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 language | English (US) |
|---|---|
| Journal | Journal of Mental Health |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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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 journal › Article
}
TY - JOUR
T1 - Providing mental health care in the context of online mental health notes
T2 - advice from patients and mental health clinicians
AU - Pisciotta, Maura
AU - Denneson, Lauren M.
AU - Williams, Holly B.
AU - Woods, Susan
AU - Tuepker, Anais
AU - Dobscha, Steven
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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.
AB - 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.
KW - Health information technology
KW - mental health
KW - patient portal
KW - veterans
UR - http://www.scopus.com/inward/record.url?scp=85057332278&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85057332278&partnerID=8YFLogxK
U2 - 10.1080/09638237.2018.1521924
DO - 10.1080/09638237.2018.1521924
M3 - Article
C2 - 30468100
AN - SCOPUS:85057332278
JO - Journal of Mental Health
JF - Journal of Mental Health
SN - 0963-8237
ER -