“…Providing efficient, effective treatment, beneficial for improving mental health as well as risk reduction and achieving a higher quality of life for patients, is challenging in a forensic environment, in which restrictions are placed upon patients Mason, 1999). It has been suggested that addressing quality of life for patients within a restrictive forensic psychiatric setting may have an important part to play in improving treatment outcomes and lowering recidivism risks in the long-term (Nieuwenhuizen & Nijman, 2009;Völlm, Bartlett, & McDonald, 2016). These competing concerns were, unsurprisingly, recognised by all country experts.…”