Skip to main content Accesibility Help
×
×
Home

A new hope for early psychosis care: the evolving landscape of digital care tools

  • John Torous (a1), Jessica Woodyatt (a2), Matcheri Keshavan (a3) and Laura M. Tully (a4)
Summary

Improving understanding of and outcomes for early-course psychosis (ECP) is a recognised global mental health priority. We argue digital health technologies can advance care for ECP by better accounting for clinical heterogeneity, offering better predictive models, increasing access to early interventions and enhancing existing treatment options.

Declaration of interest

L.M.T. owns shares in Safari Health Inc – a digital health technology company.

Copyright
Corresponding author
Correspondence: John Torous, Department of Psychiatry, Beth Israel Deaconess Medical School, Harvard Medical School, Boston, MA 02115, USA. Email: Jtorous@bidmc.harvard.edu
References
Hide All
1Gay, K, Torous, J, Joseph, A, Pandya, A, Duckworth, K. Digital technology use among individuals with schizophrenia: results of an online survey. JMIR Ment Health 2016; 3: e15.
2Lal, S, Dell'Elce, J, Tucci, N, Fuhrer, R, Tamblyn, R, Malla, A. Preferences of young adults with first-episode psychosis for receiving specialized mental health services using technology: a survey study. JMIR Ment Health 2015; 2: e18.
3Lal, S, Nguyen, V, Theriault, J. Seeking mental health information and support online: experiences and perspectives of young people receiving treatment for first-episode psychosis. Early Interv Psychiatry 2018; 12: 324–30.
4Sandoval, LR, Torous, J, Keshavan, MS. Smartphones for smarter care? Self-management in schizophrenia. Am J Psychiatry 2017; 174: 725–8.
5Torous, J, Roux, S. Patient-driven innovation for mobile mental health technology: case report of symptom tracking in schizophrenia. JMIR Ment Health 2017; 4: e27.
6Pew Research Center. Demographics of Mobile Device Ownership and Adoption in the United States. Pew Research Center, 2018 (http://www.pewinternet.org/fact-sheet/mobile/).
7Lal, S, Dell'Elce, J, Tucci, N, Fuhrer, R, Tamblyn, R, Malla, A. Preferences of young adults with first-episode psychosis for receiving specialized mental health services using technology: a survey study. JMIR Ment Health 2015; 2: e18.
8Waters, F, Fernyhough, C. Hallucinations: a systematic review of points of similarity and difference across diagnostic classes. Schizophr Bull 2017; 43: 3243.
9Murray, RM. Mistakes I have made in my research career. Schizophr Bull 2017; 43: 253–6.
10Torous, J, Kiang, MV, Lorme, J, Onnela, J-P. New tools for new research in psychiatry: a scalable and customizable platform to empower data driven smartphone research. JMIR Ment Health 2016; 3: e16.
11Torous, J, Staples, P, Onnela, J-P. Realizing the potential of mobile mental health: new methods for new data in psychiatry. Curr Psychiatry Rep 2015; 17: 61.
12Torous, J, Staples, P, Barnett, I, Sandoval, LR, Keshavan, M, Onnela, J-P. Characterizing the clinical relevance of digital phenotyping data quality with applications to a cohort with schizophrenia. NPJ Digit Med 2018; 1: 15.
13Clementz, BA, Sweeney, JA, Hamm, JP, Ivleva, EI, Ethridge, LE, Pearlson, GD, et al. Identification of distinct psychosis biotypes using brain-based biomarkers. Am J Psychiatry 2015; 173: 373–84.
14Fusar-Poli, P, McGorry, PD, Kane, JM. Improving outcomes of first-episode psychosis: an overview. World Psychiatry 2017; 16: 251–65.
15Richardson, L, Hameed, Y, Perez, J, Jones, PB, Kirkbride, JB. Association of environment with the risk of developing psychotic disorders in rural populations: findings from the social epidemiology of psychoses in East Anglia study. JAMA Psychiatry 2018; 75: 7583.
16Corcoran, CM, Carrillo, F, Fernández-Slezak, D, Bedi, G, Klim, C, Javitt, DC, et al. Prediction of psychosis across protocols and risk cohorts using automated language analysis. World Psychiatry 2018; 17: 6775.
