People are generally entitled to access their medical records, including progress notes made by mental health providers to document the progress of treatment. Increased use of online progress notes makes it easier than ever for people to access their mental health records. A small study published in the journal Psychiatric Services suggests these records can both strengthen and harm the relationship between mental health provider and the person in therapy.
Researchers followed 28 people seeking treatment for mental health conditions at the Veterans Affairs (VA) Portland Health Care System in Oregon. Each participant answered interview questions about their reaction to provider progress notes. When records were consistent with what happened in treatment sessions, when notes indicated that providers listened, and when providers openly discussed diagnoses, participants expressed positive feelings about their providers and their medical records.
However, some components of progress notes eroded the relationship. Information gaps, incorrect information, and outdated treatment details were common sources of frustration. Some people said their records contained diagnoses their providers never discussed with them, significantly decreasing trust.
They study’s authors suggest their research provides important clues about how mental health providers can use progress notes and in-session discussions to strengthen their relationships with people in therapy.Burnout at work is increasingly common, significantly affecting performance and morale. Most companies are ill-equipped to treat worker burnout. Moreover, issues with company culture—such as job insecurity and pressure to continually do more while working with less—can cause or worsen burnout.
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A violent crime wave in Chicago has sparked international media coverage, with 812 people murdered last year alone. A cognitive behavioral therapy program that supports social skills, encourages trust, and offers healthy outlets for anger and aggression is trying to tackle the crime wave by improving the well-being of Chicago’s at-risk teen boys.
Chronic pain is an intractable and complex issue, affecting as many as 100 million Americans. Many people with chronic pain turn to opioids to manage symptoms, but these drugs can be addictive and are not always effective. New research suggests light therapy might offer relief. Researchers still are not sure how this nonpharmacological remedy works, but they say it does appear to reduce symptoms.
El Celler de Can Roca consistently ranks among the world’s top restaurants. The competitive restaurant world can be stressful, but the dining establishment’s owners have found a novel way to cope. Weekly staff sessions with an on-site psychologist offer a chance to blow off steam and discuss challenging emotions.
In Wisconsin alone, 175,000 students have an undiagnosed mental health condition. These unmet mental health needs, which are often the product of traumatic experiences or chaotic home lives, can strain school resources.
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