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) |
---|---|
Pages (from-to) | 64-70 |
Number of pages | 7 |
Journal | Journal of Mental Health |
Volume | 28 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2 2019 |
Keywords
- Health information technology
- mental health
- patient portal
- veterans
ASJC Scopus subject areas
- Psychiatry and Mental health