17Niendam, TA, Tully, LM, Iosif, A-M, Kumar, D, Nye, KE, Denton, JC, et al. Enhancing early psychosis treatment using smartphone technology: a longitudinal feasibility and validity study. J Psychiatr Res 2018; 96 (suppl C): 239–46.
18Barnett, I, Torous, J, Staples, P, Sandoval, L, Keshavan, M, Onnela, J-P. Relapse prediction in schizophrenia through digital phenotyping: a pilot study. Neuropsychopharmacology 2018; 43: 1660–6.
19Savill, M, Skymba, HV, Ragland, JD, Niendam, T, Loewy, RL, Lesh, TA, et al. Acceptability of psychosis screening and factors affecting its implementation: interviews with community health care providers. Psychiatr Serv 2018; 69: 689–95.
20Schlosser, D, Campellone, T, Kim, D, Truong, B, Vergani, S, Ward, C, et al. Feasibility of PRIME: a cognitive neuroscience-informed mobile app intervention to enhance motivated behavior and improve quality of life in recent onset schizophrenia. JMIR Res Protoc 2016; 5: e77.
21Schlosser, DA, Campellone, TR, Truong, B, Etter, K, Vergani, S, Komaiko, K, et al. Efficacy of PRIME, a mobile app intervention designed to improve motivation in young people with schizophrenia. Schizophr Bull 2018; 44: 1010–20.
22Rice, S, Gleeson, J, Leicester, S, Bendall, S, D'Alfonso, S, Gilbertson, T, et al. Implementation of the enhanced moderated online social therapy (MOST+) model within a national youth e-mental health service (eheadspace): protocol for a single group pilot study for help-seeking young people. JMIR Res Protoc 2018; 7: e48.
23Canty, AL, Neumann, DL, Shum, DHK. Using virtual reality to assess theory of mind subprocesses and error types in early and chronic schizophrenia. Schizophr Res Cogn 2017; 10: 15–9.
24Doyle, R, Turner, N, Fanning, F, Brennan, D, Renwick, L, Lawlor, E, et al. First-episode psychosis and disengagement from treatment: a systematic review. Psychiatr Serv 2014; 65: 603–11.
25Kumar, D, Tully, LM, Iosif, A-M, Zakskorn, LN, Nye, KE, Zia, A, et al. A mobile health platform for clinical monitoring in early psychosis: implementation in community-based outpatient early psychosis care. JMIR Ment Health 2018; 5: e15.
26Kim, SW, Lee, GY, Yu, HY, Jung, EI, Lee, JY, Kim, SY, et al. Development and feasibility of smartphone application for cognitive-behavioural case management of individuals with early psychosis. Early Interv Psychiatry 2016; 12: 1087–93.
27Macias, C, Panch, T, Hicks, YM, Scolnick, JS, Weene, DL, Öngür, D, et al. Using smartphone apps to promote psychiatric and physical well-being. Psychiatr Q 2015; 86: 505–19.
28Bucci, S, Barrowclough, C, Ainsworth, J, Machin, M, Morris, R, Berry, K, et al. Actissist: proof-of-concept trial of a theory-driven digital intervention for psychosis. Schizophr Bull 2018; 44: 1070–80.
29Torous, J, Hsin, H. Empowering the digital therapeutic relationship: virtual clinics for digital health interventions. npj Digit Med 2018; 1: 16.
30Mackert, M, Mabry-Flynn, A, Champlin, S, Donovan, EE, Pounders, K. Health literacy and health information technology adoption: the potential for a new digital divide. J Med Intern Res 2016; 18: e264.
31Di Matteo, D, Fine, A, Fotinos, K, Rose, J, Katzman, M. Patient willingness to consent to mobile phone data collection for mental health apps: structured questionnaire. JMIR Ment Health 2018; 5: e56.
32Torous, J, Wisniewski, H, Liu, G, Keshavan, M. Mental health mobile phone app usage, concerns, and benefits in two distinct urban outpatient psychiatry clinics: comparative survey study. JMIR Ment Health 2018; 5: e11715.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

A new hope for early psychosis care: the evolving landscape of digital care tools

  • John Torous (a1), Jessica Woodyatt (a2), Matcheri Keshavan (a3) and Laura M. Tully (a4)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *