Medical notes may never be the same again. The Open Notes policy allows patients to read their record without delay, and nearly prevents doctors from withholding notes in the interest of safety. Here we share tips on how to use this policy to enhance the therapeutic relationship.

Addiction is stigmatized, resulting in historically strict confidentiality rules. But how do we interpret HIPAA and other regulations in 2019 addiction practice? Do we need a ROI every time we communicate with other clinicians/institutions, which seems cumbersome and counterproductive? In this article we cover what you need to know about confidentiality in addiction treatment.