Sharing notes with mental health patients: balancing risks with respect.

  title={Sharing notes with mental health patients: balancing risks with respect.},
  author={Charlotte R Blease and Stephen O'Neill and Janice Walker and Maria H{\"a}gglund and John B Torous},
  journal={The lancet. Psychiatry},
Sharing online clinical notes with patients: implications for nocebo effects and health equity
  • C. Blease
  • Psychology, Medicine
    Journal of medical ethics
  • 2022
Suggestions are suggested for how health systems and clinicians might adapt to this innovation to reduce the risk of potential nocebo effects arising via this novel route.
Evaluation of cognitive, mental, and sleep patterns of post-acute COVID-19 patients and their correlation with thorax CT
It is shown that the neuropsychiatric symptoms of the patients who had COVID-19 continued even after 2 months of their illness, and long-term rehabilitation of these patients, including cognitive education and psychological services, should be continued.
Usability of the Swedish Accessible Electronic Health Record: Qualitative Survey Study
This study aimed to identify specific usability problems that may need to be addressed in the future of the Swedish PAEHR Journalen, and provided important insights into how design and implementation of record access can be improved in any context.
Implementing Machine Learning Models for Suicide Risk Prediction in Clinical Practice: Focus Group Study With Hospital Providers
This focus group study aims to better understand hospital providers' current practices for assessing and managing suicide risk; determine providers' perspectives on using automated suicide risk-prediction models in practice; and identify barriers, facilitators, recommendations, and factors to consider.
Data justice: social work and a more just future
ABSTRACT As new forms of data proliferate, data are increasingly used as a tool to determine access to resources, levels of sanction, and vulnerability to surveillance. Although the use of data to
Patients’ Access to Their Psychiatric Notes: Current Policies and Practices in Sweden
The results show that regional differences concerning sharing psychiatric notes persist, despite Swedish regulations and a national policy that stipulates equal care for everyone, and there is evidence that the regions are moving toward increased transparency for psychiatry patients.
“Let's Talk About Your Note”: Using Open Notes as an Acceptance and Commitment Therapy Based Intervention in Mental Health Care
How open notes could serve as a therapeutic tool for mental health clinicians is described, through the lens of Acceptance and Commitment Therapy (ACT).
Supporting the use of patient portals in mental health settings: a scoping review
This scoping review was conducted through a search of six electronic databases including Medline, EMBASE, PsycINFO, and CINAHL for articles published between 2007 and 2021 for articles related to patient portals effectiveness.
Patients, clinicians and open notes: information blocking as a case of epistemic injustice
It is argued that patients’ access to their health information exemplifies a form of epistemic exclusion, one with practical and ethical consequences including for patient safety, and that patients are vulnerable to (oftentimes, non-intentional) epistemic injustice.


Helping clinicians and patients navigate electronic patient portals: ethical and legal principles
KEY POINTS Patient portals are technological innovations that allow patients electronic access to their personal health information. They have the potential to transform the delivery of health care.
Embracing the new age of transparency: mental health patients reading their psychotherapy notes online
The pilot findings indicate that most patients who read open therapy notes find them valuable for understanding and engaging in their mental health care, with minimal adverse effects.
Impacts of a Web-Based Course on Mental Health Clinicians' Attitudes and Communication Behaviors Related to Use of OpenNotes.
A Web-based course for mental health clinicians on use of OpenNotes resulted in self-reported improvements in some concerns and in aspects of patient-clinician communication.
Impacts of a web-based educational program for veterans who read their mental health notes online
Findings suggest that this educational program may help empower mental health patients who read their notes online to be active participants in their care, while also providing information and tools that may facilitate better relationships with their clinicians.
Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals
Most health care professionals who responded to the postimplementation survey did not experience that patients in adult psychiatric care had become more involved in their care after the implementation of Open Notes, especially in medical areas where the service is considered sensitive.
A piece of my mind. Let's show patients their mental health records.
Patients with mental illness report that reading their doctors’ notes brings many benefits including greater control over their health care, and their doctors experience surprisingly few changes in workflow.
Trust in Mental Health Clinicians Among Patients Who Access Clinical Notes Online.
It is suggested that ensuring consistency between what occurs during appointments and what appears in clinical notes, as well as highlighting patient individuality and strengths in notes, may help engender patient trust and avoid negative consequences of OpenNotes in mental health care.