Table 1.
Overarching themes and subthemes within “Pathways in practice”
| Overarching themes | Subthemes |
|---|---|
| The Nature of the “Secure Care Pathway” | Movement of women through tiers of security or out of services |
| - Discharge facilitate | |
| Discharge delayed | |
| Cost-quality of care conflict | The cost of caring for women |
| - Nature of care is expensive | |
| - Cost is gender relevant | |
| - Determinants of bed purchase | |
| The false economy of rapid discharge | |
| - Discharge driven by cost | |
| - The negative effect of early discharge on recovery | |
| The peril of repatriation | |
| - Premature and disruptive discharge | |
| - Financially driven | |
| Availability of Services | Gaps and blockages |
| - Lack of service provision | |
| - Placements far from home | |
| - Provision of appropriate care in inappropriate security; continuity | |
| Access to community placements | |
| - Lack of step-down facilities and supported accommodation | |
| - Support and involvement in the community to prevent relapse | |
| - Broad conceptualisation of community (See Lists 2 & 3) | |
| Attitudes to Care | Competing concepts of continuity |
| - Continuity of treatment | |
| - Continuity of responsibility | |
| Fear and reluctance in receiving Teams | |
| - Stigma of women in secure services | |
| - Anxiety about receiving women from secure services | |
| - Outreach and supportive relationships |