title: Integration of mental health and medical records: practices and opinions of behavioral scientists.
abstract: OBJECTIVE
  This study provides information from a national sample of behavioral scientists about their practices and opinions about placement of mental health notes in the general medical record.
  
  
  METHODS
  Using a mailed survey, behavioral scientists in US family practice residencies responded to questions about the location of mental health notes, the rationale for placement of notes, and opinions about integration of mental health notes into general medical records.
  
  
  RESULTS
  The majority (71.8%) of behavioral scientists record mental health notes in the main body of the patient's medical chart, integrated with physician notes. Most respondents favor an integrated record to increase collaboration with medical providers. A variety of methods are used to minimize the chance of violating patient confidentiality.
  
  
  CONCLUSIONS
  Although a majority of behavioral scientists integrate mental health notes in the medical chart and favor the practice of doing so, there is no consensus about this practice as reflected by divergent views and record-keeping methods.
authors.affiliation: St. Anthony Family Medicine Residency Program, Denver, Colo, USA. nesham@ecentral.com
authors.forename: D
authors.initials: D
authors.lastname: Sanders
authors.forename: M K
authors.initials: MK
authors.lastname: Marvel
mesh_terms: D001291:Attitude of Health Personnel; D001525:Behavioral Sciences / Q000193:education*; D003219:Confidentiality; D005194:Family Practice / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D008498:Medical Record Linkage; D010348:Patient Care Team; D013038:Specialization; D014481:United States