{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T12:29:18Z","timestamp":1786624158686,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"abstract":"<jats:p>Ambient voice technology has been proposed as a promising approach to reduce documentation burden in child and adolescent mental health services and neurodevelopmental settings. In response to Dineley and colleagues' discussion of responsible implementation and evidence gaps, this letter argues that ambient voice technology should be evaluated as a care\u2010pathway intervention rather than merely as a note\u2010generation tool. We emphasize the importance of outcome\u2010accountable implementation, including measurement of documentation time, clinician cognitive load, note correction burden, error severity, therapeutic alliance, patient and carer experience, equity, and downstream care decisions. Particular attention is needed in multilingual, family\u2010based, and neurodevelopmental consultations, where multispeaker attribution, atypical speech, and culturally specific expressions of distress may challenge automated systems. Ambient voice technology should protect clinical reasoning, preserve uncertainty, and remain subject to auditable human oversight. Its value in CAMHS should be judged by safety, equity, experience, and meaningful clinical improvement.<\/jats:p>","DOI":"10.1111\/camh.70119","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T11:38:55Z","timestamp":1786621135000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Letter to the Editor: Ambient voice technology in\n                    <scp>CAMHS<\/scp>\n                    \u2013 from documentation relief to outcome\u2010accountable implementation"],"prefix":"10.1111","author":[{"given":"Yu\u2010Hui","family":"Huang","sequence":"first","affiliation":[{"name":"Taoyuan Psychiatric Center, Ministry of Health and Welfare  Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lien\u2010Chung","family":"Wei","sequence":"additional","affiliation":[{"name":"Taoyuan Psychiatric Center, Ministry of Health and Welfare  Taoyuan City Taiwan"},{"name":"Department of Health Industry Management Kainan University  Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_1_7_2_1","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1038\/s41591-024-02827-9","article-title":"Recommendations to address respondent burden associated with patient\u2010reported outcome assessment","volume":"30","author":"Aiyegbusi O.L.","year":"2024","journal-title":"Nature Medicine"},{"key":"e_1_2_1_7_3_1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1001\/jamapsychiatry.2025.4303","article-title":"Psychiatric documentation and Management in Primary Care with Artificial Intelligence Scribe use","volume":"83","author":"Castro V.M.","year":"2026","journal-title":"JAMA Psychiatry"},{"key":"e_1_2_1_7_4_1","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1007\/s11136-018-2048-4","article-title":"Implementing patient\u2010reported outcome measures in clinical practice: A companion guide to the ISOQOL user's guide","volume":"28","author":"Chan E.K.H.","year":"2019","journal-title":"Quality of Life Research"},{"key":"e_1_2_1_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.70092"},{"key":"e_1_2_1_7_6_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjdhai-2025-000092","article-title":"Clinical AI scribes in primary care: Accuracy, error severity and implications for clinical practice","volume":"1","author":"Draper T.C.","year":"2025","journal-title":"BMJ Digital Health & AI"},{"key":"e_1_2_1_7_7_1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s41687-018-0061-6","article-title":"How do patient reported outcome measures (PROMs) support clinician\u2010patient communication and patient care? A realist synthesis","volume":"2","author":"Greenhalgh J.","year":"2018","journal-title":"Journal of Patient\u2010Reported Outcomes"},{"key":"e_1_2_1_7_8_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.patter.2021.100347","article-title":"Addressing bias in big data and AI for health care: A call for open science","volume":"2","author":"Norori N.","year":"2021","journal-title":"Patterns"},{"key":"e_1_2_1_7_9_1","doi-asserted-by":"crossref","first-page":"3485","DOI":"10.1007\/s11136-021-02870-w","article-title":"Standard set of patient\u2010reported outcomes for personality disorder","volume":"30","author":"Prevolnik Rupel V.","year":"2021","journal-title":"Quality of Life Research"},{"key":"e_1_2_1_7_10_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1192\/bjb.2025.10186","article-title":"Evaluating artificial intelligence ambient voice technology as a documentation assistant in psychiatry: Proof\u2010of\u2010concept study","volume":"2","author":"Stanton N.","year":"2025","journal-title":"BJPsych Bulletin"},{"key":"e_1_2_1_7_11_1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/ACM.0000000000003122","article-title":"Defining and implementing value\u2010based health care: A strategic framework","volume":"95","author":"Teisberg E.","year":"2020","journal-title":"Academic Medicine"}],"container-title":["Child and Adolescent Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.70119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/camh.70119","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/camh.70119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T11:38:58Z","timestamp":1786621138000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/camh.70119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":10,"alternative-id":["10.1111\/camh.70119"],"URL":"https:\/\/doi.org\/10.1111\/camh.70119","archive":["Portico"],"relation":{},"ISSN":["1475-357X","1475-3588"],"issn-type":[{"value":"1475-357X","type":"print"},{"value":"1475-3588","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]},"assertion":[{"value":"2026-07-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"camh.70119"}}