Behavioral health providers’ perspectives on supporting patient decisions in sharing treatment information in substance use and mental health settings: a qualitative study

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-05-08 DOI:10.1016/j.pec.2025.108829

Emily Leung , Michael Graziano , Monica Coleman , Kathryn J. Wanner , Jodi Scharf , Madelynn Bovasso , Scott Wells , Dawn Middleton

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引用次数: 0

Abstract

Objective

Privacy and confidentiality are particularly important for individuals receiving care for behavioral health (BH) conditions. This study aims to explore BH service providers’ experiences when they introduce and discuss consent to share BH treatment information with patients.

Methods

BH providers participated in virtual focus groups (FGs). 100–120 min discussions were recorded, transcribed, coded using both a priori and open coding and analyzed for themes.

Results

Participants (n = 12) from 9 U.S. states participated in the FGs. Participants emphasized that discussing consent is an educational process and highlighted stigma, mistrust, and confusion as common patient experiences. Participants indicated difficulty with keeping up with changing laws, time constraints, and have concerns that discussions can feel coercive. Participants recommended that well-trained staff should facilitate patient-centered conversations and requested skills-based trainings, resources, and job aids, particularly for complex cases.

Conclusions

This study elucidates BH service providers’ experiences and recommendations with navigating conversations about consent, an important first step in fostering patient trust.

Practice Implications

There is a need to couple existing training focused on health privacy laws with how to practically apply that knowledge during the clinical encounter, ensure providers can seek guidance, and understand that consent is an ongoing, educational, and patient-centered process.

查看原文本刊更多论文

行为健康提供者在物质使用和心理健康环境中支持患者决定分享治疗信息的观点：一项定性研究

目的隐私和保密性对接受行为健康（BH）治疗的个人尤为重要。本研究旨在探讨BH服务提供者在引入和讨论同意与患者分享BH治疗信息时的经验。方法卫生保健提供者参与虚拟焦点小组（FGs）。100-120 min讨论被记录、转录、使用先验和开放编码进行编码，并分析主题。研究对象（n = 12）来自9 美国各国参加了fg。与会者强调，讨论同意是一个教育过程，并强调耻辱、不信任和困惑是常见的患者经历。与会者表示，他们很难跟上不断变化的法律、时间限制，并担心讨论可能会让人感到强制性。与会者建议，训练有素的工作人员应促进以患者为中心的对话，并要求进行基于技能的培训、资源和工作辅助，特别是对于复杂病例。本研究阐明了BH服务提供者在引导同意对话方面的经验和建议，这是培养患者信任的重要第一步。实践意义有必要将现有的健康隐私法培训与如何在临床接触中实际应用这些知识结合起来，确保提供者能够寻求指导，并理解同意是一个持续的、教育的、以患者为中心的过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.