The Australian Mental Health Outcomes and Classification Network (AMHOCN) was established by the Australian Government to implement routine outcome measurement in public mental health services. AMHOCN consists of three components:
- Strategic Data Pty Ltd: a data bureau responsible for receiving and processing information
- The University of Queensland: an analysis and reporting component providing analysis and reports of submitted data
- The Health Education and Training Institute: a training and service development component supporting training in the measures and their use for clinical practice, service management and development purposes.
The National Outcomes and Casemix Collection allows consumers and the clinicians to map the journey of recovery over time. The information collected can also be used to help mental health services plan for improvements in service delivery.
AMHOCN has undertaken a range of special projects focussed on mental health information and the measurement of outcomes. These projects include:
- HoNOS 2018 Content Validity: this project focused on examining the content validity of the HoNOS 2018, an revised version of the original HoNOS.
- Development of a new nationally consistent consumer rated measure: this project is focused on the devlopment of a new nationally consistent consumer rated measure that has the potential for inclusion in the National Outcomes and Casemix Collection (NOCC) to replace the K10+, the BASIS 32 and the MHI 38.
- Development of the Your Experience of Service Primary Health Network Survey: this project focused on the development of an experience measure for use in Primary Health Networks. The Your Experience of Service Primary Health Network (YES PHN) Survey is now available for use.
- Identification and selection of non-mandatory measures: this resource desribes a process that might identify, review and select additional measures for use within services.
- Benchmarking: the National Mental Health Benchmarking Project was undertaken between 2006 and 2008. The resources from that project are available to view or download.
- Community Managed Organisations Outcome Measures Project: this project developed a guidebook that offers recommendations on outcome tools that can be used by mental health community managed organisations, as well as useful information on issues to consider when implementing, using and reporting outcome measurement in organisations.
- NOCC Strategic Directions 2014 - 2024: this project assessed the progress on implementing the NOCC and developed recommendations for further development of the NOCC through to 2024, including possible changes to the suite of measures used or the protocols governing their use.
- Carer Outcome Measures Project: this project explored the context within which carer outcome measurement might be introduced and aimed to identify any candidate instruments.
- Clinical Prompts Project: this project aimed to establish the feasibility of linking clinical prompts to scores on the NOCC routine outcome measures.
Country
Aruba
AMHOCN Training and Service Development has developed Basic training resources, Rater and Clinical Utility training resources, Team Review training resources and, in collaboration with Barwon Health, the Whose Outcome Is It Anyway? DVD and associated information resources.
- Basic Measures Training: training resources that introduce people to the background to the National Outcomes and Casemix Collection (NOCC), what measures are collected, when they are collected and how they are rated.
- Rater and Clinical Utility Training: training resources that highlight how outcome measures can be used in clinical practice.
- Using the NOCC in Team Reviews and Case Presentation: training resources that highlight how outcome measures can be used in regular team reviews - key areas of focus for team discussions, using the consumer self report information, and using the measures in the development of a care plan.
- Whose Outcome Is It Anyway?: brochure that provides consumers and carers with information about outcome measures and their use.
- Implementing Outcome Measurement: resources related to the implementation of outcome measurement.
Country
Australia
Mental Health Information Development Expert Advisory Panels have been established to support the work of the Mental Health Information Strategy Standing Committee (MHISSC) by providing advice in regard to information activities that enhance the capacity of the mental health sector to collect and use information to improve service delivery and support consumer, carer and clinician engagement. In particular, the Expert Panels will focus on the provision of advice on the use of routine outcome measurement across the mental health sector, especially the use and modification of the National Outcomes and Casemix Collection (NOCC), including training, service and workforce development issues, analysis and reporting of the NOCC, future development of the NOCC, its linkage to other national data sets and use in activity based funding.
- The National Mental Health Information Development Expert Advisory Panel has been undertaking work across a number of areas, including an international review of the HoNOS / HoNOS65+ and progressing recommendations from the NOCC Strategic Directions 2014-2024 Final Report.
- The Child and Adolescent Mental Health Information Development Expert Advisory Panel has been convened and has progressed work, particularly in relation to the development of a measure for infants 0-47 months (known as the Health of the Nation Outcome Scales for Infants (HoNOSI)). These Expert Panels are funded to run until June 2020.
Country
Australia
he Mental Health National Outcomes and Casemix Collection (NOCC), comprising a range of clinician and consumer rated measures, was first specified in August 2002 and implemented progressively by states and territories in the years that followed. This process followed a commitment by states and territories, under the Second National Mental Health Plan, to introduce the routine collection of outcome and casemix data in public mental health services. The use of outcome measures attempts to measure whether a change has occurred for a consumer as a result of mental health care. By using a range of outcome measures, consumers and clinicians can work together to map the journey of recovery over time.
The NOCC measures contribute to the development of clinical practice, aiming to improve the quality of care for consumers of Australia’s public sector mental health services. Outcome measures can assist consumers in considering options for their care and treatment and support the development of a therapeutic relationship between the clinician and the consumer. The measures can also be used by clinicians to monitor the progress of the consumer, evaluate the effectiveness of treatments and thereby provide information that will assist decisions about clinical practices. The outcome measures can also be used by team leaders and service managers to better understand the needs of consumers, to plan for the allocation of resources and to identify where service improvements are required.
