Housing Needs, Preferences and Barriers to Housing Faced by Forensic Patients Experiencing Delayed Discharge: A Qualitative Descriptive Study of Patient and Provider Perspectives

Appropriate housing is fundamental for forensic patients to facilitate community integration, reduce recidivism and promote mental health recovery. This study aimed to identify the housing needs and preferences of forensic patients experiencing delayed discharge – designated as Alternate Level of Care (ALC) at the Centre for Addiction and Mental Health (CAMH), and healthcare provider experiences in accessing housing for this population. Using qualitative descriptive methodology, we conducted 15 individual interviews with forensic patients and two focus groups engaging nine clinicians at CAMH between July 8, 2024, and November 11, 2024. Data were analyzed using thematic analysis. Five qualitative themes were identified: (1) the cost of navigating the institutional circuit; (2) life in a forensic hospital: the good, the bad, and the ugly; (3) searching for and waiting for housing: frustration all around; (4) perceived support needs and housing preferences; and (5) clinician recommendations for community success. Findings provide insights into the perspectives and experiences of forensic patients experiencing delayed discharge and their clinicians and can inform the development of therapeutic programmes and housing solutions for this population.