In 1995, a psychiatric reform took place in Sweden which accorded to The National Board of Health and Welfare emerged to improve patient participation, improve care and social support for humans with psychiatric illnesses. When the final report came in 1999 some improvements had been done, such as the possibilities to move to a permanent home after being discharged from a psychiatric ward and a better collaboration between social services and psychiatry. Although it was clear that there was still work to do. Through person centered care the individual gets listen to and gets a saying in their own care so alignment and patient participation can be formed. The aim of the study is to describe the caring staffs' experiences working with patient participation in forensic psychiatric care. The method used in the study was a qualitative research method and six informants were interviewed about their experiences regarding patient participation in forensic psychiatric care. The data analysis was conducted by means of a content analysis. The result revealed two categories. The first called Care relations significance for patient participation had two subcategories, A sense of us and Present personnel. The second category was called Care contents effect on patient participation and had three subcategories, Common goals, The teams' role and Purposive caring. It became evident that more research regarding patient participation needs to be done.