Psychosis and the diagnostic context of schizophrenia spectrum disorders describe clinically significant positive symptoms (delusions, hallucinations), negative symptoms (social withdrawal, flat affect) and neurocognitive impairment that often present during adolescence and early adulthood. Early identification of the prodrome, the time when attenuated psychotic symptoms emerge, predicts a high-risk phase for psychotic disorder development and is critical for long-term recovery and maintaining a high quality of life. The peak incidence of the prodromal period leading up to first-episode psychosis (FEP) occurs in the late teens and early 20s, coinciding with the typical age of college enrollment. Delayed recognition of FEP due to the insidious pattern of behavioral and perceptual disturbances impacts academic performance, work activities and interpersonal relations (Kane et al., 2016). Given the chronic and costly state of psychotic illness, early detection and intervention to treat or prevent the onset of psychosis in the college setting offers significant potential for improved outcomes.