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Religiosity and Engagement in Early Intervention Programme for First-Episode Psychosis
Alona Schneidman1, David Roe1,2, Yaara Zisman-Ilani3,4,5
1Department of Community Mental Health, University of Haifa, Haifa, Israel.
Early Intervention in Psychiatry
|July 31, 2026
Summary
Religious beliefs significantly influence engagement in first-episode psychosis (FEP) care by framing treatment as divine will and emphasizing trust. A strong therapeutic alliance is crucial for sustained participation in FEP services.
Area of Science:
- Psychiatry
- Mental Health Research
- Sociology of Religion
Background:
- Religious beliefs impact healthcare decisions and pathways.
- Limited understanding exists on how religiosity shapes engagement in first-episode psychosis (FEP) care.
Purpose of the Study:
- To explore the influence of religious belief, identity, and cultural norms on engagement with FEP care.
- To understand how faith shapes help-seeking and treatment adherence in FEP.
Main Methods:
- Conducted semi-structured interviews with 23 FEP participants in Israel.
- Sample included Ultra-Orthodox (UO) and non-observant (Non-Obs) Jewish individuals.
- Employed thematic analysis to identify religious factors in FEP care engagement and therapeutic alliance.
Main Results:
- Faith framed FEP care as God's will and therapy as a spiritual experience, fostering participation.
- Trust issues highlighted the importance of autonomy and collaborative decision-making in treatment.
- The therapeutic relationship was identified as a critical independent factor for engagement in FEP care.
Conclusions:
- Religiosity significantly shapes ongoing engagement in FEP care, beyond initial help-seeking.
- Effective FEP care requires integrating religious responsiveness with a strong therapeutic alliance.
- Implications emphasize dialogue, psychoeducation, and communication tailored to religious needs.
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