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Supported Living — MRCPsych Paper B MCQ

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EasyRehabilitationSupported LivingMRCPsych Paper B

A rehabilitation team is planning discharge for a patient with chronic schizophrenia. His mental state is stable, and there are no current risks requiring inpatient care or continuous supervision. He can safely remain alone between scheduled visits but needs regular prompting to take medication and practical support with cooking and other daily living skills. Which accommodation arrangement is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Self-contained tenancy with floating outreach support

Explanation lettering: C = shown as A · D = shown as B · E = shown as C · A = shown as D · B = shown as E

The correct answer is C. Floating outreach provides scheduled practical and emotional support from staff based off-site to a person living in a self-contained tenancy. This matches someone who can remain safely alone but needs prompting with medication and help developing daily living skills. An unsupported tenancy (A) would not address his identified functional needs. Residential care with 24-hour staffing (B) would provide more supervision than required and would be unnecessarily restrictive. An acute ward (D) is for acute assessment and treatment, not stable rehabilitation discharge accommodation. A medium-secure unit (E) is intended for patients requiring treatment within a secure forensic setting because of significant risk, which is not present here.

Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis (NG181), sections 1.5.9 and Terms used: Floating outreach, Residential care, Supported accommodation and Supported housing. 2020, reviewed 2024 and updated 2025. https://www.nice.org.uk/guidance/NG181/chapter/recommendations