The purpose of this paper is to explore whether the current forensic mental health inpatient population within a medium secure unit is more or less complex (i.e. clinical and risk presentations) than former years using the Health of the Nation Outcome Scale (HoNOS) secure. Additionally, the use of the HoNOS secure as a service-wide measure is discussed in terms of its usefulness. Clinical implications and recommendations are offered for the continued use of the HoNOS secure in services more widely.,A retrospective case review of completed HoNOS secure assessments for 130 patients over three time intervals 2012, 2015 and 2018 was used. A multivariate analysis was performed on the data using SPSS version 25.,The findings revealed that contrary to clinical opinion, inpatients’ clinical and risk presentations had not changed significantly overtime.,The study shows the benefits of using the HoNOS secure at a service-wide level to explore and understand similarities and differences in inpatient admissions over time. It also highlights the usefulness of the HoNOS secure for considering different ward characteristics and the needs of patients residing in these environments.,Although much research exists surrounding the individual use of the HoNOS secure in relation to outcomes, there is limited research focusing on use of the HoNOS secure at the service level. The paper therefore provides evidence of the utility and value of the HoNOS secure as a service-level outcome measure.

中文翻译：

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使用“国家健康结果量表”（HoNOS）对需要护理和临床风险管理程序的服务进行评估

本文的目的是使用“国家健康结果量表”（HoNOS）安全性，探讨中等安全部门当前的法医精神卫生住院患者人数是否比前几年更为复杂（即临床和风险报告）。此外，还从其实用性方面讨论了将HoNOS安全措施用作服务范围的措施。为继续在服务中更广泛地使用HoNOS安全提供了临床意义和建议。2012、2015和2018年的三个时间段内，对130名患者的完整HoNOS安全评估进行了回顾性病例回顾。使用SPSS 25版对数据进行了多变量分析。研究结果表明，与临床观点相反，住院患者的临床表现和风险表现并未随时间推移发生显着变化。该研究表明，在整个服务范围内使用HoNOS Secure的好处在于探索并了解随着时间的推移住院病人的异同。它还强调了HoNOS Secure在考虑不同病房特征和居住在这些环境中的患者需求方面的有用性。，尽管围绕结果使用个人使用HoNOS Secure的研究很多，但针对使用HoNOS在服务级别上的安全性。因此，本文提供了证明HoNOS安全作为服务水平结果度量的实用性和价值的证据。它还强调了HoNOS Secure在考虑不同病房特征和居住在这些环境中的患者需求方面的有用性。，尽管围绕结果使用个人使用HoNOS Secure的研究很多，但针对使用HoNOS在服务级别上的安全性。因此，本文提供了证明HoNOS安全作为服务水平结果度量的实用性和价值的证据。它还强调了HoNOS Secure在考虑不同病房特征和居住在这些环境中的患者需求方面的有用性。，尽管围绕结果使用个人使用HoNOS Secure的研究很多，但针对使用HoNOS在服务级别上的安全性。因此，本文提供了证明HoNOS安全作为服务水平结果度量的实用性和价值的证据。