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Digital Trajectories to Care in First-Episode Psychosis

Overview
Journal Psychiatr Serv
Specialty Psychiatry
Date 2018 Sep 27
PMID 30256181
Citations 18
Authors
Michael L Birnbaum
Asra F Rizvi
Keren Faber
Jean Addington
Christoph U Correll
Carla Gerber
Adrienne C Lahti
Rachel L Loewy
Daniel H Mathalon
Leigh Anne Nelson
Aristotle N Voineskos
Elaine F Walker
Elise Ward
John M Kane
Affiliations
Soon will be listed here.
Abstract

Objective: The emphasis on reducing the duration of untreated psychosis (DUP) has highlighted complex barriers to accessing appropriate services. Internet and social media use by individuals with first-episode psychosis (FEP) was examined to explore how these platforms might be used to facilitate treatment initiation.

Methods: Participants ages 15-35 were interviewed with the Pathways to Care for Psychosis Questionnaire, an 81-item instrument designed to explore online activity during symptom emergence.

Results: Of 112 participants, 90% used the Internet and social media daily. The Internet was listed as the most used resource (62%) for information while symptoms were emerging. A minority (19%) shared concerns via social media, and 76% responded favorably to the possibility of receiving online mental health support.

Conclusions: The Internet and social media were part of daily life for participants with FEP. Activity continued throughout the DUP, offering the prospect of earlier intervention. Participants expressed positive attitudes toward Internet-based outreach and engagement efforts.

Citing Articles

Digital Mental Health for Schizophrenia and Other Severe Mental Illnesses: An International Consensus on Current Challenges and Potential Solutions.

Smith K, Hardy A, Vinnikova A, Blease C, Milligan L, Hidalgo-Mazzei D JMIR Ment Health. 2024; 11:e57155.

PMID: 38717799 PMC: 11112473. DOI: 10.2196/57155.

Examining the Effectiveness of a Digital Media Campaign at Reducing the Duration of Untreated Psychosis in New York State: Results From a Stepped-wedge Randomized Controlled Trial.

Birnbaum M, Garrett C, Baumel A, Germano N, Sosa D, Ngo H Schizophr Bull. 2024; 50(3):705-716.

PMID: 38408135 PMC: 11059796. DOI: 10.1093/schbul/sbae018.

Effectiveness of resilience-promoting interventions in adolescents with diabetes mellitus: a systematic review and meta-analysis.

Wu Y, Zhang Y, Zhang Y, Zhang H, Long T, Zhang Q World J Pediatr. 2022; 19(4):323-339.

PMID: 36534296 PMC: 9761642. DOI: 10.1007/s12519-022-00666-7.

Social media and schizophrenia: An update on clinical applications.

Fonseka L, Woo B World J Psychiatry. 2022; 12(7):897-903.

PMID: 36051600 PMC: 9331455. DOI: 10.5498/wjp.v12.i7.897.

Feasibility of Mobile Health and Social Media-Based Interventions for Young Adults With Early Psychosis and Clinical Risk for Psychosis: Survey Study.

Franco O, Calkins M, Giorgi S, Ungar L, Gur R, Kohler C JMIR Form Res. 2022; 6(7):e30230.

PMID: 35802420 PMC: 9308069. DOI: 10.2196/30230.

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