{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:57:49Z","timestamp":1786121869989,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the clinical governance implications of Health of the Nation Outcome Scales (HoNOS) rating quality in Australian mental health services. The paper argues that HoNOS occupies a distinctive position among clinician-rated measures because it requires clinicians to translate the overall clinical assessment into structured ratings across domains of behaviour, symptoms, impairment, and social functioning. It considers why poor-quality HoNOS ratings should not be treated as a narrow technical or training problem, but as a signal of potential risk in assessment practice, documentation quality, organisational reporting, and service credibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HoNOS rating quality should be understood as a clinical governance responsibility. Because HoNOS data are embedded in routine outcomes and casemix infrastructure, unreliable or invalid ratings can compromise clinical interpretation, service monitoring, benchmarking, system reporting, and funding-related classification processes. Maintaining rating quality therefore requires more than individual clinician training. Health service organisations need structured implementation protocols, supervision, periodic calibration, documentation standards, and routine monitoring of rating patterns. HoNOS should be treated not simply as a clinical instrument, but as a governed clinical data asset whose integrity is necessary for accountable mental health service delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261476918","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:38:32Z","timestamp":1785911912000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["When clinician-rated measures reflect the assessment: HoNOS, clinical judgement, and organisational risk"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5630-3236","authenticated-orcid":false,"given":"Allen","family":"Morris-Yates","sequence":"first","affiliation":[{"name":"Private Psychiatric Hospitals Data Reporting and Analysis Service, Australian Private Hospitals Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8275-4794","authenticated-orcid":false,"given":"Tim","family":"Coombs","sequence":"additional","affiliation":[{"name":"Australian Mental Health Outcomes and Classification Network. Training and Service Development. Health Education and Training Institute NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Gee AM","sequence":"additional","affiliation":[{"name":"Ramsay Mental Health, Ramsay Health Care Australia Pty Ltd"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.172.1.11"},{"key":"e_1_3_3_3_2","volume-title":"Comprehensive guidelines for the reliable and valid rating of the health of the nation outcome scales (HoNOS) in Australian mental health services","author":"Coombs T","year":"2025","unstructured":"Coombs T, Morris-Yates A. Comprehensive guidelines for the reliable and valid rating of the health of the nation outcome scales (HoNOS) in Australian mental health services (Version 1.0, August 2025). 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