Ward security level: 
Limited beds available

This image shows a room in Garden CottageSt Andrew’s provides a specialist mental health rehabilitation pathway for women who may otherwise be vulnerable in a non-specialist environment.

Our locked and open gender-specific rehabilitation pathway in Northampton provides care for women with severe and enduring mental health disorders and complex needs.




Within the rehabilitation pathway, locked accommodation is provided on Thornton, a 15 bed ward.

Patients on Thornton will have either moved through St Andrew’s women’s mental illness pathway, which provides both medium and low secure care, or have been admitted from another provider or the community.

The open accommodation within the Thornton pathway is split between three houses, all within the extensive grounds of the Northampton site.

Working to the principles of least restriction, the houses promote recovery by replicating community living, encouraging empowerment, self-support and responsibility, in a managed risk environment.

  • Glendale - a two bedroomed single story house
  • Garden Cottage - a five bedroomed house, with rooms set over three floors
  • Billing Lodge - a three bedroomed two story house.

24 hour access to staff is provided, and the houses are managed by the Thornton pathway multidisciplinary team, which means that a continuity of care is achieved.


Therapeutic approach

The ethos of the Thornton pathway is to create an environment where the care is co-developed with patients and delivered to meet their specific needs.

By focusing more on relevant factors such as relational security and providing gender specific environments and interventions for the women in our care, recovery is optimised.

Gender-specific and gender-sensitive principles are evident throughout the pathway and therapy plans are adapted to meet the individual needs of each woman.

More than 25 hrs. of therapy per week are offered, including:

  • psychological therapies including dialectical behviour therapy (DBT) and cognitive behavioural therapy (CBT)
  • occupational therapies Speech and Language Therapy (SALT)
  • social work pre-discharge planning, relapse prevention, aftercare support, family liaison/support
  • education
  • physical activities.


Vocational pathway

At this stage of care, there is a real emphasis on vocational and life skills to aid transition back in to the community and address the important issue of relapse prevention.

A comprehensive vocational pathway is provided for the women in our care through a combination of voluntary community placements with local providers, and Workbridge, part of St Andrew’s offering opportunities to take part in meaningful activities, and engaging in community life through a variety of activities including:

  • woodwork
  • ceramics
  • horticulture
  • retail skills
  • catering
  • contracting
  • office skills.



Working within the Section 117 after-care processes, a tailored discharge plan, including relapse prevention is implemented and coordinated by the social work team. Working collaboratively with all the providers involved, the social work team work hard to ensure a seamless transition, working to MAPPA guidance (multi agency public protection) where applicable.

St Andrew’s is able to offer highly bespoke community care packages supporting women with complex requirements. Specific requirements can be discussed and funding agreed in advance with service commissioner .