., Wing, J., Jezzard, R.: Brief scale for measuring the outcomes of emotional and behavioral disorders in children. Health of the Nation Outcome Scales for children and Adolescents (HoNOSCA). The British Journal of Psychiatry, 174, 1999, s. 413-416.

13. Hansen, L., Kingdon, D.: Rating suicidality in schizophrenia: items on global scales (HoNOS and CPRS) correlate with a validated suicidality rating scale (InterSePT). Arch. Suicide Res., 10, 2006, 3, s. 249-252.

14. Körner, E.: DHSS Steering Group on Health Services Information. A Report on the Collection and Use of Information about Hospital Clinical Activity in the NHS. London, HMSO, 1982.

15. Orrell, M., Yard, P., Handysides, J., Schapira, R.: Validity and reliability of the Health of the Nation Outcome Scales in psychiatric patients in the community. The British Journal of Psychiatry, 174, 1999, s. 409-412.

16. Parker, G.,  O’Donnell, M., Hadzi-Pavlovic, D., Proberts, M.: Assessing outcome in community mental health patients: a comparative analysis of measures. Int. J. Soc. Psychiatry, 48, 2002, 1, s. 11-19. 

17. Pěč, O., Šelepová, P., Čechová D., Pěčová, J., Dragomirecká E., Probstová, V., Bubela, M.: HoNOS: Hodnocení zdravotního stavu. Health of the Nation Outcome Scales (manuál české verze). Praha, Centrum pro rozvoj péče o duševní zdraví, 2007, 50 s., ISBN 978-80-254-1182-7.

18. Phuaphanprasert, B., Srisurapanont, M., Silpakit,  C., Pannarunothai, S., Udomratn, P., Geater, A.,  Prapaphomrn, P.: Reliability and validity of the thai version of the Health of the Nation Outcome Scales (HoNOS). J. Med. Assoc. Thai.,  90, 2007, 11, pp. 2487-2493.

19. Slade, M., Beck, A., Bindman, J., Thornicroft, G.,  Wright, S.: Routine clinical outcome measures for patients with severe mental illness: CANSAS and HoNOS. Br J Psychiatry,  174, 1999, pp. 404-408.

20. Wing, J. K., Beevor, A. S., Curtis, R. H., Park, S. B., Hadden, S., Burns, A.: Health of the Nation Outcome Scales (HoNOS). Research and development. The British Journal of Psychiatry, 172, 1998, pp. 11-18.

21. Wing, J. K., Curtis, R. H., Beevor, A. S.: HoNOS. Report on Research and Development. London, College Research Unit, 1995.

22. Wing, J. K., Lelliot, P., Beevor, A. S.: HoNOS update. The British Journal of Psychiatry, 176, 2000, pp. 392-395.

Addictology Paediatric psychiatry Psychiatry
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account