Gambling and hidden practices in forensic psychiatry: a qualitative study of ambivalence, autonomy, and negotiated care

Gambling emerged as an ordinary yet disruptive element of ward life, shaping autonomy and clinical relations and creating secrecy in relations. The discussion suggests that clearer expectations, routine enquiry, and responsive financial support could help address harm caused by gambling without undermining trust. Such measures may strengthen recovery processes, although the impact will depend on how they are integrated into the relational fabric of secure care.