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Mental health problems were assessed using the Health of the Nation Outcome Scales (HoNOS), Global Assessment of Functioning Scales (GAF) and the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10).
The severity of mental health problems was measured at admission using the Health of the Nation Outcome Scales (HoNOS), with 12 items covering various key problem areas for patients with severe mental illness [ 45], and also clinical and social functioning.
Mr. Massingham has seen premiums go up by about 50percentt in some years, only to fall drastically after New Hampshire in 2006 began forbidding insurers from using the health of a company's employees to set premiums and put stricter limits on rate increases.
Ratings of the severity of clinical and social problems were collected using the Health of the Nation Outcomes Scales (HoNOS, [ 25]).
Symptom severity and level of functioning were assessed at both admission and discharge using the Health of the Nation Outcome Scales (HoNOS) and Global Assessment of Functioning scale, split version (GAF) [ 27, 28].
Global functioning was measured using the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), 33 a semi-structured interview, which was completed by the blinded research assessor on the basis of accounts taken directly from the informant and parents or carers.
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