title: Preferences of Young Adults With First-Episode Psychosis for Receiving Specialized Mental Health Services Using Technology: A Survey Study.
abstract: BACKGROUND
  Despite the potential and interest of using technology for delivering specialized psychiatric services to young adults, surprisingly limited attention has been paid to systematically assess their perspectives in this regard. For example, limited knowledge exists on the extent to which young people receiving specialized services for a first-episode psychosis (FEP) are receptive to using new technologies as part of mental health care, and to which types of technology-enabled mental health interventions they are amenable to.
  
  
  OBJECTIVE
  The purpose of this study is to assess the interest of young adults with FEP in using technology to receive mental health information, services, and supports.
  
  
  METHODS
  This study uses a cross-sectional, descriptive survey design. A convenience sample of 67 participants between the ages of 18 and 35 were recruited from two specialized early intervention programs for psychosis. Interviewer-administered surveys were conducted between December 2013 and October 2014. Descriptive statistics are reported.
  
  
  RESULTS
  Among the 67 respondents who completed the survey, the majority (85%, 57/67) agreed or strongly agreed with YouTube as a platform for mental health-related services and supports. The top five technology-enabled services that participants were amenable to were (1) information on medication (96%, 64/67); (2) information on education, career, and employment (93%, 62/67); (3) decision-making tools pertaining to treatment and recovery (93%, 62/67); (4) reminders for appointments via text messaging (93%, 62/67); and (5) information about mental health, psychosis, and recovery in general (91%, 61/67). The top self-reported barriers to seeking mental health information online were lack of knowledge on how to perform an Internet search (31%, 21/67) and the way information is presented online (27%, 18/67). Two thirds (67%; 45/67) reported being comfortable in online settings, and almost half (48%; 32/67) reported a preference for mixed formats when viewing mental health information online (eg, text, video, visual graphics).
  
  
  CONCLUSIONS
  Young people diagnosed with FEP express interest in using the Internet, social media, and mobile technologies for receiving mental health-related services. Increasing the awareness of young people in relation to various forms of technology-enabled mental health care warrants further attention. A consideration for future research is to obtain more in-depth knowledge on young people's perspectives, which can help improve the design, development, and implementation of integrated technological health innovations within the delivery of specialized mental health care.
authors.affiliation: School of Rehabilitation University of Montreal Montreal, QC Canada.
authors.forename: Shalini
authors.identifier: 0000-0002-7501-5018
authors.initials: S
authors.lastname: Lal
authors.affiliation: School of Physical and Occupational Therapy McGill University Montreal, QC Canada.
authors.forename: Jennifer
authors.identifier: 0000-0001-6935-9239
authors.initials: J
authors.lastname: Dell'Elce
authors.affiliation: Institute of Psychiatry Psychology and Neuroscience King's College London London United Kingdom.
authors.forename: Natasha
authors.identifier: 0000-0001-5402-118X
authors.initials: N
authors.lastname: Tucci
authors.affiliation: McGill University Department of Epidemiology, Biostatistics, and Occupational Health Montreal, QC Canada.
authors.forename: Rebecca
authors.identifier: 0000-0002-4504-1637
authors.initials: R
authors.lastname: Fuhrer
authors.affiliation: McGill University Department of Epidemiology, Biostatistics, and Occupational Health Montreal, QC Canada.
authors.forename: Robyn
authors.identifier: 0000-0003-0134-6954
authors.initials: R
authors.lastname: Tamblyn
authors.affiliation: Department of Psychiatry McGill University Montreal, QC Canada.
authors.forename: Ashok
authors.identifier: 0000-0002-5863-4191
authors.initials: A
authors.lastname: Malla
keywords: eHealth; health services accessibility; mHealth; medical informatics; patient engagement; telemedicine