Willow Grove outcomes were captured using the Health of the Nation Outcomes Scales for Children and Adolescents (HoNOSCA). Significant improvements were identified post intervention on the self-rated, clinician-rated, and father-rated HoNOSCA, all with large effect sizes, and on mother-rated HoNOSCA, with a moderate effect size.
It is of note that the response rates on the HoNOSCA in 2016 were lower than the previous year, and as such these results should be interpreted with caution.
The clinical team have noted that completion of the HoNOSCA may not be a priority for the adolescent prior to their discharge and they also recognised that often only one parent will collect an adolescent from the unit, which means that both parents discharge data is not being captured.
The MDT is actively considering ways that data collection at discharge could be improved. Hence, it is anticipated that response rates will improve in 2017 and that it will be possible to conduct further analysis on the data to identify the breakdown of the pertinent presenting problems.
The measure has been commended in the literature for its ease of access for adolescents (Levine, Bailey-Rogers, Shore & Burhouse, 2002) and clinicians (Jaffa, 2000). It is expected to continue to serve as the primary outcome measure for 2017.