• Generic Care
  • 10. Holistic assessment
  • 11. Risk assessment and management
  • 12. Risk assessment for women
  • 13. Physical health check annually
  • 14. Diagnosis recorded and explained
  • 15. Psychological therapies
  • 16. Person centred care
  • 17. Single care plan
  • 18. Medication decisions recorded
  • 19. Substance misuse
  • 20. Admission and discharge
  • 21. Needs assessment and outcome measures

Standard 21: There is a service user and informal carer needs assessment, as well as a professionally rated validated measure of outcome.

Supporting material for standard 21:

The use of a standardised measure of needs which is rated by service users and informal carers is an important tool for identifying how well services are able to meet these needs.

A professionally rated validated tool must be used to measure outcomes. The choice of tool or assessment scale should be based on the presentation, age and capacity of the service user.

Examples of evidence required to meet standard 21:

- Local outcome measure scales and guidance on when to use them.

Useful Resources:

Outcome Measure Tools

• - Health of the Nation Outcome Scale (HoNOS) or HONOS65+
• - Functional Analysis of Care Environments (FACE)
• - Camberwell Assessment of Need

Service User Needs Assessments

• - The Avon measure of needs
• - Functional Analysis of Care Environments (FACE)
• - Camberwell Assessment of Need

Diagnostic Specific Rating Tools

• - The Patient Health Questionnaire for Depression (PHQ-9)
• - Montgomery & Asberg Depression Rating Scale (MADRS)
• - Beck Depression Inventory
• - Hamilton Depression Rating Scale. Reference: M Hamilton (1960). A rating scale for depression. J Neurol Neurosurg Psych 23: 52-62
• - The Young Mania Rating Scale (YMRS). Reference: RC Young, JT Biggs, VE Ziegler and DA Meyer (1978). A rating scale for mania: reliability, validity and sensitivity. Brit J Psychiat 133: 429-35
• - Informant Questionnaire on Cognitive Decline in the Elderly (Short IQCODE) (in SIGN 86, page 48)
• - The Mini-Mental State Examination (MMSE) (in SIGN 86, page 41)
• - Subjective Unit of Distress Scale (SUDS)

Side Effect & Other Rating Tools

• - Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS)
• - The Glasgow Antipsychotic Side-effect Scale (GASS). Reference: L Waddell and M Taylor (2008). A new self-rating scale for detecting atypical or second-generation antipsychotic side effects. J Psychopharmacol 22: 238-243
• - Assessment of Motor and Process Skills (AMPS)
• - Clinical Outcomes for Routine Evaluation (CORE)
• - NHS Quality Improvement Scotland. Scottish schizophrenia outcomes study. 2006, pages 5-6