The measures that comprise the NOCC are listed below. More detailed information about each measure can be found in Mental Health National Outcomes and Casemix Collection: Overview of Clinician-Rated and Consumer Self-Report Measures V1.50. The measures are collected by services according to a set of “protocols” - at specified times and points in service delivery. These protocols are described in Mental Health National Outcomes and Casemix Collection: Technical specification of State and Territory reporting requirements.
- Version: 2.02.
- Health of the Nation Outcome Scales (HoNOS);
- Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA);
- Health of the Nation Outcome Scales 65+ (HoNOS65+);
- Life Skills Profile 16 (LSP-16);
- Resource Utilisation Groups – Activities of Daily Living Scale (RUG-ADL);
- Children’s Global Assessment Scale (CGAS);
- Mental Health Inventory 38 (MHI 38);
- Behavior and Symptom Identification Scale 32 (BASIS 32);
- Kessler 10+ (K-10+);
- Strengths and Difficulties Questionnaire (SDQ);
- Factors Influencing Health Status (FIHS); and
- Phase of Care (POC).
NOCC measures include consumer completed measures, clinician completed measures and social inclusion measures. These include
- Strengths and Difficulties Questionnaire (SDQ)
- Kessler - 10+ (K - 10+)
- Behavior and Symptom Identification Scale - 32 (BASIS - 32)
- Mental Health Inventory - 38 (MHI - 38)
- Health of the Nation Outcome Scales - Children and Adolescents (HoNOSCA)
- Health of the Nation Outcome Scales (HoNOS)
- Health of the Nation Outcome Scales 65+ (HoNOS 65+)
- Health of the Nation Outcome Scales for Infants (HoNOSI)
- Children Global Assessment Scale
- Factors Influencing Health Status
- Life Skills Profile - 16 (LSP - 16)
- Resource Utilisation Groups - Activities of Daily Living
- Phase of Care
- Experience of Service MeasuresYour Experience of Service Surveys
- Carer Experience Survey (CES)
- Living in the Community Questionnaire (LCQ) and Living in the Community Questionnaire - Summary (LCQ-S)
Country
Australia
AMHOCN provides an opportunity for those working in mental health services to undertake online training in the measures that make up the National Outcomes and Casemix Collection (NOCC). We currently offer:
- Outcome Measures (NOCC) Training for Public Mental Health Services: you can select to do Child and Adolescent, Adult or Older Person specific training which covers all the NOCC measures relevant to each of those age groups, including the HoNOSCA / HoNOS / HoNOS65+ measures, consumer rated measures, functioning measures and the other NOCC measures.such as Phase of Care.
- Training in Individual Measures: you can select to do individual measure training e.g. HoNOSCA, HoNOS, HoNOS65+, LSP, Phase of Care, or consumer rated measures.
- Training in Experience Measures: you can select training for the Your Experience of Service (YES) surveys used in public mental health services or Primary Health Networks.
Country
Australia
The Child and Adolescent Mental Health Information Development Expert Advisory Panel (CAMHIDEAP) will provide clinical and user advice on implementation issues and the impact of mental health information development activities within organisations, services and teams in adult mental health services. The membership of CAMHIDEAP comprises invited experts, consumer and carerrepresentatives and AMHOCN representatives.
Country
Australia
The National Mental Health Information Development Expert Advisory Panel (NMHIDEAP) has been established to provide clinical and technical advice to the Mental Health Information Strategy Standing Committee (MHISSC) on issues and priorities that guide the development of the national mental health information agenda. MHISSC identified the need for for common, cross referenced recommendations to ensure steady progress of this agenda and determined that a national panel would be established to provide advice on mental health implementation issues within organisations, services and teams across the four major population specific areas. The membership of the NMHIDEAP comprises invited experts, consumer and carer representatives, representatives from the Australian Private Hospitals Association and New Zealand, and representatives from AMHOCN.
Country
Australia
The AMHOCN Data Portal provides access to the data from the National Outcomes and Casemix Collection (NOCC). The resources available via the AMHOCN Data Portal can assist clinicians and others to better understand the outcomes and variability of those receiving mental health services in the public sector. The resources available are:
- The Web Decision Support Tool: the wDST was developed to provide information from the National Outcomes and Casemix Collection (NOCC) standardised measures about consumers' mental health status at a single point in time and whether their mental health status changes during the course of an episode of care. The tool has the functionality that allows people to enter an individual consumer score on the selected measures and see how this compares with other similar consumers in the same type of setting across Australia.
- The Reports Portal provides access to the National Outcomes and Casemix Collection (NOCC) data through functionality that allows users to run queries on the data by selecting from a range of variables e.g. age, measure (including item level), service setting, collection occasion, collection reason, jurisdiction, diagnosis, sex, legal status.
- The Kessler 10 (K-10) is the National Outcomes and Casemix Collection (NOCC) consumer rated measure used in public sector mental health services in NSW, SA, WA and NT. AMHOCN is making this measure available to consumers to complete online. Consumers can take the results to their clinicians to discuss in more detail, or seek other appropriate services.
- The AMHOCN Data Cube underpins the web Decision Support Tool and the Reports Portal. The information provided here describes how the data collected as part of the National Outcomes and Casemix Collection (NOCC) are partitioned and stratified. It includes the following variables: Jurisdiction, Age Group, Level of Analysis, Service Setting, Sex, Diagnosis, Financial, Year, Legal Status.
Country
Australia
Organisation
Country: Australia
Postal Address: AMHOCN c/ NSW Institute of Psychiatry Locked Bag 7118 Parramatta BC NSW 2124
