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Open Notes in Mental Health: A Scoping Review of Stakeholder Experiences and Implications for Clinical Practice.


ABSTRACT: Background/Objectives: Open Notes-defined as patients' electronic, portal-based access to clinicians' narrative documentation within electronic health records (EHRs)-has become routine through policy and portal initiatives. In mental health (MH), transparency intersects with sensitive formulation and risk language, making outcomes contingent on documentation practices, release timing, and reader support. This scoping review mapped empirical evidence on experiences, perceived impacts, and implementation of Open Notes in MH across stakeholders and settings, deriving implications for practice, training, and policy. Methods: A PRISMA-ScR-guided review was conducted with a preregistered protocol on OSF. Eligible studies examined Open Notes in MH settings and reported stakeholder p

SUBMITTER: Monaci M 

PROVIDER: S-EPMC12607305 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature