Sharing Clinical Notes in a Canadian Mental Health Setting: Recommendations from Applying the Consolidated Framework for Intervention Research

During the COVID-19 pandemic, the OpenNotes movement presents an optimal solution for virtual engagement through the sharing of clinical notes within mental health care settings. Therefore, we conducted interviews to discover how mental health clinicians interact with patients using OpenNotes. We integrated The Consolidated Framework for Intervention Research to establish implementation recommendations. As both challenges and opportunities were identified, future research should address challenges to foster patient and clinician engagement in sharing clinical notes.

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Predictors of viewing progress notes among users of VA’s electronic health portal who receive mental health care

JAMIA Open ◽

10.1093/jamiaopen/ooy007 ◽

2018 ◽

Vol 1 (1) ◽

pp. 122-127 ◽

Cited By ~ 2

Author(s):

Steven K Dobscha ◽

Lauren M Denneson ◽

Maura K Pisciotta ◽

Donald S Bourne ◽

Jason I Chen ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Medical Center ◽

Self Report ◽

Mental Health Clinicians ◽

Health Administration ◽

Post Traumatic Stress ◽

Ptsd Diagnosis ◽

Clinical Notes

Abstract Objective Consistent with the OpenNotes movement, the Veterans Health Administration (VHA) offers patients online access to their clinical notes through the Blue Button feature in its electronic patient health portal, My HealtheVet. We identified demographic, diagnostic, and knowledge-related predictors of viewing clinical notes among veterans receiving VHA mental health care who recently used My HealtheVet. Materials and Methods Three hundred and thirty-eight patients receiving mental health care from 1 VHA medical center who had logged into My HealtheVet in the prior 6 months completed self-report questionnaires assessing their viewing of clinical notes. Additional data were extracted from VHA’s Patient Care Database. Multivariable logistic regression was used to examine predictors of viewing notes. Results Fifty percent of respondents reported having read their notes. In the final multivariable model, post-traumatic stress disorder (PTSD) diagnosis [odds ratio (OR) = 2.30 (1.31–4.07)], speaking with their mental health clinician about their ability to view notes [OR = 3.84 (1.69–8.72)], and being very or extremely confident in understanding the purpose and uses of Blue Button [OR = 9.80 (2.23–43.07) and OR = 13.36 (2.74–65.20), respectively] were associated with viewing notes. Discussion Patient recall of mental health clinicians speaking to them about their ability to view notes, and confidence in understanding the use and purposes of Blue Button, were stronger predictors of viewing notes than demographic variables. PTSD diagnosis was the only clinical characteristic associated with viewing notes. Conclusion The findings support the value of mental health clinicians openly discussing the availability of notes with patients if they wish to help them take advantage of their potential benefits.

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Supplemental Material for Working With Twin Children and Their Families in Mental Health Care Settings

Professional Psychology Research and Practice ◽

10.1037/pro0000288.supp ◽

2020 ◽

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Health Care Settings ◽

Twin Children

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Local experience – central knowledge? - Methodological and practical implications for knowledge development in local mental health care settings

Nordisk Sygeplejeforskning ◽

10.18261/issn1892-2686-2015-03-05 ◽

2015 ◽

Vol 5 (03) ◽

pp. 283-295

Author(s):

Jan Kåre Hummelvoll ◽

Bengt G. Eriksson ◽

John R. Cutcliffe

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Knowledge Development ◽

Health Care Settings ◽

Local Mental Health ◽

Local Experience ◽

Practical Implications

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Linking Cultural Competence to Functional Life Outcomes in Mental Health Care Settings

Journal of the National Medical Association ◽

10.1016/s0027-9684(15)30069-9 ◽

2014 ◽

Vol 106 ◽

pp. 42-49 ◽

Cited By ~ 6

Author(s):

Georgia Michalopoulou ◽

Pamela Falzarano ◽

Michael Butkus ◽

Lori Zeman ◽

Judy Vershave ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Cultural Competence ◽

Mental Health Care ◽

Life Outcomes ◽

Health Care Settings

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'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v39n3e03 ◽

2021 ◽

Vol 39 (3) ◽

Author(s):

Vijayalakshmi Poreddi ◽

S. Sai Nikhil Reddy ◽

Sailaxmi Gandhi ◽

Marimuthu P ◽

Suresh BadaMath

Keyword(s):

Mental Health ◽

Health Care ◽

Domestic Violence ◽

Mental Illness ◽

Mental Health Care ◽

Physical Violence ◽

Tertiary Care ◽

Routine Screening ◽

Health Care Settings ◽

Nursing Professionals

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings. Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India. Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals). Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

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