A Quantitative Study of Perceived Level of Participation, Verbal and Social Interaction, and Care Environment for Female Inpatients in Swedish Forensic Psychiatric Care

Women constitute a minority among patients in forensic psychiatric care, which aims to improve the patients’ health while ensuring safety for patients, caregivers, and society. Participation in forensic psychiatric care can be complex; its definition depends on the context and perspective and is influenced by several factors. This study examined the perceptions of female patients and caregivers regarding their participation, interactions, and experiences within the forensic psychiatric care environment. The participants (N = 108) completed validated questionnaires, including the Quality in Psychiatric Care Forensic Inpatient version, Verbal and Social Interactions, and EssenCES. The data were analyzed using both descriptive and analytical statistics. For female patients, establishing a care relationship and feeling a sense of cohesion with other patients, along with a therapeutic approach from caregivers, are crucial for perceived participation. The dual paradigm of medicine and law in forensic psychiatric care impacts both patients and caregivers. Safe wards and supportive care are essential for enhancing patients’ well-being and helping them achieve their goals. Due to the results and the limited sample size, which reflects the actual low number of female patients, further research is needed. Also, to compare the differences (or similarities) between female and male patients.