Community Mental Health Journal

, Volume 48, Issue 2, pp 249–254 | Cite as

Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs

  • Nancy Shank
  • Elizabeth Willborn
  • Lisa PytlikZillig
  • HarmoniJoie Noel
Brief Report


Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers. Barriers involving privacy and security concerns were mentioned by 100% of providers, and benefits by 22%. Barriers to delivery of services were mentioned by 97% of providers, and benefits by 66%. Most providers (81%) expressed overall positive support for electronic behavioral health records.


Electronic health records Healthcare provider beliefs Qualitative methods 



The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. This project was supported by grant number R18HS017838 from the Agency for Healthcare Research and Quality.


  1. Ajzen, I. (1991). The theory of planned behavior. Behavior and Human Decision Processes, 50, 179–211.CrossRefGoogle Scholar
  2. Ajzen, I., & Fishbein, M. (1973). Attitudinal and normative variables as predictors of specific behaviors. Journal of Personality and Social Psychology, 27, 41–57.CrossRefGoogle Scholar
  3. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  4. American Recovery and Reinvestment Act, 26 U.S.C. 1 Title XIII (2009).Google Scholar
  5. Audet, A., Doty, M. M., Peugh, J., Shamasdin, J., Zapert, J. S., & Schoenbaum, S. (2004). Information technologies: When will they make it into physicians’ black bags? Medscape General Medicine, 6(4), np.Google Scholar
  6. Austin, D., Pier, C., Mitchell, J., Schattner, P., Wade, V., Pierce, D., et al. (2006). Do GPs use electronic mental health resources? A qualitative study. Australian Family Physician, 35, 365–366.PubMedGoogle Scholar
  7. Cost and confidentiality: The unforeseen challenges of electronic health records in small specialty: Hearing before the House Committee on Small Business, 110th Cong. np (2008) (testimony of Robert M. Plovnick). Retrieved from
  8. Duffy, F. F., West, J. C., Wilk, J., Narrow, W. E., Hales, D., Thompson, J., et al. (2004). Mental health practitioners and trainees. In R. W. Manderscheid & M. J. Henderson (Eds.), Mental Health, United States, 2002. DHHS publication Number: (SMA) 3938 (pp. 327–368). Rockville, MD: US DHHS Substance Abuse and Mental Health Services Administration.Google Scholar
  9. Gans, D., Kralewksi, J., Hammons, T., & Dowd, B. (2005). Medical groups’ adoption of electronic health records and information systems. Health Affairs, 24, 1323–1333.PubMedCrossRefGoogle Scholar
  10. Garets, D., & Davis, M. (2006). Electronic medical records versus electronic health records: Yes, there is a difference. Chicago, IL: HIMSS Analytics. Retrieved from
  11. Lefkovitz, P. M. (2009). Behavioral health/human services information systems survey: Executive summary/media release. Retrieved from the National Council for Community Behavioral Healthcare website:
  12. Miller, R. H., & Sim, I. (2004). Physicians’ use of electronic medical records: Barriers and solutions. Health Affairs, 23(2), 116–126.PubMedCrossRefGoogle Scholar
  13. Penrod, L. E., & Gadd, C. S. (2001). Attitudes of academic-based and community-based physicians regarding EMR use during outpatient encounters. Proceedings of the American Medical Informatics Association, 528-532. Retrieved from
  14. Privacy and confidentiality issues concerning the National Health Information Network: Hearings before the Subcommittee on Privacy & Confidentiality, National Committee on Vital and Health Statistics 109th Cong. np (2005, March 30) (testimony of Russ Newman). Retrieved from
  15. Salomon, R. M., Blackford, J. U., Rosenbloom, S. T., Seidel, S., Clyton, E. W., Dilts, D. M., et al. (2010). Openness of patients’ reporting with use of electronic records: Psychiatric clinicians’ views. Journal of the American Medical Informatics Association, 17, 54–60. doi: 10.1197/jamia.M3341.PubMedCrossRefGoogle Scholar
  16. Scheck McAlearney, A., Schweikhart, S. B., & Medow, M. A. (2004). Doctors’ experience with handheld computers in clinical practice: Qualitative study., 328, 1162-1166. Retrieved from doi: 10.1136/bmj.328.7449.1162.
  17. US Department of Health and Human Services, Agency for Healthcare Research and Quality. (2009). Mental health research findings (AHRQ Pub. No. 09-P011). Retrieved from
  18. US Department of Health and Human Services, Office of the Surgeon General. (1999). Mental health: A report of the surgeon generalexecutive summary. Rockville, MD: US Department of Health and Human Services.Google Scholar
  19. Walter, G., Cleary, M., & Rey, J. M. (2000). Patterns of use, attitudes and expectations of mental health staff regarding computers. Journal of Quality Clinical Practice, 20, 20–23.CrossRefGoogle Scholar
  20. Wright, A., Soran, C., Jenter, C. A., Volk, L. A., Bates, D. W., & Simon, S. R. (2010). Physician attitudes toward health information exchange: Results of a statewide survey. Journal of the American Medical Informatics Association, 17, 66–70. doi: 10.1197/jamia.M3241.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Nancy Shank
    • 1
  • Elizabeth Willborn
    • 1
  • Lisa PytlikZillig
    • 1
  • HarmoniJoie Noel
    • 1
  1. 1.University of Nebraska Public Policy CenterLincolnUSA

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