Related Experiment Video
Updated: Feb 4, 2026
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Digital Trajectories to Care in First-Episode Psychosis
Michael L Birnbaum1, Asra F Rizvi1, Keren Faber1
1Dr. Birnbaum, Mrs. Rizvi, Ms. Faber, Dr. Correll, and Dr. Kane are with the Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York. Dr. Birnbaum, Mrs. Rizvi, and Dr. Kane are also with the Feinstein Institute for Medical Research, Manhasset, New York. Dr. Correll is also with the Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin. Dr. Addington is with Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada. Ms. Gerber is with the Department of Behavioral Health, Peacehealth Medical Group, Eugene, Oregon. Dr. Lahti is with the Department of Psychiatry, University of Alabama at Birmingham. Dr. Loewy and Dr. Mathalon are with the Department of Psychiatry, University of California, San Francisco. Dr. Mathalon is also with the Department of Veterans Affairs San Francisco Healthcare System, San Francisco. Dr. Nelson is with the School of Pharmacy, University of Missouri-Kansas City. Dr. Voineskos is with the Department of Psychiatry, University of Toronto, and the Center for Addiction and Mental Health, Toronto, Canada. Dr. Walker is with the Department of Psychology, Emory University, Atlanta. Ms. Ward is with Henderson Behavioral Health, Lauderdale Lakes, Florida.
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.
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