Sensing Freedom: Service User Perspectives of Sensory Processing and Occupational Participation in a Forensic Mental Health Inpatient Setting – A Qualitative Study

Sensory processing shapes how people respond to environmental stimuli, influencing their ability to regulate themselves, make choices and participate in activities. Evidence indicates that people with mental health problems often experience sensory-processing difficulties that reduce rehabilitation participation. Secure forensic mental health settings are designed to manage behaviours that challenge; however, research indicates the physical environment not only limits opportunities for meaningful participation in rehabilitation activities but may also influence sensory experiences. Despite the interplay between the secure environment, sensory processing and participation, these concepts are seldom discussed in the literature. This qualitative study aimed to explore service users’ experience of sensory processing and occupational participation. Five male service users shared their lived experience through semi-structured interviews. Reflexive thematic analysis was used to construct meaning. Five main themes were developed: (a) Rules and procedures limit sensory self-management; (b) Perceptions of participation opportunity vary; (c) Restricted environments shape sensory experience; (d) Opportunities exist for improvement and increased engagement; (e) Kindness restores comfort and sensory security. These findings indicate secure environments should be adapted to address sensory processing needs to promote participation. Further research is needed to build on these findings and develop sensory-informed services.