title: Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD).
abstract: BACKGROUND
  The Health of the Nation Outcomes Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.
  
  
  OBJECTIVE
  Frequent impaired social functioning, problems with communication and associated physical conditions meant that a bespoke instrument was needed for people with learning disabilities. We describe the development of the Health of the Nation Outcomes Scales for People with Learning Disabilities (HoNOS-LD).
  
  
  METHODS
  HoNOS-LD was piloted at 26 sites. Two raters, at two points in time, rated 372 subjects. Analysis determined acceptability, ease of use, interrater reliability, sensitivity to change and reliability with the Aberrant Behavior Checklist (ABC).
  
  
  RESULTS
  The resulting 18-item instrument demonstrated good reliability and validity characteristics and is generally acceptable to clinicians.
  
  
  CONCLUSIONS
  HoNOS-LD is an appropriate instrument for measuring outcome in people with learning disabilities with additional mental health needs.
authors.affiliation: Brooklands, Coleshill Road, Marston Green, Birmingham B37 7HL, UK.
authors.forename: Ashok
authors.initials: A
authors.lastname: Roy
authors.forename: Helen
authors.initials: H
authors.lastname: Matthews
authors.forename: Paul
authors.initials: P
authors.lastname: Clifford
authors.forename: Vanessa
authors.initials: V
authors.lastname: Fowler
authors.forename: David M
authors.initials: DM
authors.lastname: Martin
mesh_terms: D004739:England; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007859:Learning Disabilities / Q000150:complications / Q000628:therapy*; D008297:Male; D001523:Mental Disorders / Q000150:complications; D017063:Outcome Assessment, Health Care / Q000145:classification / Q000592:standards*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D017678:Sex Distribution