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Area of Science:

  • Health Informatics
  • Bioethics
  • Mental Health Research

Background:

  • The trend of "open notes" enables patients to access their electronic health records, including clinician notes.
  • Recent US federal mandates require healthcare providers to offer patients online access to their clinical notes.
  • Ethical implications of open notes for mental health patients, particularly those with serious mental illness, require further investigation.

Purpose of the Study:

  • To explore the ethical considerations of providing patients, especially those with serious mental illness, access to their mental health notes.
  • To stimulate further research into the practice of open notes within mental healthcare settings.
  • To identify empirical questions crucial for developing ethical guidelines for open mental health notes.

Main Methods:

  • Literature review on open notes policies and ethical considerations in mental health.
  • Analysis of biomedical ethical principles relevant to patient record access.
  • Identification of key empirical questions for future research.

Main Results:

  • Growing adoption of open notes globally, with a recent US mandate.
  • Limited ethical discourse on open mental health notes, especially for vulnerable populations.
  • Need for empirical data to guide ethical practice.

Conclusions:

  • Opening mental health notes presents unique ethical challenges that warrant careful consideration.
  • Further research is essential to establish ethical guidelines for open mental health notes.
  • Ethical frameworks must address the specific needs of individuals with serious mental illness accessing their records.