- • In the past decade UK government policy has been to develop alternative care for women detained in secure psychiatric hospital.
- • This study evaluated the relative benefits of supportive accommodation, comparing female patients in community step-down housing and a control group in secure hospital who were on the waiting list for a place in the houses.
- • The study provides evidence in favour of the further development of high-support step-down community housing for women in secure psychiatric care. This may provide greater personal freedom and enhanced relational security for the women concerned while also facilitating improvements in their psychological well-being, with no increased risk to the women themselves or to the wider community.
- •We conclude that community reintegration rates could be improved further by the expanded development of step-down community services for women in forensic psychiatric care.