Interesting approach. Might it be a concern that however useful they might be, if the notes contain Protected Health Information, they deserve (and I think legally must have) the protections outlined under HIPAA? I know of nothing in the regs that says only PHI with wide utility must be protected.

I understand that HIPAA has some quirks, but there are some things in there that don't fit with "the way we have always done things" because there are some problems with the way we did them. How would an agency monitor and audit security for "secret" files? If something happens to the staff, what happens to the secret files?

It may be that they keep secret notes and don't make it known, by frankly, there probably is a reason they should. PHI belongs to the client, not the staff.

Dale K. Howe, PhD
Grand Rapids, MI

In a message dated 4/2/2003 12:42:23 PM Eastern Standard Time, [EMAIL PROTECTED] writes:

I have it on good authority that there are some psychotherapists who keep such notes but simply do not make it known, and frankly, there’s no reason they should.


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