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Who Gets FIp? Understanding Contextual Factors in EIP Provision
Harriet Ferner1,2, Grace Parkyn2, Juliana Onwumere2,3
1North East London NHS Foundation Trust, London, UK.
Early Intervention in Psychiatry
|July 7, 2026
Summary
Family Intervention for psychosis (FIp) is feasible in diverse inner-city settings. Service users and carers experiencing social stressors can engage with FIp, but further research is needed to improve access for complex needs.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Clinical Psychology
Background:
- Family Intervention for psychosis (FIp) is effective in reducing relapse and improving functioning.
- Implementation barriers for FIp exist, particularly for minority ethnic groups and those facing social stressors.
- Understanding engagement patterns in diverse populations is crucial for equitable service delivery.
Purpose of the Study:
- To evaluate the delivery of FIp in routine practice within a diverse, inner-city Early Intervention service.
- To explore engagement patterns with family work.
- To examine the relationship between ethnicity, social stressors, and engagement with FIp.
Main Methods:
- A 12-month audit of electronic patient records in an Early Intervention service.
- Analysis of socio-demographic data, service user information, and verbatim data on family intervention.
- Exploration of referral patterns and engagement with FIp.
Main Results:
- 21.7% of 221 service users received FIp over one year.
- Younger service users were more likely to receive FIp; ethnicity and gender did not significantly influence referrals.
- 96% of service users/carers experienced ongoing social stressors, with trauma linked to longer treatment duration.
Conclusions:
- Service users and carers from diverse backgrounds with high stress levels can engage in FIp.
- FIp is deliverable in routine Early Intervention services in diverse, deprived areas.
- Further research is needed to enhance access and engagement for families with complex needs.
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