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 |