Providing mental health care in the context of online mental health notes: advice from patients and mental health clinicians

Maura Pisciotta, Lauren M. Denneson, Holly B. Williams, Susan Woods, Anais Tuepker, Steven Dobscha

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The OpenNotes initiative provides patients online access to their clinical notes. Mental health clinicians in the Veterans Health Administration report a need for guidance on how to provide care, write notes, and discuss them in the context of OpenNotes. Aim: To provide mental health clinicians recommendations identified by patients and clinicians that help them effectively practice in the context of OpenNotes. Method: Twenty-eight mental health clinicians and 28 patients in mental health care participated in semi-structured interviews about their experiences and perceptions with OpenNotes. A rapid review approach was used to analyze transcripts. Results: Analysis of interviews identified three domains of advice for mental health clinicians: writing notes that maintain the therapeutic relationship, communicating with patients about their notes and utilizing clinical notes as a patient resource to enhance care. Specific recommendations are provided. Conclusion: Findings provide mental health clinicians with guidance from service users and clinicians on how to leverage clinical notes to maintain–and potentially enhance –therapeutic relationships in a healthcare system in which patients are able to read their mental health notes online.

Original languageEnglish (US)
JournalJournal of Mental Health
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Mental Health
Delivery of Health Care
Interviews
Veterans Health
United States Department of Veterans Affairs
Therapeutics

Keywords

  • Health information technology
  • mental health
  • patient portal
  • veterans

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Providing mental health care in the context of online mental health notes : advice from patients and mental health clinicians. / Pisciotta, Maura; Denneson, Lauren M.; Williams, Holly B.; Woods, Susan; Tuepker, Anais; Dobscha, Steven.

In: Journal of Mental Health, 01.01.2018.

Research output: Contribution to journalArticle

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