Red Cross National Societies across Europe have been responding to the needs of displaced people from Ukraine. For some, part of their response has been the integration of PFA to meet the mental health and psychosocial needs of the target population. PFA has been used to support the implementation of services as well as to directly provide MHPSS to displaced people from Ukrainians. PFA is an evidence informed approach that is widely acknowledged as an approach that is effective in reducing distress and supporting recovery. Even so, it is challenging to measure the direct impact of PFA and because of this the study focused rather on what the impact of integrating and institutionalising PFA is within National Societies.