This online training tool has been designed to assist clinicians to become more proficient in using HoNOS, HoNOSCA, HoNOS65+, HoNOS-LD and HoNOS-secure outcome rating measures through the use of case studies.
There is a four step process to follow.
The steps are easy to follow and instructions will be given along the way. To get started, click on one of the following case studies.
Te Pou does not collect any information about individual users of this training tool or their results. From time to time aggregated reports are compiled to allow analysis of the number of users to this site to provide a measure of its usefulness. For further information, please read our privacy policy.
Helena has a long history of mental illness and has been under the care of the local community mental health centre for six years. She has experienced several admissions to the psychiatric unit of the general hospital, the most recent being 12 months ago.
Case study
Alex is a 22-year-old male who has been living alone for the past couple of years. He has a long history of schizophrenia and a complex set of delusions including a belief that he is the messiah (God) and has been crucified.
Case study
Shirley is a physically fit 37 year-old woman. She exercises regularly and usually eats well. She lives in a comfortable middle-class suburb with her husband who travels a lot with work. Her daughter lives close by. Occasionally, she is impatient with others leading to verbal, but not physical, arguments.
Case study
Sylvia is a 17-year-old adolescent girl referred to the outpatient clinic due to suicide risk, depression and excessive use of alcohol.
Case study
Henry is seven years old and was referred to the outpatient clinic due to anxiety, sleeping and concentration problems. The problems have been present over the past year. One and a quarter years ago Henry was in a serious accident. He drove a toy truck down a steep hill and collided with a pole.
Case study
John is a 73-year-old man living with his wife in their family home in a rural town. He was diagnosed with Alzheimer's disease by a geriatrician five years ago. His behaviour became more problematic in the last six months. His wife reports John often paces around the house in an agitated state in the evenings.
Case study
Mr Elroy, a 76-year-old gentleman, has been admitted to the ward following a serious suicide attempt last week. He had taken a cocktail of tablets and attempted to cut his throat, and was found unconscious at home by a neighbour.
Case study
Dorothy has been referred by her GP to see Joan the Mental Health Nurse who works at the GP centre. When Joan asks her why she has been referred Dorothy has a puzzled look on her face and says she is not sure, "but Dr Harris thought I needed to talk to you".
Case study
Hemi is a 16 year old Māori boy who was pulled out of the local river by the police. The constable who has been dealing with Hemi became very concerned about his bizarre behaviour so has contacted the Mental Health crisis service.
Case study
Lauren is a 40 year old woman who has been referred by her GP to her local Mental Health Service for ‘counselling’ and help with her social situation.
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Tom has recently been referred by his GP to Mental Health Services following his dismissal from work. He is a 44 year old man who complains of low mood and problems with stressors.
Case study
Stevie is a 26 year old male. He is the only child of parents who are very involved in his care. He has profound mental retardation and has Autism with behavioural problems.
Case study
Susie is a 38 year old single female with an IQ of 58. She is the youngest of three children. Her parents are alive but do not live together. She has had multiple admissions to hospital for a variety of reasons and has a diagnosis of depression and schizophrenia.
Case study
Rachel is a 23 year old woman with a borderline personality disorder who is currently being cared for in the regional forensic inpatient unit under section 24(2)(a) of Criminal Procedures Mentally Impaired Persons act 2003. She has a 10 year history of self-injurious behaviour (overdosing, cutting and excessive use of alcohol).
Case study
Stella is a 47 year old woman with a long standing history of paranoid schizophrenia and alcohol problems. She's had many admissions to psychiatric hospitals and has a complex set of delusions, including a belief that she's Mary Magdalene and has been crucified. She's known to nursing staff and usually responds well to nursing interventions and support. She's never caused significant injury, but has a history of minor assault when non-compliant with medication.
Case study
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