Routine outcome measurement in adolescents seeking mental health services: standardization of HoNOSCA in Kenyan sample

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Abstract

Background: The evaluation of treatment outcomes is important for service providers to assess if there is improvement or not. The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) was developed for this use in child and adolescent mental health services. Outcome measurement in routine mental health services is limited. This paper evaluates the psychometric properties of the self and clinician rated versions of the HoNOSCA for routine use in child and adolescent mental health services in Kenya. Methods: Using a prospective design, the clinician- and self-rated versions of the HoNOSCA and the Paediatric Symptom Checklist (PSC) were administered at the Youth Centre at the Kenyatta National Hospital in Nairobi. Initial ratings were obtained from adolescents 12-17 years (n = 201). A sample of 98 paired ratings with 2 follow-ups were examined for measurement of change over time. Results: Our findings showed good reliability with the self-rated version of the HoNOSCA score, correlating well with the self-reported version of the PSC (r =.74, p

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Wambua, G. N., Kumar, M., Falkenström, F., & Cuijpers, P. (2021). Routine outcome measurement in adolescents seeking mental health services: standardization of HoNOSCA in Kenyan sample. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03438-1

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