HoNOSCA (Children and Adolescents)

Include behaviour associated with any disorder, such as hyperkinetic disorder, depression, autism, drugs or alcohol. Include physical or verbal aggression (e.g. pushing, hitting, vandalism, teasing) , or physical or sexual abuse of other children. Include antisocial behaviour (e.g. thieving, lying, cheating) or oppositional behaviour (e.g. defiance, opposition to authority or tantrums). Do not include overactivity rated at scale 2. Truancy, rated at scale 13, self-harm rated at scale 3.

Include overactive behaviour associated with any cause such as hyperkinetic disorder, mania or arising from drugs. Include problems with restlessness, fidgeting, inattention, or concentration due to any cause, including depression.

Include self harm such as hitting self and self cutting. Suicide attempts, overdoses, hanging, drowning etc. Do not include scratching, picking as a direct result of a physical illness rated at scale 6. Do not include accidental self injury due e.g. to severe learning or physical disability, rated at scale 6. Illness or injury as a direct consequence of drug/alcohol use, rated at scale 6.

Include problems with alcohol substance/solvent misuse taking into account current age and societal norms. Do not include aggressive/disruptive behaviour due to alcohol or drug use, rated at scale 1. Physical illness or disability due to alcohol or drug use, rated at scale 6.

Include problems in reading, spelling, arithmetic, speech or language associated with any disorder or problem, such as a specific developmental learning problem, or physical disability such as hearing problem. Children with generalised learning disability should not be included unless their functioning is below the expected level. Include reduced scholastic performance associated with emotional or behavioural problems. Do not include temporary problems resulting purely from inadequate education.

Include physical illness or disability problems that limit or prevent movement, impair sight or hearing, or otherwise interfere with personal functioning. Include movement disorder, side effects from medication, physical effects from drug/alcohol use, or physical complications of psychological disorders such as severe weight loss. Include self injury due to severe learning or physical disability or as a consequence of self-injury such as head banging. Do not include somatic complaints with no organic basis, rated at scale 8.

Include hallucinations, delusions or abnormal perceptions irrespective of diagnosis. Include odd and bizarre behaviour associated with hallucinations and delusions. Include problems with other abnormal perceptions such as illusions or pseudo-hallucinations, or over valued ideas such as distorted body image, suspicious or paranoid thoughts. Do not include disruptive or aggressive behaviour associated with hallucinations or delusions, rated at scale 1. Overactive behaviour associated with hallucinations or delusions, rated at scale 2.

Include problems with gastrointestinal symptoms such as non organic vomiting or cardiovascular symptoms or neurological symptoms or non organic enuresis or encopresis or sleep problems or chronic fatigue. Do not include movement disorders such as tics, rated at scale 6; physical illnesses that complicate non organic somatic symptoms, rated at scale 6.

Rate only the most severe clinical problem not considered previously. Include depression, anxiety, worries, fears, phobias, obsessions or compulsions, arising from any clinical condition including eating disorders. Do not include aggressive, destructive or overactive behaviours attributed to fears, phobias, rated at scale 1. Do not include physical complications of psychological disorders, such as severe weight loss, rated at scale 6.

Include problems with school mates and social network. Problems associated with active or passive withdrawal from social relationships or problems with over intrusiveness or problems with the ability to form satisfying peer relationships. Include social rejection as a result of aggressive behaviour or bullying. Do not include aggressive behaviour, bullying rated at scale 1; problems with family or siblings rated at scale 12.

Rate the overall level of functioning: e.g. problems with basic activities of self-care such as feeding, washing, dressing, toileting, also complex skills such as managing money, travelling independently, shopping etc., taking into account the norm for the child's chronological age. Include poor levels of functioning arising from lack of motivation, mood or any other disorder. Do not include lack of opportunities for exercising intact abilities and skills, as might occur in an over-restrictive family, rated at scale 12; enuresis and encopresis rated at scale 8.

Include parent-child and sibling relationship problems. Include relationships with foster parents, social workers/teachers in residential placements. Relationships in the home and with separated parents/siblings should both be included. Parental personality problems, mental illness, marital difficulties should only be rated here if they have an effect on the child. Include problems with emotional abuse such as poor communication, arguments, verbal or physical hostility, criticism and denigration, parental neglect/rejection, over restriction, sexual and/or physical abuse. Include sibling jealousy, physical or coercive sexual abusive by sibling. Include problems with enmeshment and overprotection Include problems associated with family bereavement leading to re-organisation. Do not include aggressive behaviour by child, rated at scale 1.

Include truancy, school refusal, school withdrawal or suspension for any cause. Include attendance at type of school at the time of rating e.g. hospital school, home tuition etc.,. If school holiday, rate the last two weeks of the previous term.

Include lack of useful information or understanding available to the child/adolescent, parents or carers. Include lack of explanation about the diagnosis or the cause of the problem or the prognosis.

Include lack of useful information available to the child/adolescent, parents or carers or referrers. Include lack of information about the most appropriate way of providing services to the child such as care arrangements or educational placements or respite care or statementing