Although qualitative research has informed Pathways Theory for decades, there are few quantitative studies that have explored this theory. This study utilizes a path analytic approach with measures of gender-responsive needs collected from 163 male and 103 female pretrial defendants. Results indicate the presence of a pathway to pretrial failure that includes childhood abuse, historical indicators of mental illness, and substance abuse for women only. The implications of this study are likely to inform the current practice of correctional risk/needs assessments and case planning, and to aid the development of more comprehensive and effective programs and interventions for justice-involved women.