0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Brief Reports   |    
Safety and Privacy Outcomes From a Moderated Online Social Therapy for Young People With First-Episode Psychosis
John F. Gleeson, M.Psych., Ph.D.; Reeva Lederman, Ph.D.; Greg Wadley, M.Sc., Ph.D.; Sarah Bendall, M.A., Ph.D.; Patrick D. McGorry, M.B.B.S., Ph.D.; Mario Alvarez-Jimenez, D.Clin.Psy., Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300078
View Author and Article Information

Dr. Gleeson is with the School of Psychology, Australian Catholic University, Melbourne (e-mail: john.gleeson@acu.edu.au). Dr. Lederman and Dr. Wadley are with Department of Computing and Information Systems, University of Melbourne, Victoria, Australia. The other authors are with the Orygen Youth Health Research Centre and Centre for Youth Mental Health, University of Melbourne.

Copyright © 2014 by the American Psychiatric Association

Abstract

Objective  Internet-based treatments for early psychosis offer considerable promise, but safety and security need to be established. This study pilot tested Horyzons, a novel online treatment application that integrates purpose-built moderated social networking with psychoeducation for recovery from early psychosis.

Methods  Safety, privacy, and security were evaluated during a one-month single-group trial with 20 young consumers recovering from early psychosis who were recruited in Melbourne, Australia. Known clinical risk factors informed the safety protocol. Safety, privacy, and security were evaluated with respect to relapse and self-harm, users’ perceptions of safety and privacy, and activity using Horyzons.

Results  No clinical or security problems with use of Horyzons were noted. Participants described feeling safe and trusting Horyzons.

Conclusions  Private moderated online social networking combined with psychoeducation was a safe and secure therapeutic environment for consumers recovering from a first episode of psychosis. Testing the intervention in a randomized controlled trial is warranted.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Anchor for Jump
Table 1Framework for design of Horyzons risk management strategies
Table Footer Note

a Participants could be excluded from Horyzons if they did not comply with terms of use. Moderators could remove offending material or deactivate user account.

Table Footer Note

b Indications of increased clinical risk activated the Horyzons safety protocol, which stipulated that the moderator would conduct a risk assessment on the basis of available information, inform the senior researchers, contact the emergency contact nominated by the participant, and contact appropriate clinicians when necessary.

Table Footer Note

c Psychotic relapse and subsequent withdrawal from Horyzons was defined either by ratings of 6 or 7 on any one of three Brief Psychiatric Rating Scale (BPRS) items—unusual thought content, hallucinations, and conceptual disorganization—with a duration criterion of one week or by a score of 5 on any of the three BPRS items plus a 2-point increase on one of the three items.

+

References

Gafoor  R;  Nitsch  D;  McCrone  P  et al:  Effect of early intervention on 5-year outcome in non-affective psychosis.  British Journal of Psychiatry 196:372–376, 2010
[CrossRef]
 
Alvarez-Jimenez  M;  Bendall  S;  Lederman  R  et al:  On the HORYZON: moderated online social therapy for long-term recovery in first episode psychosis.  Schizophrenia Research 143:143–149, 2013
[CrossRef]
 
Nitzan  U;  Shoshan  E;  Lev-Ran  S  et al:  Internet-related psychosis: a sign of the times.  Israel Journal of Psychiatry and Related Sciences 48:207–211, 2011
 
Beck-Sander  A;  Clark  A:  Psychological models of psychosis: implications for risk assessment.  Journal of Forensic Psychiatry 9:659–671, 1998
[CrossRef]
 
Online Social Networking Guidelines. Canberra, Australian Communications and Media Authority, Commonwealth of Australia, 2010. Available at www.webcitation.org/68m4u8MLl
 
Livingstone  S;  Brake  DR:  On the rapid rise of social networking sites: new findings and policy implications.  Children and Society 24:75–83, 2010
[CrossRef]
 
Large  MM;  Nielssen  O:  Violence in first-episode psychosis: a systematic review and meta-analysis.  Schizophrenia Research 125:209–220, 2011
[CrossRef]
 
Gleeson  JFM;  Chanen  A;  Cotton  SM  et al:  Treating co-occurring first-episode psychosis and borderline personality: a pilot randomized controlled trial.  Early Intervention in Psychiatry 6:21–29, 2012
[CrossRef]
 
Robinson  J;  Harris  MG;  Harrigan  SM  et al:  Suicide attempt in first-episode psychosis: a 7.4 year follow-up study.  Schizophrenia Research 116:1–8, 2010
[CrossRef]
 
Takahashi  Y;  Uchida  C;  Miyaki  K  et al:  Potential benefits and harms of a peer support social network service on the internet for people with depressive tendencies: qualitative content analysis and social network analysis.  Journal of Medical Internet Research 11:e29, 2009
[CrossRef]
 
Dean  K;  Walsh  E;  Morgan  C  et al:  Aggressive behaviour at first contact with services: findings from the AESOP First Episode Psychosis Study.  Psychological Medicine 37:547–557, 2007
[CrossRef]
 
Birchwood  M;  Trower  P;  Brunet  K  et al:  Social anxiety and the shame of psychosis: a study in first episode psychosis.  Behaviour Research and Therapy 45:1025–1037, 2007
[CrossRef]
 
Glaser  B;  Strauss  A:  The Discovery of Grounded Theory: Strategies for Qualitative Research .  London,  Wiedenfeld and Nicholson, 1967
 
Neuman  W:  Social Research Methods: Qualitative and Quantitative Approaches , 4th ed.  Boston,  Allyn & Bacon, 2000
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 2

Related Content
Articles
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 50.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 67.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 39.  >
Textbook of Psychotherapeutic Treatments > Chapter 6.  >
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 1.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles