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Floating Support Model — MRCPsych Paper B MCQ

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ModerateRehabilitationFloating Support ModelMRCPsych Paper B

A 40-year-old woman with complex psychosis has completed 18 months of inpatient rehabilitation. She can manage her daily living activities and does not require staff on site, but she needs continuing practical and emotional support. She will hold a time-unlimited tenancy in her own self-contained flat. Support workers will be based elsewhere and visit for a few hours each week, with support expected to reduce as her independence increases. Which rehabilitation accommodation model is this?

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Correct answer: C — Floating outreach

The correct answer is **B, floating outreach**. NICE describes this model as a time-unlimited, usually self-contained individual tenancy with staff based off-site who visit for a few hours each week, providing practical and emotional support that is reduced as independence develops. Supported housing has staff based on site and is usually intended as a time-limited step towards less supported accommodation. Residential care provides communal facilities and 24-hour staffing without the person holding an individual tenancy. A nursing care home is appropriate when substantial nursing input is required. A community rehabilitation unit remains an inpatient setting and would not provide the independent tenancy described.

Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis (NG181), recommendation 1.3.4 and definitions of floating outreach, supported housing and residential care. 2020. https://www.nice.org.uk/guidance/NG181/chapter/recommendations