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, Anaïs; Dobscha, Steven K.

doi:10.1080/09638237.2018.1521924

Cited by 41 publications

(63 citation statements)

References 17 publications

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“…Thirdly, easily accessible mental health services are critical during the period of prolonged quarantine, especially for those who are in urgent need of psychological support and individuals who reside in rural areas ( Tran et al., 2020b ). Since in-person health services are limited and delayed as a result of COVID-19 pandemic, remote mental health services can be delivered in the form of online consultation and hotlines ( Liu et al., 2020 ; Pisciotta et al., 2019 ). Last but not least, monetary support (e.g.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on mental health in the general population: A systematic review

Xiong

Lipsitz

Nasri

et al. 2020

Journal of Affective Disorders

4,287

293

3,696

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Highlights The coronavirus disease 2019 (COVID-19) pandemic has resulted in unprecedented hazards to mental health globally. Relatively high rates of anxiety, depression, post-traumatic stress disorder, psychological distress, and stress were reported in the general population during the COVID-19 pandemic in eight countries. Common risk factors associated with mental distress during the COVID-19 pandemic include female gender, younger age group (≤40 years), presence of chronic/psychiatric illnesses, unemployment, student status, and frequent exposure to social media/news concerning COVID-19. Mitigation of COVID-19 induced psychological distress requires government intervention and individual efforts.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 pandemic on mental health in the general population: A systematic review

Xiong

Lipsitz

Nasri

et al. 2020

Journal of Affective Disorders

4,287

293

3,696

View full text Add to dashboard Cite

show abstract

“…Making patients aware that a consultation has occurred can prevent the possibility of their feeling blindsided, confused, or frustrated, as has occurred after patients discover new, unanticipated information in their clinical notes. 36,37 Thus, increased patient involvement might mitigate patients' negative reactions to reading ethics consultation notes. It could also lead to more frequent challenging conversations with patients, illuminating the need for more formalized training of ethics consultants in interpersonal skills.…”

Section: Practical Documentation Strategiesmentioning

confidence: 99%

Sharing Ethics Consultation Notes With Patients Through Online Portals

Mangino

Danis

2020

AMA Journal of Ethics

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Many health systems have adopted online patient portals that allow patients to easily view their health records. As a result, notes written by health care professionals are increasingly read by both clinicians and patients, and clinicians in specialties that routinely involve sensitive information (eg, mental health care) have had to construct notes in a manner that respectfully promotes therapeutic relationships with patients. This article discusses whether ethics consultation services should share notes with patients through online portals and ways to handle practical implementation challenges. In support of sharing notes, this article appeals to an existing right that patients have to access their health record and suggests that sharing ethics consultation notes might help patients understand key clinical ethics concepts and practices. To claim one AMA PRA Category 1 Credit TM for the CME activity associated with this article, you must do the following: (1) read this article in its entirety, (2) answer at least 80 percent of the quiz questions correctly, and (3) complete an evaluation. The quiz, evaluation, and form for claiming AMA PRA Category 1 Credit TM are available through the AMA Ed Hub TM .

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“…Including unique details from each session may help patients to feel heard and understood, and documenting progress may feel motivating. 55,72 • Pay attention to details. Patients may view spelling errors, incongruences (including a slight mismatch between Systematized Nomenclature of Medicine and International Classification of Diseases, Tenth Revision codes, which may need to be explained), and use of copyforward functionality as a lack of professionalism that may impede the therapeutic relationship.…”

Section: Recommendations For Research and Practicementioning

confidence: 99%

“…Additionally, although clinicians may opt for less detailed documentation to minimize the risk for misinterpretation and to preserve patient privacy from others who may gain access to the chart, patients surveyed expressed a preference for more thorough notes. 72 • When there is institutional concern that note content may adversely affect patient condition or concern for medicolegal risk, consider utilizing either an "opt-out" or an "optin" approach for clinicians sharing behavioral health notes. An "opt-out" approach will likely result in higher participation, but a more conservative "opt-in" approach may be preferable if staff have significant reservations.…”

Section: Recommendations For Research and Practicementioning

confidence: 99%

Patients as Agents in Behavioral Health Research and Service Provision: Recommendations to Support the Learning Health System

Galvin¹,

Petersen

Subbian

et al. 2019

Appl Clin Inform

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Authentic inclusion and engagement of behavioral health patients in their care delivery and in the process of scientific discovery are often challenged in the health care system. Consequently, there is a growing need to engage with and better serve the needs of behavioral health patients, particularly by leveraging health information technologies. In this work, we present rationale and strategies for improving patient engagement in this population in research and clinical care. First, we describe the potential for creating meaningful patient–investigator partnerships in behavioral health research to allow for cocreation of knowledge with patients. Second, in the context of behavioral health services, we explore the utility of sharing clinical notes to promote patients' agency in care delivery. Both lines of inquiry are centered in a Learning Health System model for behavioral health, where patients are agents in enhancing the therapeutic alliance and advancing the process of knowledge generation. Recommendations include genuinely democratizing the health care system and biomedical research enterprise through patient-centered information technologies such as patient portals. In research and technology development, we recommend seeking and tailoring behavioral health patients' involvement to their abilities, promoting patient input in data analysis plans, evaluating research and informatics initiatives for patients and clinicians, and sharing success and research findings with patients. In clinical practice, we recommend encouraging patients to read behavioral health notes on portals, engaging in proactive communication regarding note content, assessing outcomes including stress and anxiety in response to note content, and working with technology providers to support note-sharing governance and deployment.

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

Cited by 41 publications

References 17 publications

Impact of COVID-19 pandemic on mental health in the general population: A systematic review

Impact of COVID-19 pandemic on mental health in the general population: A systematic review

Sharing Ethics Consultation Notes With Patients Through Online Portals

Patients as Agents in Behavioral Health Research and Service Provision: Recommendations to Support the Learning Health System

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