The title is pretty much sums things up. My mum is currently on a section 3 in a secure unit. She's been detained since the end of January. The consultant has tweaked the medication this way and that, but mum is still unpredictable, she can be calm, but she can also be violent. She bites, kicks, lashes out, spits, pretty much you name it she does it when the mood (I know it's not a mood, but I'm struggling for another word) takes her. This morning she was spitting at a nurse and grabbing her lanyard which could be dangerous as mum has tried to strangle me in the past and another patient in her unit. I've just been called by the ward to notify me that mum attacked another patient around lunchtime. The patient retaliated and they've both come out of it with superficial scratches. Mum is entitled to 117 aftercare and a social worker has been appointed. After much debate it's been agreed that mum needs an EMI Nursing Home. The social worker has told me not to look at homes which state they deal with challenging behaviour as they attract a premium and the commissioning group won't pay for that. Will an EMI Nursing Home be able to cope with mum? She's verbally and physically aggressive, not all the time, but there is no pattern making her unpredictable and there is no known trigger, anything or nothing can send her on the attack. I always thought I could cope at home. I was her 24/7 carer, but I know she cannot come home. The best I can do is make sure the home she goes into is the right home and that she won't need to be moved again. I've nothing to compare mum to. In my eyes her behaviour is challenging, but maybe I'm setting the bar too low? Should I be arguing and holding out for a home which takes challenging behaviour or would normal EMI Nursing be ok? The consultant says challenging behaviour homes aren't nice and that I wouldnt want mum in one. She may be right, but then she also said EMI residential would be fine for mum. Every residential home said no yet it was still a battle to get her to change her mind and accept that EMI nursing was needed. I think mum needs what she needs, but exactly what is that?